186297 (ELEC)NO,
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SDFTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR K. P.
DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE 0
WASHER (AUTO) (DISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
GARBAGE DISPOSAL
Sq. Ft. @
OUTLETS
NO.
Sq. Ft. @
AIR HANDLING UNIT
Sq. Ft. @
COMMUNITYI T I .C. 1 5 V717LUATION OFFICE
Sq. Ft. @
POLES
Sq. Ft. @
slcNs
Sq. Ft. @
TRANS. AND/
OR T. ELK.
Sq. Ft. @
MOTOR H. P.
LAVATORY
MOTOR H. P.
ESTIMATED VALUATION is
-
�/" SVPP. TO PERMIT
MOTOR H. P.
•
MECHANICAL FEES
..TDR
NO,
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SDFTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR K. P.
JOB ADDRESS OWNER
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE❑ UNIT❑ WALL❑ FLOOR❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
COMMUNITYI T I .C. 1 5 V717LUATION OFFICE
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
o_U
WATER CLOSET
COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
j WATER HEATER
-
�/" SVPP. TO PERMIT
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
CASH
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
PLUMBING FEE $
SEWAGE DISPOSAL
BOILER D B.T.U.
RESID. 10 50. FT.
- ®✓
HOUSE SEWER
PERMIT FEE
GARAGE zQ 50. FT.
TOTAL FEES
GAS PIPING
PERMIT FEE
[i><%
PERMIT FEE
PERMIT NUMBER REN. DBL. TOTAL FEES I HEAT 1, VENT FE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE
Sq
J
-- �.
1- __ . ._.._ .I..— _
SET BACK LOT SIZE
USE I
JOB ADDRESS OWNER
F 5 R
ZONE
S OF BUILDI G , ATE
PLAN CHECK FEE $
_
- AJ 11 Al _ 2a 711
-
CHECKED BY
COMMUNITYI T I .C. 1 5 V717LUATION OFFICE
MECHANICAL FEE $
o_U
U PE
LEGAL ES IPTI N PERMIT NUMBER
CONSTRUCTION FEE $
Lr— "y _
SPEC. INSP.
-
�/" SVPP. TO PERMIT
ELECTRICAL FEE $ n �
'� 7 j _ t' _
PLAN CHECKER
BOND $
BONO
CASH
PLAN FILE itFINIAL
DATE
INSPECTOR
PLUMBING FEE $
//P
TOTAL FEES
qp
SHALL THIS PERMIT I R IS NOTCOMMENCED
WITHIN 0 DAYS. CES CESSATION OF WORKFOR 0DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CASH CHECK M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
'r W
NAME OF CON-STRUCTION LENDER
•
BRANCH OFFICE
OWNER
CONTRACTO
f r
ADDRESS
ADDRESS
ADDRESS -
CITY STATE
1
'
NO LENDER INVOLVED
INFORM TION
tJ
TEL. NO.
TEL. NO.
LICENSE NO.
264-208 12/8