SFD (183948)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. 1 /- `� NO.
2nd FI. Sq. Ft. @
Par. Sq. Ft. @ U
Liar. Sq. Ft. POLES
Car P. Sq. Ft. @ SIGNS
TRANS. AN0/
Wall Sq. Ft. @ OR T. CLK.
Sq. Fr. @ MOTOR H. P.
MOTOR H. P.
ESTIMATED VALUATION Is MOTOR
H. P.
MECHANICAL FE S —1— . o ff
ma
FIELD OFFICE' -
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM .Cd FAN ❑ EVAP. COOL HOOD
MOTOR H. P.
WASHER (AUTO ' (DISH)
USE #
APPLIANCE
FIXTURES
S1-4
GARBAGE DISPOSAL
•
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
DATE
PLAN CHECK FEE $
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
^
KITCHEN SINK
CO V?Y
GAS PIPE ❑NATURAL ❑ L.P.G. 13 OIL
l
•'_.
VALUATION
WATER CLOSET
✓.. �,
COMPRESSOR ^ �, HP
_
RA GE AND/OR OVEN
Y
LAVATORY
17 {
y
APPLIANCE VENT
WATER HEATER
FEE
SHOWER
•..ETS—
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
/ +C .
INCINERATOR DOMESTIC 11INDUS. ❑ COMM.
CONSTRUCTION POLE
•R
/
WATER HEATER
+�
^S
HEATING SYSTE P+FORCED 13GRAVITY pin
SERVICE ENT14,W2d=q(p?
y.
SEWAGE DISPOSAL
BOILER D B.T.U.
RESID. 1Q 50. FT.
�
HOUSE SEWER
CONSTRUCTION FEE $ , '
PERMIT FEE�f
GARAGE iQ S0. FT.
..., 4l
183948
GAS PIPING
f
PERMIT FEE
SPEC. INSP.
PERMIT FEE
SUPP. TO PERMIT
PERMIT
EN. IDSL. [TOTAL FE
Ir I
A... I M
F FEE PLN. CK. FEE
J J
CONST. FEEELEC. FEE
PLUMB. —
4,1 za
SET BACK
LOT SIZE
USE #
JOB ADDRESS - OWNER -'
G
�� f
F H
S1-4
•
ZONwE�'`'
U OF I D. G _
DATE
PLAN CHECK FEE $
^
CHECKED BY
CO V?Y
RI T
e
UNITS
VALUATION
OFFICEMECHANICAL
$
�
-
FEE
•..ETS—
R0 P'
TYPE
'PERMIT NUMBE
CONSTRUCTION FEE $ , '
..., 4l
183948
SPEC. INSP.
- .,
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BOND
CASHPLAN
FILE #
FINAL DATE
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. I I N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
P.
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
r
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER
CONTRACTOR '`•"
BRANCH OFFICE
ADDRESS
—
ADDRES `w -
A"DORE'�'S
CITY
STATE
J/
NO LENDER INVOLVED
INFOR "TION
IraM
T .-N •. ..
TEL: N , }'V
X. `
�.
C'I C E WS EO.�
t84-208 12/88
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