SFD (184132)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. �' '` Sq. Ft.
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
Gar. ✓ e Sq. Ft. @ �-
Car P. Sq. Ft. @
Wall y Sq. Ft. @
Sq. Ft. @ %a a
ESTIMATED VALUATION $
MECHANICAL FEESF
VENT SYSTEM FAN ❑ EVAP. COOL •'HOOD
APPLIANCE r
•
FURNACE 11 UNIT❑ WALL❑ FLOOR❑ SUSPENDED
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR
J
APPLIANCE VE T
ABSORPTION SYSTEM O B.T.U.
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM FORCED ❑ GRAVITY
BOILER B.T.U.
PERMIT FEE
P RAT U B , REN. DBL, TOTAL FEES H
F , _. M a _.-. ..�-...M
FIELD OFFICE
PLUMBING FEES
✓a.71
POLES
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USE #
SIGNS
DRAINAGE PIPING
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TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
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MOTOR
H. P.
URINAL
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MOTOR
H. P.
WATER PIPING
C -O I i DI TRICT F.C. [Afe ]VALUATION OFFICE
v
MOTOR
H. P.
FLOOR DRAIN
PISI
MOTOR
H. P.
WATER'SOFTENER
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MOTOR
H. P.
WASHER (AUTO). (DISK)
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FIXTURES
GARBAGE DISPOSAL
OUTLETS
ELECTRICAL FEE $
LAUNDRY TRAY
SUB -PANEL
KITCHEN SINK
PLAN CHECKER
BOND $
WATER CLOSET
CASH
RANGE AND/OR OVEN
FINAL DATE
LAVATORY
PLUMBING FEE $
WATER HEATER
SHOWER
SPACE HEATER
BATH TUB
CONSTRUCTION POLE
$G
WATER HEATER
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED ;
SERVICE ENTRANC
2�
SEWAGE DISPOSAL
RESID. 10 SO. FT.r•
/Q'
HOUSE SEWER '
GARAGE JO SO. FT./!
GAS PIPING
PERMIT WILL BE DONE IN ACCORDANCE WITH THE,LAWS OF RIVER -
PERMIT FEE
PERMIT FEE
T & VENT FEE
PLN. CK. FEE
CONST. FEE
vo
ELEC. FEE
��
PLUMB. FE
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LL
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P K
Up
SET BACKLOT
SIZE
USE #
JOB ADDRESS OWNER .
5 t
R
'
ZONE
U E OF B ILDING - - f DATE
PLAN CHECK FEE $+'
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..•610
CHECKED Of
C -O I i DI TRICT F.C. [Afe ]VALUATION OFFICE
v
MECHANICAL FEE $
PISI
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=
GROU T'r
_
LEG L D R TI PERMIT NUMBER -
184132
CONSTRUCTION FEE $
_ ..,�.
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INS CTOR
PLUMBING FEE $
' ?��
TOTAL FEES
$G
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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. 0. N. C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE,LAWS OF RIVER -
lei
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
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LL
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CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANGE WITH LAWS OF THE STATE OF CALIFORNIA 'COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION
LENDER
i
OWNER ¢/ry
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{!A .d•:`� .��` ! ,,% l` .✓.e^'T �-G.a
CONTRACTOR
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BRANCH OFFICE
ADDRESS
CITY
STATE^��A
ADDRESS
ADDRESS
,
NO LENDER INVOLVED
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INFORMATION
TEL. NO.
TEL: NO.
.•//)
LICENSE NO.
284-208 12/88,
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