174725 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OP RIVERSIDE
FIELD .OFFICE;;
CONSTRUCTION ESTIMATE
LOT 'SIZE
ELECTRICAL FEES
USE 0
A&
PLUMBING FEES
I s't F I .
2nd FI.
Por. ''r'
Ger.i1
Car P.
WOII
'
Sq: Ft. @ `+
+ ° No.
N O-.
U OF SU_ILD:ING DATE
tt''
PLAN CFi'EG;K FEE $
Sq., Ft..
�, 'tf%7 •�
Sq. Ft.. @ k 00,
-'
Sq. FtC '. �/� POLES
COMMUNITY -
SIGNS 'DRAINAGE P.IPIN'•G
Sq. Ft. Q
F.C.
Sq. Ft. �. DFRAT:SCLK.D/ DRINKING FOUNTAIN
VACOATION OFF CE
MOTOR ,H.P. OR;INAL.
Sq. Ft. @
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION Is '
nj
MOTOR
k. P.
-
FLOOR DRAIN
RO P
MECHANICAL FEES
LEGAL DCRI,PTION
MOTOR
H. P.
WATER'SOFTENER
VENT SYSTEM FAN ❑ EVAP.'COOL HOOD
{�
MOTOR
H.P.
CONS-TRUCTI0I4 FEE•$
WASHER (AUTO) (DISH')
J•
APPLIANCE
-174725
FIXTURES
GARB'A'GE DISPOSAL
.SPEC. INSP.
FURNACE [3 UNIXEI WALL❑ FLOOR C3 SUSPENDED
-
SUPP. TO PERMIT
OUTLETS
%
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
SONO iBOND
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
INS CTOR
02
WATER CLOSET
COMPRESSOR �H'PRANGE
AND. /OR OVEN
LAVATORY
U
APPLIANCE VENT
WATER. NEATER
SHOWER(
'�•
ABSORPTION SYSTEM. B. T. U.
SPACE HEATER
�`
BATH' TUB
CASH CHECK M.D. N. C.
INCINERATOR DOMESTIC ❑ INDUS: ❑ COMM.
-
CONSTRUCTION POLE
WATER:' HEATER
-
HEATING SYSTEM FORCED ❑GRAVITY
`r
SERVICE, ENTRANCE jj&A
pry
SEWAGE DISPOSAL'
f !
BO'I'LER C�•B .T. U-..
P
RES,10. It SQ. FT.
'rf
HAUSE SEWER
TRACTORS IS ALSO GUARANTEED.
PERMIT FEE.
COACHLLA � S&�7GL
V
5
GARAGE }R 0 FT.
GAS PIPING
OWNER
O,N RACTOR, T
PERMIT FEE
d
PERMIT FEE{��
.ADDRESS PALM SPRINGS
PERM T'N MBER
REN.
IDOL*
TOTAL FEEtS''
-ice
HEAT .B VEN�;rE 'PLN. 'CK.'FE-EE I Al ,,/
J� :..3
CONST. FEE
�1
t7
JELEC. FEE
o'.V
j
PLUMB. PEE
f M _ M. _
�J s
- S
"O
_. N •O'- _
-
SET BACK
LOT 'SIZE
USE 0
A&
JOB ADDRESS OWNER
7-rWA
F r
's y
R
ZONE -
U OF SU_ILD:ING DATE
tt''
PLAN CFi'EG;K FEE $
�, 'tf%7 •�
CHECKED BY
COMMUNITY -
-DISTRACT
F.C.
UH T,
VACOATION OFF CE
MECHAWLICLAL FEE $
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-
RO P
Y' -
LEGAL DCRI,PTION
PERMIT NUMBER',
CONS-TRUCTI0I4 FEE•$
'�"Z.
-174725
.SPEC. INSP.
_ -
-
SUPP. TO PERMIT
EL-ECTRICAL FEE
%
PLAN CHECKER
SONO iBOND
FINAL 'DA•TE
INS CTOR
ICASHIILEPLANPt.
-
PLUMBIN;6 FEE' $
I !0
TOTAL FEES/qp
BECOME VOIDI FWOR
�`
WITH- I- IN 60EDAYS.SCESSATION OF WORKHALL
FOR 01 DAYOS SHALNLE ALSO
CAUSE PERMIT TO BECOME VOID.
IrlEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.D. N. C.
RECEIVED BY
-
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER=
-SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO .AGREE TO
ip
r 0e0
ILL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFOFi ' A C'OWE'RING CON=
ATE
TRACTORS IS ALSO GUARANTEED.
NAME '�OF CONST RU C:TION LENDER
COACHLLA � S&�7GL
V
OWNER
O,N RACTOR, T
BRANCH OFFICE
-
-
.ADDRESS PALM SPRINGS
,BRANCH
-
ADDRESS 'ADD
E 8 -
'CITY �' STATE �,�A
NO LENDER INVOLVED
INFORMATION
-
j
,-1
k YV J z -
TEL. NO.
TEL. NO.
LICENSE NO.
284-208 12/681