174728 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE FIELD OFFICE',11
CONSTRUCTION ESTIMATE
VENT SYSTEM FAN ❑ EVAP. COOL HOOD MOTOR H. P,: WASHER IAU-TO') .e15HJi
ELECTRICAL FEES
PLUMBING FEES
'
1st Fl. +'�
2nd F1.
Por..
Gar. _5!!r7
Car P.
WallI
-
Sq. Ft. @ A0
r%^
No.
NO.
Sq. Ft.
�p
Sq. Ft. @S
Sq. Ft. @ '% / POLES
Sq. Ft. @ SIGNS DRAINAGE PIPING
TRANS. ANC/ DRINKING FOUNTAIN
Sq. Ft, '@ OR T. CLK.
MOTOR Hip. URINAL
Sq. Ft. @
MOTOR. N.P. WATER PIPING
N
ESTIMATED'VALUATION $
...-
MOTOR M. P.
FLOOR DRAIN
1'
MECHANICAL .FEES
'COlIST. FEE
MOTOR' H. P.
WATER'SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL HOOD MOTOR H. P,: WASHER IAU-TO') .e15HJi
APPLIANCE �FIXTURES ' GARBAGE, DISPOSAL V
FURNACE,❑ UNIT D'WALLD FLOOR D SUSPENDED OUTLETS LAUNDRY TRAY
r'
AIR. HANDLING UNIT SUB -PANEL KITCHEN SINK
GAS PIPE ❑NATURAL ❑ L.P.G. D OIL WATER CLOSET
COMPRESSOR ✓ HP RANGE AND/OR OVEN LAVATORY LI
APPLIANCE VENT WATER HEATER SHOWER xff -
ABSORPTION SYSTEM O B.T.V.. SPACE HEATER / BATH 'TUB
•
rxv
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER
H'£AT1HG SYSTEM FOR,CE'D ❑ GRAVITY V - SER.VICE'ENTRANCE f SEWAGE DISPOSAL �Lr
BOILER .O .T.U. I RES'!ID. 1'0 SO. 'FT, tsHOUSE SEWER
p
PER FEE GARAGE f0 SQ. FT.. Ala GAS PIPING
PERMIT FEE PERMIT FEE
PT U E
REN. DBL'.
TOTAL FE.E9�
HEAT 'h VENT PEE CK: FEE
'COlIST. FEE
ELEC. FEE
PLUMB. FEE
IPM
A
ss
7�
J '.F ._ _ M _ _ A M J_ ._ �. �- __ _ _IAL _ _ ..' �
O IN, _•;.D _
"J �F M A M J J A. 9
'0 N D - -
SET BACK
LOT. SIZE,
USE 0
`
JOB ADDRESS r -
�`$
OWNER
_O
F
S O
R
Y +# Q
/L. J ///.+4�'
lY - .U'Y
IONS
USE rOF BUILDING - DAT£
PLAN CH -ECIC FEE $
-
CHECKED BY
Cp MMUNITY
DISTRICT
P.C.
[UNITS
VA'LUAT'ION. OFFI,
f,�/)
19-Y
MECHANI�C,A'L FEE $
. -
F�
GR 'P
Ty PE
LEGAL DE_ ION
NUM�R
~'+•
-R.IPT
1PERM1'T
747
CONSTRUCTION FEE $
'SPEC. INSP.
•
SUPP. TO PERM IT
_
ELECTRIC.A'L FEE $
'PLAN CHECKER
BOND S
BOND
CASH
PLAN -FILE V
FINAL DATE
INSP TOR
I
10
PLUM'BI'NG FE'E $
TOTAL FEES
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 -
'GASH CHECK * M.O. N. C.
RECEIVED BY
sEWAGe:sYST.EM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO
T
"
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES: COMPLI-
LL
P
ANCE WITH LAWS OF THE STATE OF CALIFOR.N COVERING CON-
TRACTORS IS ALSO GUARANTEED.
'44AME OF CONSTRUCTION LENDER COACHELLA Y�7 AL S&L
'
1+ -
OWNER
co%TR_ CTOR
B[tANC'H OFFICE
r ing-a
0,,_j,,0jr zi -11 r..
ADDRESS PALM SPRINGS BRANCH
ADDRESS
ADDRESS il -
CITY '- STATE
;g
NO LENDER INV-OLV'ED
INFORMATION
-
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TCL. NO.
TEL. NO.
J
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6L
LICENSE NO. /
84-208 :12/80 /
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