164826 (SFD)DEPARTMENT OF BUILDING & SAFETY
1ftk COUNTY OF RIVERSIDE Adik FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
'i
1st FI. E'
Sq. Ft. @
NO.
NO.
ZONE
USE Or BUILDING - ATE
s
2nd FI.
Sq. Ft. @
CHECKED BY
CJ<�..
C MM NITY '
is °
F,C.
UNITS
/
J
Sq. Ft. @ 2.144Z
CONSTRUCTION FEES
1R.4f
f
TYPE
of
Par.
Sq. Ft. @
+w
POLES
SPEC. INSP.
- �� -
SU PP. TO PERMIT
.
Gar.
Sq. Ft. @
PLAN CHECKER
SIGNS
1 BOND
DRAINAGE PIPING
PLAN FILE #
Car P.
Sq. FT. @
TOTAL FEES
TRANS. AND/
OR T. ELK.
SHALL BECOMEVOID I WORKCOMMENCED
DRINKING FOUNTAIN
Wall
Sq. Ft. @
WITTHIS HIN 60 DAYS. OF FOR DAYOS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS I
MOTOR
H. P.
URINAL
SEWAGE SYSTEM
P
ERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
„CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
MOTOR
H.P.
WATER PIPING
�X,
ESTIMATED VALUATION Is
4;.,c.
MOTOR
H.P.
FLOOR DRAIN
MECHANICAL FEES
CONTRACTOR, _
MOTOR
H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H.P.
WASHER (AUTO) DISH)
QJI►✓<q
APPLIANCE
FIXTURES
GARBAGE DIS SAL
4'+i
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
i
a r !1
J
Z AIR HANDLING UNIT
0
TEL. NO. vor'
SUB-PAMEL
KITCHEN SINK
L
• J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
1
LICENSE NO.
WATER CLOSET
284-208 11/87
Q
U COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
(r
' W APPLIANCE VENT
WATER HEATER
SHOWER
' ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
'S
O
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE Q
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE esco
SEWAGE DISPOSAL
BOILER D B.T.U.
RESID. IT SQ. FT.-
/44.07
HOUSE SEWER
RESIDENTAL FEE SO.FT.�e
GARAGE zT SQ. FT. ?
GAS PIPING
PERMIT FEE
PERMIT FEE
4,
PERMIT FEE
LlO �.
PERMIT
REN.
DBL.
TOTAL FEES
HEAT & VENT FEE
PLN. CK.
FEE
ELEC. FEE
PLUMB. FEE
jM6R�gF
le
1CONST,ST
_
J M A M J
J A
5 O
N
SET BACK
LOT SIZE
USE 4
JOB ADDRESS OWNER
Is
}}��
PLAN CHECK FEE
ZONE
USE Or BUILDING - ATE
s
MECHANICAL FEE
/
CHECKED BY
CJ<�..
C MM NITY '
DISTRICT
F,C.
UNITS
/
J
VALUATION OFFICE
/• `�"�
CONSTRUCTION FEES
1R.4f
f
TYPE
L GAL DESC IP'I
_ i. 3 /"-
PERMIT NUMB%
6482 �
ELECTRICAL FEE
-^�y�
,� V �5
SPEC. INSP.
- �� -
SU PP. TO PERMIT
.
PLUMBING FEE
PLAN CHECKER
BOND $
1 BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
TOTAL FEES
yy 1
SHALL BECOMEVOID I WORKCOMMENCED
WITTHIS HIN 60 DAYS. OF FOR DAYOS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS I
CASH CHECK M. o. C.
RECEIVED BY
SEWAGE SYSTEM
P
ERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
„CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
/
Ty,.✓c..r..�
LL
P2�
INFORMATION
OWNER
CONTRACTOR, _
ADDRESS
ADDRESS
i
a r !1
TEL. NO.
TEL. NO. vor'
1
LICENSE NO.
284-208 11/87
i