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181105 (ELEC)DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE 0 FIELD OFFICE CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1st FI. 2nd FI. Por. Gar. Car P. WOII Sq. Ft. @ NO. NO. Sq. Ft. @ LAUNDRY TRAY Sq. Ft. @ SUB -PANEL Sq. Ft. @ POLES GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ SIGNS DRAINAGE PIPING $q, Ft. @ OR T %_AAh ,/ DRINKING FOUNTAIN Sq. Ft. @ MOTOR H. P. URINAL MOTOR H. P. WATER PIPING ESTIMATED VALUATION Is MOTOR H. P. I FLOOR DRAIN MECHANICAL FEES MOTOR H.P. I WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE 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 OHP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTIONPOLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑GRAVITY SERVICE ENTR:S/ SEWAGE DISPOSAL BOILER �J B.T.U. RESID. IQ SO. FT. HOUSE SEWER PERMIT FEE GARAGE zQ SO. FT. GAS PIPING .+� PERMIT FEE K PERMIT FEE PERMIT NUMBER REN. DBL. TOTAL FEES, MEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC, FEE PlUMO. FEE JF M A M J J A 5 O N D _ J F M A M J J A S O N D SET BACK LOT SIZE USE N JOB ADDRESS OWNER 'a I F 5 R ZONE LSE OF BUILDING DATE PLAN CHECK FEE $ ?— ',, 7 "`� CHECKED BY CO% M N TY DIS RICT F.C. UNITS VALUATION OFFICE –� / �✓ MECHANICAL FEE $ �/ -PERMIT _G TYPE LEGAL DESC IPTION NUMBER CONSTRUCTION FEE $ 44— 7 1811 SPEC. INSP. w SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND BOND CASH PLAN FILE it FINAL DATE INSPECTOR PLUMBING FEE $ I -;1.70 TOTAL FEES 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 L M.O. N.C. RECEIVED 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 v CARRY COMPENSATION INSURANCE UP©N MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF ALIFORNIA COVERING CON- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER ,{ -- OWNER CONTRACTOR BRANCH OFFICE ADDRESS ADORES ES ` CITY STATE NO LENDER INVOLVED / ,i INFORMATION "' 7 42 L. NO. LICENSE O. �fy{jJf 284-208 12/88 L'^j