187862 (RPL)DEPARTMENT OF BUILDING & SAFETY -
COUNTY OF RIVERSIDE FIELD OFFICL
CONSTRUCTION ESTIMATE
ELECTRICAL PEES
PLUMBING FEES
1st F'I.
2nd FI.
Por.
Gar.
Car P-..
WOII
'Sq. Ft. @
NO.
NO.
Sq. Ft. @
Sq., Ft. @
Sq. Ft.. C POLES
T
SIGNS
$q. Ft. (d
'DRAINAGE, �P.IRING
�I$- AN
$q. �F',t. /'ll ,OTL'c1rD/
lCM1
'DRINKING FOUNTAIN
MOTOR; N'..P..
$q. Ft.,
URINAL
MOTOR -H. P.
WATE,R'.'PIFJNO'
EST AT.ED VALUATION $J
' MOTOR H:P:
FLOOR DRAIN
MECHANICAL ITEMS
MOTOR H. P.
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. '!COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) ' (DISH)
APPLIANCE FIXTURES GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL.❑ FLOOR El SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT BUB-PANEL-K-ITCHEN S'IN'K
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL I WATER. CLOSET
7
COMPRESSOR �,HP 'RAN'GE ANO'/OR OVEN LAVATORY
APPLIANCE VENT WATER HEATER .' SHOWER.
'ABSORPTION 5YSTEM D B. T.U.s SPACE HEATER BATH TUB.
i
-IN.C.INERA'TOR DOMESTIC. ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER
HEATING SYSTEM ❑ F:ORCED D'GRAVITY SERVICE ENTRANCE, SEWAGE DISPOSAL
.BOILER B.T.U. RE $'ID. tO S0. FT.
PERMIT FEE- I GARAGE "t SO. FT.. GAS PIPING
PERM'I'T FE'E' PERMIT FEE,
_ P q T U
REN. DBL..
-
TOTAL. FEES
VENT FEE
PLN. CK. FEECOHST. FEE
ELEC., FEE
PLUMBS FEE
98 2
114EAT.&
..
-
'•
I.- Jam—
6 M A M J J A S
O N D
SET BACK
-ILOT
SIZE
USE it'
JOB ADD ESB ....11y
OWNER'
F
S
R
"
ZONE.
'US -OFU —,D1 - DATE
PLAN
.PLAN CHUCK FEE $ 4�..w`S
� � _ ! 'P -04p-- �
CH C ED -BY
'C,O,MM MITY " D. F:C. V.'ALU ATION OFFICE
FITS
MECHANIC; -AL .FEE $
'+ -
//�� {fry��q,,
YPE
Lt—GA LE _ CR 'PTION - PER T MBER
1 8 2
C.ONSTR;UCTI O,N FEE $ S/�
_
SPEC. IN.S'.P..
'SUPP. TO PERMIT
ELECTRICAL FEE 5
I
PLAN C,HECK'ER
OND'
BOND
CASH
PLAN FILE 1)
FINAL^^DATE
INSPECTOR
I
'.PLUMBING FEE $
'vl. ('�
TOTAL FEESIr
2a�
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAY'S SHALL, ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WOR,KAN CONNECTION WITH THIS
'
CASH CHE'C.K M.o. 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
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIF'OR'NIA ,COVERING CON-
NAME
NAME OF CONS�TR CTION LENDER
IS ALSO GUARANTEED.
m
OWNER
BRANCH' OF.FIC'E'
' ADORE 55
A O S
_
A
CITY STATE
w.L0644
oe"
' NO LENDER LNVOLVED
IN'FORMATI'ON
•
� I
LICE 9 NO:-- -
_
�, 84-208 12%88 �'``C''„
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