176956 (CP)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE A
CONSTRUCTION ESTIMATE
'ELECTRICAL. FEES
PLUMBING FEES
1st FI.
2nd Ff.
Por.
Gar.
Car R., prySIGNS
FLI.F
Sq., Ft. @
NO:
NO.
Sq. Ft. @
Sq. 'Ft. @
Sq. Ft. @ POLES.
F
Sq. Ft. @
'D1.11'NA'GE PIPING
TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
,Sq. Ft. @ MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMA'TEb": V'A DATION $
MOTOR H. P.
FLOOR DRAIN
MECHANICAL FEES
I I MOTOR wzP. I
WATER' SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ H060 MOTOR H. P. WASHER. (AUTO) (DISH)
APPLIANCE FIXTURES 0 u GARBAGE-D1$POSA'L
FURNACE 13 UNIT 13 WALL 13 FLOOR 13 SUSPENDED OUTLETS p LAUNDRY TRAY' I
AIR HANDLING UNIT SUB -PANEL KITCHEN SINK
GAS PIPE ❑ NATURAL ❑'L.P'.G. ❑ OIL WATER CLOSET
COMPRESSOR HP RANGE AND/OR' OVEN LAVATORY
APPLIANCE VENT WATER HEATER SHOWER
ABSORIPTION 'SYSTEM O 0-T.U. SPACE NEATER - BAT;N TUB
INCINERATOR DOMESTIC 13, INDUS'. ❑ COMM. CONSTRUCTION POOLE WATER .HEATER
HEATING SYSTEM 13 FORCED O GRAVITY9ER'VICE ENTRANCE SEWAGE D'ISp08 A'L U
BOILER 43 T,,.,U. RESOD,. IC SD. FT. HOUSE SEER
PERMIT FEE O GARAGE 10 SO'. 'FT. GAS PI.PING
PERM'IT.PE'E. PERMIT FEE
DBL.
TOTAL FEES
HEAT & VENT FEE
pLN: CK': FEE
CONST. FEE
'E LE FEE
PLUMB. FEE
JREN.
J
¢M - -� -.A _ _ M J _ .. .1. _ A S. -
r0. N : D
J F .M A M J J .A:9
'O' N� ,'D
SET BACK
LOT- SI'Z'E
USE 9
JOB ADDRESS
I�r '�Y N s �`
;OWNER
S
F`
R/ `Y•l
ZONE
- SE_ OF BUILDING DATE'
j
-
rayl +�
PLAN CHECK FEE $ 1 �
CHECKED BY
COMMUNI'TDIISTR'1
C'TF.0-.
-UN'ITS
'VAL`UAT,IO,N OFFICE
�y„tL
MECH-ANICAL FEE $
l
f
R P 'PE
LEGAL DESCRIPTION
PERMIT
N
Ii1BER
76
56'
C'ONSTRUCTI'ON FEE fi
(�" - ��
SPEC. INSP.
SU,p P. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND i
BOND
CASH
PLAN FI LE 41
DATE
INS' .TCR
'PLUMBIN'G FEE $
I
(IFINAL
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED I
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. 0. 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
LZIA
T
Lc
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPL"-
ANCE WITH LAWS OF THE STATE OF CALIFORNI' COVERING CON-
NAME OF CONSTRUCTION'LENDER
TRACTORS IS ALSO GUARANTEED
OWNER
CWYWAC R
BRANCH OFFICE
ADDRESS
AODR S
A -OD R E SS.�
CITY' STATE
11
NO LENDER' INVOLVED
k e,T.'
INFORMATION
_
L.. O.
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