160695 (PLBG)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
0 A I :
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1st FI.
Sq. Ft. @ _ NO.
2nd FI.
Sq. Ft. @
POT.
Sq. Ft. @
Gar.
Sq. Ft. @
Car P.
Sq. Ft. @
Wall
Sq. Ft. @
MOTOR
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
POLES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGNS
H. P.
WASHER (AUTOI IDI SH)
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
PERMIT NUIB16
0 95 REN. 11111L. TOTAL FEES I HEAT & VENT FEE JPLN. CK. FEE JCONST. 'FEE JELEC. FEE PLUMB. FEE
I
I
J v M A M J J A S O N D
I
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H. P.
WASHER (AUTOI IDI SH)
JOB ADDRESS OWNER
L In -
APPLIANCE
FIXTURES
I
GARBAGE DISPOSAL
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
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LAUNDRY TRAY
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C'HECKED BY
COMMUN TY� ISTRIC .C. IT VA LU A T 16 N
OFFIC
Z
0
AIR HANDLING UNIT
SUB-PAMEL
'� C;�V
KITCHEN SINK
J
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
T PE 4F
LEGAL CR IPTION
160695
WATER CLOSET
Q
COMPRESSOR �HP
RANGE AND/OR
OVEN
SUPP. TO PERMIT
LAVATORY
U
j ELECTRICAL FEE
w
PLAN CHECKER
W
APPLIANCE VENT
WATER HEATER
PLAN FILE 7#
FINAL DATE
SHOWER o
f
I
�
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
TOTAL FEES
.�,+ {dry
BATH TUB
0
U
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION
POLE
e
WATER HEATER 1
SEWAGE SYSTEM
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
BOILER 8.T.U.
RESID. 12 50.
FT.
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
TRACTORS IS ALSO GUARANTEED.
HOUSE SEWER
OWNER
CONTRACTOR
RESIDENTAL FEE SO. FT.�@
GARAGE iQ 50.
FT.
GAS PIPING
RE 5
PERMIT FEE
PERMIT FEE
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1
TEL. N
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LICENSE NO.
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284.208 _ 11/87
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