166686 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD. OFFICE
/�
CONSTRUCTION. ESTIMATE
ELECTRICAL FEES
DBL.
PLUMBING FEES
ME & VENT FEE
1st Fl., 09
2nd FI.
Par.
Gar. ayi
Car P. ,. ..•
' Wall
•
Sq. Ft. @9 i
a^
Sq. Ft. @
NO.
NO.
Sq. Ft.
POLES
Sq. Ff. @ 'a !e�
J
Sq. Ft. @ - _ SIGNS - ORAINAGE PIPING
'-
a. .. ..TRANS. AND/ •
'�' - - DRINKING FOUNTAIN
$q. Ft. .@ - �-.OR' T. CLK.. -
JIF
Sq. Ft'. @ a j' `MOTOR M.P.URINAL '-
` - MOTOR H. P. WATER PIPING
J F M <. M J . J A S -
J F M A M J J A S
ESTIMATED VALUATION IsMOTOR
H. 11.
USE 0-,
FLOOR DRAIN
JLOT
_ fhy S R
MECHANICAL F EF9
,.MOTOR H.P.
WATER SOFTENER
USE 45F BITILIDINt-5p`�-
VENT SYSTEM"t FAN ❑ EVAP. COOL/ MOODMOTOR
H. P.
WASHER (AU TO. a.IDISH)
s-}
APPLIANCE
FIXTURES
C Ht CKED'BY-
GARBAGE DISPOSAL
. R CT
FURNACE UNIT❑ WALL❑ FLOOR 11 SUSPENDED
OUTLETS •.
VALUATION
LAUNDRY -,TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
..�,
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ 0IL - -
- _
MECHANICAL FEE
WATER CLOSET
••C
COMPRESSOR �=P'
- RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENTr
WATER NEATER -
�EGAL .IG I N
SHOWER
ab
ABSORPTION SYSTEM B.T.V.
.SPACE HEATER
CONSTRUCTION FEES`
BATH TUB
,
INCINERATOR DOMESTIC, ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
V 8�
WATER HEATER
• _
HEATING SYSTEM 9 FORCED ❑ GRAVITY
SERVICE ENTRANCE'SEWAGE
SUPP. TO PERMIT
DISPOSAL -
ego 11 A0
BOILER B.T.U.
RESID. 1'C SQ. FT:
I
HOUSE SEWER
-
'RjFe yO E&TA.1.E.F." 5Q. FT. @
M GARAGE zQ SO. FT.
PLAN FILE 4
GAS PIPING
INSPECTOR
PERMIT FEE
PERMIT FEE ,
PERMIT FEE
•'� ��
PERMIT
/�
REN.
DBL.
TOTAL FEES
ME & VENT FEE
PLN, K. FEE
CONST. 'FET=
ELEC. FEE
PLUMB. FEE
J
JIF
f7
J F M <. M J . J A S -
J F M A M J J A S
"O N - D
O N D '
SET BACK SIZE •
USE 0-,
_
JOB ADDRES.. - ' - OWNER
S
JLOT
_ fhy S R
,,
1
Z IJEW •.
USE 45F BITILIDINt-5p`�-
PLAN CHECK FEES.
s ��
b'I
-�
C Ht CKED'BY-
C MM I.T • -
. R CT
F.C.
UNITS
VALUATION
OFWta
MECHANICAL FEE
•
•
bR P TYPE
�EGAL .IG I N
1PERMIT
f
Nr`X,M BE
CONSTRUCTION FEES`
Jf.. -' .:.
.1
66
V 8�
• _
SPEC. INSP.
-
SUPP. TO PERMIT
ELECTRICAL FEE
I
PLAN CHECKER
.•
BOND '$
..
BOND
CASH
PLAN FILE 4
FINAL DATE.
INSPECTOR
PLUMBING FEE svr
(.J-• a.S-Yj.�..
VVK�.Y`k
TOTe FEES�
i
AL
THIS PERMIT'SHALL-BECOME VOID IF WORK IS NOT COMMENCED-
''}
WITHIN 60 DAYS. CESSATION OF WORK. FOR 120. DAYS. SHALL ALSO
CAUSE PERMIT TO BECOME VOID. - - • '
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. o. '•.N..C. -
tECEIVED BY f SEWAGE SYSTEM
PERMIT WILL BE DONE IN 'ACCORDANCE WITH TH_E LAWS OF RIVER -
f !
SIDE COUNTY AND THE STATE OF CALIFORNIA, i ALSO AGREE TO
T LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
-_
ANCE WITH LAWS OF THE,STATE OF. CALIFOR' COVERING CON-
INFOReennoN
TRACTORS IS ALSO GUARANTEED
0
Gr h
OWNER
O A TOR
A7�
'ADDRESS
CITY{ fes} S A
,e�
,�, • x
-TEL.
-
NO.
LICENSE NO.
t84-208 11/87