166880 (BLDG)DEPARTMENT OF BUILDING & SAFETY
Ilk COUNTY OF RIVERSIDE Adbk FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL
FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
Sq. Ft. @
NO.
CONST. 'F E'Ej ELEC. FE��2
NO.
IM6B
Sq. Ft. @
8 8
Sq. Ft. @
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
N AN
Sq. Ft. @ 0RATSC LK.Q/
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION is
USE 11
MOTOR
H. P.
FLOOR DRAIN
MECHANICAL FEES
S
MOTOR
H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
K. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
�`
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
OFFICE•
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
MECHANICAL FEEBA
A t
WATER CLOSET
COMPRESSOR �HP
GROUP
RANGE AND/OR OVEN
LEGAL D130SCRI15110N
LAVATORY
APPLIANCE VENT
CONSTRUCTION FEE t
WATER HEATER
SHOWER
ABSORPTION SYSTEMj B.T.U.
SPACE HEATER
SPEC. INSP.
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
l'
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER � B.T.U.
BOND $
RESID. Ill SO. FT.
`'j
C- PLA FE #
HOUSE SEWER
RESI_Ft1T— FEE SO. FT. E::I1@
PLUMBING FEE
GARAGE f SQ. FT.
GAS PIPING
PERMIT FEE
y
PERMIT FEE
!yD
PERMIT FEE
PERMIT
REN. DBL.
FEES
HEAT & VENT FEE
CK, FEE
CONST. 'F E'Ej ELEC. FE��2
PLUMB. FEE
IM6B
8 8
O
[rOTAL
JPLN.
J F j.A
J F M
A M J J A 5 O N D
A M J J A S O N D
SET BACK
LOT SIZE
USE 11
JOB ADDRESS 4 f� 4 OWNER
T � k+'lI
F
S
R
ZONE
USE OF BLrrLOING -
'oAfe\
PLAN CHECK FEE""l
�`
CHECKED BY
COlvl NI Y DISTR .C. ' 'UNIM VALUATION
OFFICE•
MECHANICAL FEEBA
A t
GROUP
I TYPE
LEGAL D130SCRI15110N
1668
PERMIT NUM ER
0
CONSTRUCTION FEE t
SPEC. INSP.
SUPP. TO PERMIT
l'
ELECTRICAL FEE
PLAN CHECKER
BOND $
BON
`'j
C- PLA FE #
F A�_pq TE
INSPECTOR
PLUMBING FEE
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
CASH CHECK M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
` �
FP
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
yy�z ll
r
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
INFORMATIONrr
TRACTORS_IS ALSO GUARANTEED.
i1
fAhOr
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OWNER
CONTRACTOR
Rff
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D ES
ADDRESS
.[IT 1 STATE
tonomor I ismun
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:
TEL. NO—.f
TEL. NO.
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3 84-208 1 1/87
LICENSE NO.