174720 (SFD)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFF(CE' %,'
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Por,.
Gar.
Car P.
Wall
Sq. Ft. @ �`v �
-.- N.O.
NO.
Sq. Ft. @
R
Sq. F.t. @
VA {�
Sq. Ft. @ POLES
SIGNS
Sq. Ft. @
DRAINAGEPIPING
Sq. Ft. @ ORAT.SCLK.O/
;DRINKING FOUNTAIN
MOTOR M. P.
Sq,. Ft. @
URINAL :7
MOTOR H. P.
'WATER-PI:PING all
ESTIMATED VALUATION$ }' �� • i
.�� MOTOR H. P.
FLOOR DRAIN {
MECHANICAL FEES'
MOTOR M.P.
'W ATER'SOFTENER
ilk-• – -- Iti— _---- rv' - I'E- 1 - iC 1' 1'
SET BACK
VENT SYSTEM FAN ❑ E•VAP. COOL HOOD
I LOTSIZE;USE
MOTOR
H. P.
WASHER (AUT,O)ISH.I��
F ,& S O
R
APPLIANCE
VA {�
FIXTURES
GARBAGE DISPOSAL
PLANCM ECK. FEE $' t
FURNACE❑ UNIT❑.WALL❑ FL'OOR,❑ SUSPENDED
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OUTLETS
CHECKED BY
LAUNDRY TRAY
F.C.
'.fjNI fs,
AIR HANDLING UNIT
OFFICE
SUB -PANEL
KITCHEN SINK
GAS PIPE- ❑ NATURAL ❑ L.P.G. ❑ OIL
too
CONSTRUCTION FEE $
GRQffP
TYPE.
LEGAL DE
WATER CLOSET
SPEC. INSP.
COMPRESSOR %"" HP -
(%Q
RANGE AND/Off OVEN -
LAVATORY
EL-ECTR�ICA.L FEE $- E.
APPLIANCE VENT
WATER HEATER
PLAN,CHECKER
SHOWER
BOND
CA'SII
ABSORPTION SYS -TEM D S. T. U.
FINAL DATE
SPACE. HEATER
PLUMBING FEE $ B,2t,-
'BATH TUB
,
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
TOTAL SEES
WATER HEATER.
l� I
1,76 -
THIS PERMIT SHALL.BECOME VOID IF WORK IS NOT COMMENCED
.HEATING SYSTEM FORCED ❑ GRAVITY
12
SERVICE ENTRANCE .;�4%
SEWAGE DISPOSAL
CASH CHECK M.O. N.C.
RECEIVED BY
BOILER B,.T.,.V.
RES,ID: It SQ., FT,
PERMIT WILL BEDONE IN ACCORDANCE WITH THE LAWS OF RIVER-
HOUSE SEWER'
.
PE-RK41T FEE
GARAGE, yQ SO. FT. f Q..T►
GA'3 SPI PING'
'
LL
~ +
PX �/
PERMIT FEE'
did
PERMIT FEE
pd
PIR T' U
REN.
DBL.
TOTAL FEES
1.17�" y�_
HEAT & VENT FEE
PLN'. CK. FEE
-
�C ON 9T. FEE'
vr�
[ELEC, FEE
PLUMB. FEE -
ilk-• – -- Iti— _---- rv' - I'E- 1 - iC 1' 1'
SET BACK
I LOTSIZE;USE
9
JOB ADDRESS ' .SOW/NCR
F ,& S O
R
VA {�
q� ,/,/`a �+r yy
~ ��*f ��•�+f{+ /'/V R !1 VI✓I#Mrk 7,2WI� i! G✓D .
US.E OF BUILDING
PLANCM ECK. FEE $' t
+ !
_tdk .(,6,.
DATE
r�
CHECKED BY
COMMUNITY DPS TRi'CT
F.C.
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VALUATION
OFFICE
�
ME CH ANI'C•AL FEE $
too
CONSTRUCTION FEE $
GRQffP
TYPE.
LEGAL DE
01 .PERMIT. NUMBER
174720
SPEC. INSP.
SU
EL-ECTR�ICA.L FEE $- E.
PLAN,CHECKER
BOND. 'j
BOND
CA'SII
PLAN FILE #1
FINAL DATE
INS a TOR,
PLUMBING FEE $ B,2t,-
6 ,F 3
TOTAL SEES
l� I
1,76 -
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.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BEDONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/
SIDE COUNTY AI40 THE STATE OF CALIFORNIA. I ALSO AGREE TO
'T
LL
PX �/
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFO IA COVERING CON-
1.
NAME OF C.GNSTRUCTION. LENDER COACHELLA VA L S&L
TRACTORS IS ALSO GUARANTEED -
OWNER
COITTRACTOR
BRANCH OFFICE
"`
ADDRESS PALM SPRINGS BRANCH
,vep.
ADDRESS
R4
-
ADDRESS
7�
�,E 3 7%%�� 7
CITY 'STATE C 4 E'
NO LENDER INVOLVED
INFORMATI'GN
-
-
vi/ ~ !!
1 /g0 'x e 4, G
-TEL. NO. i
TEL. NO. -
VOW
•+"
LICENSE NO.
84-208 12/88 ry
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