188227 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI.
2nd FI.
Por.
Gar.
Car P. %
rwall
Sq. Ft. @ ' !e
r No.
APPLIANCE VENT
JF
Sq. Ft. @
WATER HEATER
Sq. Ft. @
URINAL
Sq. Ft. @
POLES
Sq. Ft. @ +t`'
SIGNS
Sq. Ft. @
ORATSCLK.O/
Sq. Ft.@ n=�.V �J '�C�
MOTOR
WATER SOFTENER
MOTOR
ESTIMATED VALUATION $
WASHER (AUT),(DISH)
MOTOR
MECHANICAL FEES ✓
GARBAGE DISPOSAL
MOTOR
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
'
MOTOR
APPLIANCE
KITCHEN SINK
FIXTURES
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
WATER CLOSET
OUTLETS
AIR HANDLING UNIT
LAVATORY
SUB -PANEL
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
SHOWER
H.
H. P.
H. P.
H. P.
H. P.
COMPRESSOR HP
'�
RANGE AND/OR OVEN
APPLIANCE VENT
DRINKING FOUNTAIN
WATER HEATER
ABSORPTION SYSTEM D B.T.U.
URINAL
SPACE HEATER
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
WATER PIPING
CONSTRUCTION POLE
HEATING SYSTEM FORCED ❑ GRAVITY
;.2"
SERVICE ENTRANCE
BOILER B.T.U.
WATER SOFTENER
RESID. 1Q SO. FT.
PERMIT FEE
WASHER (AUT),(DISH)
GARAGE 1Q SQ. FT
MIT 00nI
PERMIT FEE
REN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONS
10
M _ I e M J _ I J A
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
LOT SIZE
DRINKING FOUNTAIN
JOB ADDRESS' OWNER
`
URINAL
WATER PIPING
li
FLOOR DRAIN
/4
WATER SOFTENER
ZONE
USE OF BUILDING
WASHER (AUT),(DISH)
x
GARBAGE DISPOSAL
f '� "'�• �"
,�_`
LAUNDRY TRAY
CHECKED BY
KITCHEN SINK
DISTRICT
F.C.0
WATER CLOSET
_!
OFFICE
LAVATORY
l`j
SHOWER
BATH TUB
'�%
WATER HEATER
SEWAGE DISPOSAL
C3
HOUSE SEWER
p[�,7
GAS PIPING
PERMIT FEE
E���y
ELEC. FEE
'44 - -
L GAL.OESCRIPTION
PLUMB. FEE
PERMIT NUMBER
f �
SET BACK
LOT SIZE
USE #
JOB ADDRESS' OWNER
`
S
R4:7
/4
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE $
f '� "'�• �"
,�_`
CHECKED BY
OMMUNI TY
DISTRICT
F.C.0
IT s
VALVAT ION
OFFICE
��
'�%
MECHANICAL FEE $
rA
GR P
TYPE
'44 - -
L GAL.OESCRIPTION
PERMIT NUMBER
f �
Q
1882
CONSTRUCTION FEE $
` %E s'
SPEC. INSP.
SUPP. TO PERMIT
4�e
ELECTRICAL FEE $
PLAN CHECKER
BOND BOPID CASN P N LLE # FI NALL DATE
INSE CTOR
\\('
PLUMBING FEE $
N� - �.,,,.�
� � - ✓'?I
TOTAL FEES
`
y►r
"
BECOME VOID WORKNOT COMMENCED
WITHIIS N 60ERMIT DAYS.SHALL
l 01S
CESSAT ON OF WORK FOR
DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. 0. 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
J..
T
<
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING -CON-
s�r •- �..
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION
LENDER
OWNER
CONTRACTOR
BRANCH OFFICE
ADDRESS
i s',
ADDRESS
ADDRESS -
CITY
STATE
NO LENDER INVOLVED
INFORMATION
'
TEL. NO.
TEL. NO.
)
// I1
284-208 12/88
r� �
LICENSE NO.
-