171091 (RER)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
1k COUNTY OF RIVERSIDE A11111111116
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. ..
2nd FI.
t Por.
I Gar.
Car P.
Wall
1.
Sq. Ft. @ No.
Sq. Ft. @
Sq. Ft. @
Sq. Ft. @ POLES
SIGNS
Sq. Ft. @
TR
TRANS.AND/
Sq. Ft. @ OR T. CLK.
MOTOR H. P.
Sq. Ft. @
MOTOR H. P.
ESTIMATED VALUATION $ MOTOR H. P.
MECHANICAL FEES MOTOR H. P.
VENT SYSTEM FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P.
APPLIANCE FIXTURES
>. FURNACE ❑ UNIT 17 WALL ❑ FLOOR ❑ SUSPENDED OUTLETS
J
Z AIR HANDLING UNIT SUB -PANEL
O
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
1 U COMPRESSOR OHP RANGE AND/OR OVEN
i
i W APPLIANCE VENT WATER NEATER
2 ABSORPTION SYSTEM B.T.U. SPACE HEATER
I O INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE
HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE
BOILER B.T.U. RESID. 1Q SO. FT.
RESIDENTAL FEE SQ.FT. E L� GARAGE iQ SO. FT.
PERMIT FEE -. PERMIT FEE
�_ERMIT NU
B
1
1
1
CHECKED BY/�
REN.
DBL.
TOTAL FEES
HEAT -8 VENT FEE
PLN. CK. FEE
f
CONST. 'FEE
C
J F M A M J J A S
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) kDISM)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
E LEC. FEE PLUMB. FEE
O N D
T SET BACK �-
LOT SIZE
t
I
USE R
JOB ADDRESS r OWNER J-
'-Is
R
I
ZONE
USE OF BUILDING DATE
I
/
' PLAN CHECK FEE
1
1
CHECKED BY/�
COMMUNITY DISTRICT
F.C.
UNITS
VALVA ION OFFI E
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1
MECHANICAL FEE �):
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I
GROUP
I TYPE
LEGAL DESCRIPTION
,
PRMIT
NU E
0
' CONSTRUCTION FEE
�•�' �� 1 i2 /
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEES
PLAN CHECKER
BOND $
FILE J/ -
FINAL DATE
INSPECTOR
PLUMBING FEE • �
77LAN
/ � o )O
L�LL(p
TOTAL FEES
$
(o 3'Q_f j
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
c
�J' / v
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
I. CASH CHECK M. o. N.
ECEIv BY
SEWAGE
SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
f
IT
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
l L
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
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ADDRESS
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TEL. NO.
TEL. NO.
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11/67
LICENSE NO.
I84-208
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