AR (221304)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
CONSTRUCTION ESTIMATE - ELECTRICAL FEES
I ST FL. SQ. FT. 3 �`q 1, 3...,. NO.
2ND FL. SQ. FT.
POR. SQ. FT. @ MOTOR I OR LESS H.P.
GAR. SQ.FT.
MOTOR 5 OR LESS H.P.
CAR P. SQ. FT. @ MOTOR 20 OR LESS H.P.
WALL SQ.FT. Cal
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION $ 3K W. UNITS
NOTE: Not to be used as property tax valuation
FIELD OFFICE
PLUMBING FEES I DST
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATFR SOFTFNFR
VENT SYSTEM JKFAN O EVAP. COOL O HOOD —
SIGN
WAS (AUTO) (DISH)
APPLIANCE r..
FORMER D K K.W.
GRP
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL C3 FLOOFf C1 SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET
PLAN NO.
KITCHEN SINK
GAS PIPE O NATURAL O L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
DBL
WATER CLOSET �-
COMPRESSOR HP
POLE
BRANCH OFFICE .NO
LAVATORY ice
APPLIANCE VENT
AMPERES SERV. ENT.
,.....
SHOWER
ABSORPTION SYSTEM 0 B.T.U.
SO. FT. @ ¢
f
BATH TUB
INCINERATOR O DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q
T
WATER HEATER
HEATING SYSTEM ❑ FORCED O GRAVITY
+y SO. FT. RESID. @ 1 ¢
$
4F
9
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SO. FT. GARAGE Ca 1�2¢
�?%
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILE HOME HOOKUP FEE $
2 2P� � Tc� E 7 MOB
GJ U �.�r
J. F I
M. A_ M_ J'_ J A,
73
74
75
M.H. HOOKUP FEE $
MICROFILM FEE
MECHANICAL FEE
PLAN CHECK FEE
CONSTRUCTION FEE
ELECTRICAL FEE
SMI FEE
FEE
PLUMBING FEE
TOTAL FEES
CASH O . CHECK LYS
RECEIVED BY
SEWAGE SYSTEM
TREES REQUIRED
FORM 284.208 Me, 1 1 /721
PtHMII rtt 1 - -z- 1 f I PtHMII Ftt
EE MICRO FEE MECH. FEE I DBL. I PL, CK. FEECONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL.
6�, 9=f '42- I /f
O 1 N I D IJOBADDRESS
1 -14- 7;
4TION
DBL
$1p�
SETBACK
LOT SIZE ZONE
USE No.
GRP
TYPE
CK BY
F •� S 'rR
$
-
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
/ -7
INSPECTOR
J
DBL
$
NAME OF CONST. LENDER"
BRANCH OFFICE .NO
LENDER INVOLVED
DBL
$ �
,.....
ADDRESS
CITY
STATE
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC -
CORDANCE WITH THE LAWS 'OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, i ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
_THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS
OF THE STATE OF CALIFORNIA. t
$
DBL
$
4F
9
$
G
d�CODE
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M.O. ❑ N.C. ❑
OWNER. f
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CONTRACTOR i
ADDRESS -
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ADDRESS
%
T J V LL PS X
clTr � cm
7
YES NO
!MATION1� TEL. N
IO, TEL. NO. LICENSE
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