179306 (SFD)DEPARTMENT OF BUILDING & SAFETY
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COUNTY OF RIVERSIDE Is
CONSTRUCTION ESTIMATE ELECTRICAL FEES
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Sq. Ft. @ OR T. LK.
Sq. Ft. @ MOTOR H. P.
MOTOR M.P.
ESTIMATED VALUATION $ MOTOR H. P.
MECHANICAL FEES MOTOR
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM W„FAN ❑ EVAP. COOL yHOOD
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MOTOR
H. P.
WASHER (AUTO)• (DISH)
NEAT & VENT FE
APPLIANCE
CONST. FEE
FIXTURES
PLUMB.FEE
%
GARBAGE DISPOSAL
FURNACE ❑ UNITO WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
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LAUNDRY TRAY
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AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
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GAS PIPE ❑ NATURAL ❑ L.P-G. ❑ OIL
WATER CLOSET
O N D
COMPRESSOR HP.
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RANGE AND/OR OVEN
USE #
JOB ADDRESS OWNER
LAVATORY
APPLIANCE VENT
WATER HEATER
USE OF BU L IN • • • DATE
7
SHOWER
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ABSORPTION SYSTEM D B.T.U.
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SPACE HEATER
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CHECKED BY
BATH TUB
MECHANICAL FEE $
INCINERATOR DOMESTIC ❑ INDUS. 11 COMM.
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CONSTRUCTION POLE
GRO P
TYPE
WATER HEATER
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HEATING SYSTEM ,FORCED ❑ GRAVITY
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SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
6 RESID. IC SO. FT.
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179306
HOUSE SEWER
PERMIT FEE
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GARAGE iQ SO. FT.
M
GAS PIPING
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PLAN CHECKER
PERMIT FEE
BOND
CASH
PERMIT FEE
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P R T
U B
REN. DBL.
TOTAL FE9 y,
NEAT & VENT FE
PLN. CK. FEE
CONST. FEE
ELEC. FEE
PLUMB.FEE
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O N D
J F M A M J J A S
O N D
SET BACK I LOT S1ZE
USE #
JOB ADDRESS OWNER
F S t R
Co
ZONE
USE OF BU L IN • • • DATE
7
PLAN CHECK FEE $ ��"•
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5 70
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CHECKED BY
COMMUNITY — it TRid7r-UNITS VALUATION O E
MECHANICAL FEE $
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GRO P
TYPE
LEGAL D CR IPTION
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RMIT NUMBE
CONSTRUCTION FEE $ tom' ',y t �"'��
lot 17 Tr -1376
179306
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
-
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 11
FI/NAL
INSPECTOR
PLUMBING FEE $
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DATE)
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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.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK .-d 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
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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
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OWNER
CION AC OR r
Crwdy Corp.
BRANCH OFFICE
ADD M • •
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ADDhk "you
ADDRESS
S.
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CITY STATE
40-23 skirch Street
Santa *na
NO LENDER INVOLVED
INFORMATION
ki-AN 10
Hnwrt Beach
TEL. NO.
TEL. NO.
5”-4411,
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LICENSE NO,
84-208 12/68 {/!
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