171483 (BLCK)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. @
2nd F I. Sq. Ft. @
Par. Sq. Ft. @
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wall j1xjv Sq. Ft. @
r Sq. Ft. @
f f
ESTIMATED VALUATION $
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
LAPPLIANCE
> FURNACE❑ UNIT❑ WALL FLOOR SUSPENDED
' J
1 Z AIR HANDLING UNIT
O
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
U COMPRESSOR OHP'
X
W APPLIANCE VENT
I
I ABSORPTION SYSTEM B.T.U.
O
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORGED ❑ GRAVITY
BOILER �.J B.T.U.
RESIDENTAL FEE SQ.FT. I
PERMIT FEE
;PERMIT NUw REN. DBL. TOTAL FE Eye
13j
J 01
F M A M
NO,
FIELD OFFICE
PLUMBING FEES
N O•.
POLES
SET BACK
LAVATORY
SIGNS
USE #
DRAINAGE PIPING
TRANS. AND/
,OR T. CLK.
-7.
DRINKING FOUNTAIN
MOTOR
H. P.
URINAL
MOTOR
H.P.
I WATER PIPING -
MOTOR
H. P.
FLOOR DRAIN
MOTOR
H. P.
WATER SOFTENER
MOTOR
H. P.
WASHER (AUTO) (DISH)
FIXTURES
-
GARBAGE DISPOSAL
OUTLETS
ELEC. FEE
J
LAUNDRY TRAY..
SUB-PAMEL
JI A
KITCHEN SINK
is
10 IN
WATER CLOSET
RANGE AND/OR OVEN
SET BACK
LAVATORY
WATER HEATER
USE #
SHOWER
SPACE HEATER
-7.
BATH TUB
CONSTRUCTION POLE.
TS
WATER HEATER
SERVICE ENTRANCE
SEWAGE DISPOSAL
RESID. IC SO. FT.
HOUSE SEWER
GARAGE yQ SO. FT.
PLAN CHECK FEE
GAS PIPING
PERMIT FEE
-
PERMIT FEE
7 FEE
PLN. CK. FEE
CONST:
'FEE
ELEC. FEE
J
PLUMB. F
J
JI A
F
is
10 IN
D
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER
-7.
F
TS
ZONE
USE OF BUILDING - - -D TE
PLAN CHECK FEE
CHECKED BY
COMMUNITY UNITY DISTRICT
F.C.
UNITS
VALUATION
MECHANICAL FEE
� 7
CONSTRUCTION FEE
AGRr
TYPE
LEGAL DE R PTIO '.
6;z: QJZI (
PERMIT NUMBER '
14 8 3
SPEC. IN5P.
SUPP. TO PERMIT
ELECTRICAL FEE„
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR J
PLUMBING FEE
TOTAL FEES
i•
•
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
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. o. N. C. I
RE�`II1D BY
SEWAGE SYSTEM
l/l'
PERMIT WILL. BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
O/yR MAtT I�OyN
/�'� t/I9N�F
TRACTORS
TRACTORS IS ALSO GUARANTEE D.,����Ij
y�
OWNER
CONTRACTOR
y� y
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ADDRESS
ADDRESS
CITY
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Gt
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TEL. NO.
TEL. NO. {
G. , ,Q4�,
LICENSE NO.
284-208