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200238 (ELEC)
DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE • 11 FIELD OFFICE CONSTRUCTION ESTIMATE ELECTRICAL FEES JOBB ADDRESS OWNER PLUMBING FEES 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL SQ. FT. @ NO. NO. SQ. FT. @ @ MOTOR 1 OR LESS H.P. SQ. FT. @ MOTOR 5 OR LESS H.P. SQ.FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. SQ.FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W. UNITS WATER PIPING ESTIMATED VALUATION $ ZONE USE OF BUILDING FLOOR DRAIN MECHANICAL FEES $ WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANS' FORMER K.W. O COMMUNITY GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS VALUATIONOFFICE LAUNDRY TRAY AIR HANDLING UNIT I CFM FIXTURE OR SOCKET /` KITCHEN SINK GAS PIPE ❑NATURAL ❑ L.P.G. ❑OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR 0 HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. 4 (C/J7f SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT. @ $ BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ j Q SEWAGE DISPOSAL BOILER � B.T.U. SQ. FT. GARAGE @1�2a SUPP. TO PERMIT HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING TRAILER ISSUANCE FEE PERMIT FEE PERMIT FEE 12 k, o I PERMIT FEE PER TOTAL FEES REN. TRAILER FEE HEAT 8 VENT. FEE PL. CK. FEE CONST. FEE DBL. ELEC. FEE 'S�C'�? oeL. SPEC. INSP. FEE PLUMBING FEE DBL. M _ A M IJ l i J _ J A 5 I. O N D 11 LOT SIZE USE # JOBB ADDRESS OWNER F ISET 5 R Y i✓��L��i�I # 3.► ZONE USE OF BUILDING DATE PLAN CHECK FEE $ / .. � � jGt: I es / CHECKED BY COMMUNITY DISTRICT F.C. UNITS VALUATIONOFFICE MECHANICAL FEE $ /` JI `"' DBL TROP TYPE � LEGAL DISCRIPTION 4 (C/J7f yERyLIT f�l1MaER� jU7 CONSTRUCTION FEE $ f "`�' '„ �., 1'(V71p ir!o) .T DBL PUN CHECKER - SUPP. TO PERMIT $ ELECTRICAL FEE DBL BOND $ BOND CASH PLAN FILE #FINAL DATE INSPECTOR I � ��' 3' _7� PLUMBING FEE 11/ TRAILER PERMIT NAME OF CONSTRUCTION LENDER BRANCH OFFICE ENDER INVOLVED ISSUANCE FEE $ !7 ©R IND ADDRESS CITY STATE FEE $ b / OROA /► 4 TOTAL FEES THIS PERMIT S ,ALL 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 PERMIT'WILL BE DONE IN ACCOR- , CASH Q CHECK M.O. N.C. DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WVI. f THE LAWS OF THE STATE RECEIVED BY SEWAGE SYSTEM OF CALIFORNIA COVERING CONTRACTORS 15 ALSO GUARANTEED. T ILL I P IHEREBY CERTIFY THATT EINDIVIDUALWHOPREP THVT4�ANS' ND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SCTION 5541 OF THE BUS NF S ODE OF THE STATE INFORMATION OF CALIFORNIA OWNER )jt{ '54;_)6 { NTRjACT R D { s/ N1c (.o il- Vie: t CM -i TEL. NO. 11'1 TEL..'`NO._ 4' l� SIL FNSE M0, C/�f�