AR (179223)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. @ "' No.
2nd Fl. Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq. Ft. @ POLES
Car P. Sq. Ft. @ SIGNS
Wall Sq. Ft. @ �^' ..�+. ORAT SC LK.O/
Sq. Ft.
MOTOR H. P.
@
MOTOR H.P.
ESTIMATED VALUATION $ y�� �. MOTOR H.P.
MECHANICAL FEES ' —1— 0
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SET BACK
MOTOR H. P.
LOT SIZE
WASHER (AUTO (DISH)
JOB ADDRESS OWNER,
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
S 11
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
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LAUNDRY TRAY
'
AIR HANDLING UNIT
ZONE
SUB -PANEL
DATAll
E
KITCHEN SINK
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GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
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r.2 o - %
WATER CLOSET
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COMPRESSOR
COMMUNITYD�S'rR
RANGE AND/OR OVEN
F.C.
LAVATORY
e
APPLIANCE VENT
WATER HEATER
.'...+'
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
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BATH TUB
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W I
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
GROU
CONSTRUCTION POLE.
LEGALESSJCRIP ION
WATER HEATER
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HEATING SYSTEM •FORCED ❑ GRAVITY ,.
P'�
SERVICE ENTRANCE
SEWAGE DISPOSAL
V'
BOILER B.T.U.
RESID. IQ SO. FT.
CONSTRUCTION FEE $
HOUSE SEWER
a
PERMIT FEE:og
/�+� ,07 ,
GARAGE I SO. FT.
4
GAS PIPING
J�
SPEC. INSP.J
PERMIT FEE
,S
((
PERMIT FEE
1
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PERMIT NUMBERREN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE
7 92 2j0 -!?is -
j_ s -
F 1
M A M J J
i 1 F
E ELEC. FEE
�v
PLUMB. FEE
SET BACK
LOT SIZE
USE V
JOB ADDRESS OWNER,
1
F 2
S 11
R
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ZONE
SE OF UILDING -J
DATAll
E
'
P LAN C HECK FEE $
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r.2 o - %
CHECKED BY
COMMUNITYD�S'rR
CT
F.C.
UNI S
VALUAT N -
OFFICE/
MECHANICAL FEE $
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7
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GROU
TYPE
LEGALESSJCRIP ION
PERMIT NUMBER
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V'
CONSTRUCTION FEE $
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/�+� ,07 ,
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SPEC. INSP.J
SU PP. TO PERMIT
�
ELECTRICAL FEE $.e..�"'
`
PLAN CHECKER
BOND $
BOND
I CASH
PLAN FILE #
E
INSPECTOR
PLUMBING FEE $
TOTAL FEES $
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
I
i/
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
-.
CASH CHECK M. o. N.C.
RECE,I.VEO BY
SEWAGE SYSTEM
n
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 CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION
LENDER
k
j
OWNER
CONTRACTOR
r
BRANCH OFFICE
ADDRESS
ADDRESS
ADDRESS -
CITY
STATE
-
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NO LENDER INVOLVED
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INFORMAT ON
i
TEL. NO.
TEL. NO.
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LICENSE NO.
284-208 IV6��