184357 (SFD)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
I
1st FI. Sq. Ft. @ =� - NO.
2nCI F I. Sq. Ft. @
FIELD OFFICE i
PLUMBING FEES
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Par. Sq. Ft. @ _ ,�
J �v
Gar. _. Sq. Ft, @ •I
♦' I •
POLES
Car P. Sq. Ft. @
l:
SIGNS
DRAINAGE PIPING
j —
4 Wall Sq. Ft, @
TRANS. AND/
OR T.0 LK.
DRINKING FOUNTAIN
MOTOR H.P.
URINAL
l:
I` Sq. Ft. @
MOTOR H.P"
WATER PIPING
{
1177
ESTIMATED VALUATION Q• f`
y [
MOTOR H.P.
FLOOR DRAIN
MECHANICAL FE
MOTOR H.P.
WATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOLQ?HOOD
MOTOR H.P.
WASHER (AUT {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 R� HP
�
RANGE AND/OR OVEN
LAVATORY
r
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM L B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
T
WATER HEATER
HEATING SYSTEM FORCED ❑ GRAVITY
7
SERVICE ENTRANC�
SEWAGE DISPOSAL
BOILER .B .T. U"
REBID. 1Q SQ. FT,
a
HOUSE SEWER
PERMIT FEE
GARAGE zG SQ. FT,
�7v
GAS PIPING
'
PERMIT FEE
dV
PERMIT FEE
PERMIT
NUMBER REM. DBL. TOTAL FEES
HEAT A
VENT
FEE PLN
CK FEE CONST FEE
E
J F
SET BACK
PLAN CHECK FEE $
MECHANICAL FEE $
CONSTRUCTION FEE $
ELECTRICAL FEE $
PLUMBING FEE $
TOTAL FEES
CASH CHECK
RECEIVED BY
T
L EC. FEE PLUMB, FEE PIP
u 1_ .J. A S D n D
I'•� A M J } p I S O N p
LOT SIZE USE # JOB ADDRESS
A
Y
"ga
COM LI
Q OWNER
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ZONE
USE OF BUILDING. AT'E
C HEC ED 97
C h ITY 01 mrcTT.c. VALUATION OFFICE
flTrS
+
GR p TYPE
LPG L1 I
O PERMIT NUMPIER
SPEC, INSP,
1
SUPP. TO PERMIT
PLAN CHECKER
BOND $ BOND C SH PLAN FILE :i` �7 INSPECTOR
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
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
M.O. N.C,
SEWAGE SYSTEM
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES
ANCE WITH LAWS OF THE STATE
OF CALIFORNIA COVERING CON-
NAME OF CO MST RV CTION LE N trER
TRACTORS IS ALSO GUARANTEED.
OWNER
CONTRACT❑ -
BRANCH OFFICE
ADDRESS
CITY STATE
ADDRESS
ADDRESS
/ r-- ". . { 1{' 'f
. �
NO LENDER INVOLVED
INFORMATION
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• f
TEL. NO.
TEL. NO.
28d-RO8 1p/6B � � O
L'I[EN 5¢ Nv,