189746 (ELEC)DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE ELECTRICAL FEES
lst FI. Sq. Ft. @ NO.
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq. Ft. @ POLES
Car P. Sq. Ft. @ SIGNS
Wall Sq. Ft. @ ORAT SCLK.D/
Sq. Ft. @ MOTOR H. P. Q
MOTOR N.P.
ESTIMATED VALUATION Is MOTOR H. P.
MECHANICAL FEES
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑
EVAP. COOL
❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
JOB ADDRESS OWNER
6.
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑
OIL
WATER CLOSET
COMPRESSOR
�HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
- .C.
WATER HEATER
SHOWER
ABSORPTION SYSTEM
MECHANICAL FEE $
D B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC
❑ INDUS.
❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER
B.T.U.
189746
RESID. IC SO. FT.
HOUSE SEWER
PERMIT FEE
SPEC. INSP.
..
GARAGE 10 SO. FT.
GAS PIPING ]
7 2V
PERMIT FEE
PERMIT FEE
P R T U E �� REN. DBL. TOTAL FE
+E�S __jHEAT & VENT FEE PLN. CK. FEE CONST. FEE JELEC, FEE PLUMB. FEE
JJ Q ;
J F- M _ J A S____. O - N _ D.....
- -. I _. _. __ �_.__ _. _
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER
6.
IR
ZONE Fj
-USE OF BUILDING
DATE
PLAN CHECK FEE $
r
J
— /!
CHECKED BY
COMMUNITY
- .C.
UNITVALUATION
OFFICE
MECHANICAL FEE $
[
3
l
1
JDISTRICT
b5�
CONSTRUCTION FEE $
GROUP
TYPE
LEGAL' CRIPTION
189746
PERMIT NUMBER
SPEC. INSP.
..
SUPP. TO PERMIT
ELECTRICAL FEE $ 1
7 2V
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE# 1D Ali B
INSPECTOR
PLUMBING FEE $
I
^�`
TOTAL FEES
l
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.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. 7N.C.
RECEIVE -BY
SEWAGE
SYSTEM
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
OWNER
CONTRAI:V. '
BRANCH OFFICE
ADDRESS
CITY STATE
-ADDRESS
ADDR SS'
NO LENDER INVOLVED
4 �jT7�' ,. 0 Al
INFORMATIO/N
/dj///J//✓
TEL. NO.
TEL. NO.
LICENSE
/ENO.
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284-20e 12/6 89