162367 (RPL)DEPARTMENT OF BUILDING & SAFETY
Mk COUNTY OF RIVERSIDE Am
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES i
f1st FI.
2nd Fl.
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It Gar.
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Sq. Ft. @
NO.
CONST. FEE
NO.
Sq. Ft. @
Sq. Ft. @
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
$q. Ft. /� 0
C@'
DRINKING FOUNTAIN
MOTOR H.P.
Sq. Ft.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION
MOTOR
H. P.
FLOOR DRAIN
I
MECHANICAL FEES
I
MOTOR
H. P.
WATER SOFTENER
I VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ MOOD
MOTOR
H. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
j } FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
C E KED B
LAUNDRY TRAY
1 J
L Z AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
0
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
40�•
WATER CLOSET
Q
U COMPRESSOR �HP
RANGE AND/OR OVEN
E
LAVATORY
w APPLIANCE VENT
W
WATER HEATER
� 7
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
O
U INCINERATOR DOMESTIC U INDUS. ❑ COMM.
CONSTRUCTION POLE
ELECTRICAL FEE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
PLAN CHECKER
SEWAGE DISPOSAL
BOILER :::] B.T.U.
RESID. IC SO. FT.
PLAN FILE it
H ,�j[R
RESIDENTAL FEE SQ.FT.�@
GARAGE iQ SQ. FT.
GAS PIPING
PERMIT FEE
7 PERMIT FEE
d®
J PERMIT FEE �(L
ERMIT NU
E
REN. DBL.
TOTAL FE ES��
I.
HEAT & VENT FEE
PLN. CK. FEE 'l
CONST. FEE
ELEC. FEE
PLUMB. FEE
6
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J F M A M J J A S
! F M A .M J J A S
O N D
O N D
OWNER
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3LT BACK
LOT 312E
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USE #
JOB ADDRESS
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ZONE
USE OF BiIILOING
O
PLAN CHECK FEE
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COMMUNITY T C F.C. UNITS VALUATION
O
C E KED B
MECHANICAL FEE
40�•
TYPE
LEGAL I TIOPi PE MIT NUM
E
16 2 3
� 7
CONSTRUCTION FEE
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE it
FINAL DATE INSPECTOR
PLUMBING FEE
/// a7 `__�<c Lh 1\_
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.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. N.C.
ECEIVED 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
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCEINFORMATION WITH LAWS OF THE STA4TE RF Ck NIA COVER G,CON-
1��,.�
TRACTORS IS ALSO GUARANTEED. r /`
OWNER
CONT ACTOR e
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ADDRESS
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TEL. NO.
TEL. NNO.
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LICENSE NO.
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2 84-2 08 11/67 !"