158794 (SPIN)DEPARTMENT OF BUILDING & SAFETY
CONSTRUCTION ESTIMATE
COUNTY OF RIVERSIDE
ELECTRICAL FEES
FIELD OFFICE
PLUMBING FEES A
1st FI.
2nd FI.
Par.
Czar.
Car P.
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N,�.a ISG#:+� ,S
Sq. Fr. @
NO.
NO.
Sq. Ft. @
5
Sq. Ft. @
)
Sq. Ft. @ POLES
ZONE
Sq. Fr. @ SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Fr. @ OR T. CLK...
DRINKING FOUNTAIN 'j
MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION is
MOTOR K. P.
FLOOR DRAIN
MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H.P.
WASHER (AUTO) `DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL ,
,. ) FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
' J
OUTLETS
LAUNDRY TRAY
Z AIR HANDLING UNIT
O
SUB-PAMEL
KITCHEN SINK
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
WATER CLOSET
U COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
U
- W APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
O
SPACE HEATER
BATH TUB ,
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER � B.T.U.
RESID. 16 SQ. FT.
HOUSE SEWER
RESIDENTAL FEE SQ.FT.�@
- GARAGE iQ 50. FT.
GAS PIPING ,
1.
PERMIT FEE
PERMIT FEE
PERMIT FEE "
:PERMIT
REN.
J
DBL.
TOTAL F ES
HEAT & VENT FEE'
PLN. CK. FEE
CONST. FEE
I ELEC. FEE
PLUMB. FEE
FM A M J J A 5
F
O N D
SET BACK
LOT SIZE
USE 11
JOB ADDRESS t1 ` OWNER
�'� .��. • Ii I1 �f I" x . '
F
5
R
)
ZONE
USE OF BUILDING - f
DATE
a
PLAN CHECK FEE:
~"""""`•� 1-..
.s ♦ t
CHECKED BY
C-01MLINITY
DISTRICT
UNI
VALUATION
OFFICE
Y MECHANICAL FEE
J
IP.t,
G
TYPE
LEGAL DESCRIPTION
PERMIT MBEll
r CONSTRUCTION FEE
158N94
"
SPEC. I'NSP.
SUPP. TO PERMIT
ELECTRICAL FEE
1
PLAN -CHECKER
BOND $
BOND
CASH
PLAN FILE 11
FINAL DATE
OR
IN:211
PLUMBING FEE
1
��.
F
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED'
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS -
E CASH 01 CHECK M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
�%
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IP -
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
j! /o' ,p
T
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
'
t: INFORMATION
i
TRACTORS IS ALSO GUARANTEED.
OWNER
CONTRACTOR
-
AtrbRESS t
ADDRESS
jI[
21
�!
TEfL. NO: "'
TEL. NO.
•
Le �•�"7
LICENSE NO.
,284.208 11/87
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