236403 (ELEC)BUILDING PERMIT
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1 ST FL. SQ. FT. @ NO..
2ND FL. SQ. FT. @
POR. SQ. FT. @ MOTOR I OR LESS H.P.
GAR. SQ.FT. @
MOTOR 5 OR LESS H.P.
CAR P. SQ. FT. @
MOTOR 20 OR LESS H.P.
WALL SO.FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ �� K W. UNITS
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL O HOOD
APPLIANCE
FURNACE O UNIT ❑ WALL ❑FLOOR ❑SUSPENDED
AIR HANDLING UNIT 1 1 CFM
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR HP
APPLIANCE VENT
ABSORPTION SYSTEM 0 B.T.U.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
HEATING SYSTEM ❑ FORCED ❑GRAVITY
BOILER 0 B.T.U.
PERMIT FEE
MOBILE HOME HOOKUP FEE Is
IT O. TOTAL FEES MOB. HK. FEE MICRO FEE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
J I F I M
73
74
75
M.H. HOOKUP FEE
MICROFILM FEE
PLAN CHECK FEE
CONSTRUCTION FEE
COPIES $
DBL 1$
SIGN
TRANS- O K.W.
FORMER
OUTLETS
FIXTURE OR SOCKET
CONST. SERV. ENTRANCE
POLE
AMPERES SERV. ENT.
SO. FT. @° 4
SQ. FT. @ R
ESQ. FT. RESID. @14
SQ. FT. GARAGE @/24
BALA-NCE OF MIN. FEE
PERMIT FEE
OEM
NO.
FIELD OFFICE
PLUMBING FEES I DST .
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
JOB ADDRESS
OWNER
USE OF 13UILDING
F.C.JDATE
PE N�
I
e
6
4 0
3
_
COMMU ITY
DST UNITS
ROOMS
VALUATION
TO PERMITOFFICE
I I
I-0-
S'PP.
-Z
LEGA E CRIPTION
.
SET BACK
LOT SIZE
ZONE
�
USE NO.
GRP
TYPE
CK BY
F S R
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
/
ADDRESS CITY STATE
SMI FEE $ /
$ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
FEE TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC -
PLUMBING FEE DBL $ COR
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
$ I HEREBY CERTIFY THAT THE INDIVIDUAL WHOfl4l
R THE P S A D ECIFICATIONS
TOTAL FEES � } Q HAS DONE SO IN ACCORDANCE WITH SECTION, F T BUSI ES P OFE IONS
ST TE OF CALIFORNIA. 1
GASH ❑ CHECK 9" OWNER. C NTR C' R M.O. ❑ N.C. ❑ � t
RECEIVED BY / - f , 'C � �� �~
�REjSS ERV
7 'ADDRESS
SEWAGE SYSTEM t T LL P `� "� 007- 3
arr cln C�
TREES REQUIRED YES NO
INFORMATIONr
O. TEL. NO. I��++^^�� f LICENSE
FORM 284.2081Rev.11/721 V i