174721 (SFD)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
VENT SYSTEM :'FAN DEVAP'. COOL :HOOD MOTOR H. P. WASHER (AUTO) 'ISH;)
ELECTRICAL FEES
PLUMBING FEES
1st FL
2nd F I.
Por. -,e!+�'
Gar. P'
Car P.
Wail
Sq. Ft.'@,
NO.
3
NO.
r
S'q: Ft. @
Sq. Ft. @ �
j
J POLES
Sq. Ft.
-
SIGNS
Sq. Ft. @
DRAINAGE PIPING
Sq. Ft. @ ORAT.. CLK�/
:DRINKING FOUNTAIN
Sq Ft @ MOTOR H. P:,
URINAL y
MOTOR H.P..
WATER PIPING
ESTIMATED VALUATION Is
` 1,
MOTOR H:P.
FLOOR DRAIN
MECHANICAL FEES
REN. DBL.
MOTOR H.P:
WA.TER'SOFTENER yl
VENT SYSTEM :'FAN DEVAP'. COOL :HOOD MOTOR H. P. WASHER (AUTO) 'ISH;)
APPLIANCE FIXTURES :GARBAGE D14P,OSAL 4s,
FURNACE D UNIT ❑WALL D FLOOR D SUS'PENDE'D OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT SUB -PANEL KITCHEN SINK 5
GAS PIPE D NATURAL D L.P._G. D OIL 17 WATER, .CLOSET r
COMPRESSOR rf HP RANGE AND/OR OVEN LAVATORY
APPLIANCE VENT WATER HEATER. 'SHOW ER
ABSORPTION SYSTEM B. T. V. SPACE HEATER BATH TUB
INCINERATOR DOMESTIC D INDUS. 13 comm. CONSTRUCTION POLE 'WATER, HEATER
HEATING SYSTEM FORCED D GRAVITY SERVICE. ENTRANCE SEWAGE D ISPOSAL
BOILER B.T, U. ✓ RE5:ID. 10 SQ. 'FT. SEINER
Jul -OUSE
,PERMIT FEE GARAGE ,#C'SQ�'FT". p�GAS PIPING
u
Fj PERM'IT' FEE PERMIT FEE yam
PER
NUMBER
REN. DBL.
TOTAL FE/ESS'!
HEAT &' VENT FEE
PLN'.,C'K, -FEE
CONST. FEE
E'L EC. FEE
PLUMB. FEE
4.72
J
j
M A M J .:1 A 'S
O - Np
SET' BACK
LOT SIZE
USE i!
JOB ADDRESS
OW.N£R -
IIS
F
5
R
f WIAIIICAW _
' -
ZONE
USE OF BUILDING, - - Tp
PLAN CHECK FEE S
"1'�' ICHECKED
BY
COMM Y
DISTRICT
F..CC.
N1.�
VAL AS ION' 40A
PF C'E
MECHAN'1'CA.L FEE S !��
�
`:
I
(�/ �
�_
RP
TYPE
LEGAL DEOXICRIPTION -
PERMIT
•NUMBER
I
CONSTRUCTION FEE S J�
174721-'
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL7.FEE S /7f
'PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE XI
DATE
INSPE'C.T OR
� "f
PLUMBING. 'FEE S
IV
1 �- )C!
TOTAL' FEES
$
/M
SHALL BECOMEVOID I WORK
PERMITSO
OF
WITHIN DAYS SHALLCOMMENCED
FOR LSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH'. CHECK M. o'. N. C.
.RECEIVED BY
SEWAGE S'YSTE'M
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T jj
u
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFOR"N ' COVERING CON -
NAME OF CONSTRUCTION L:ENDER'COACHELLA VAL SELL
TRACTORS IS ALSO GUARANTEED.
'OWNER
C N.TR CTOR'
BRANCH OFFICE
f
1. 'All -14
ADDRESS. PALM 'SPRINGS BRANCH
DRESS' -
,
ADDRESS
CITY STATE C.
NO LENDER INVOLVED'
IN'FORM'ATION
TEL. NO.
TEL. NO.
'
++')
SLI Jf
`lei'
LICENSE NO. _
84-208 12/68