174572 (AR)DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 9
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. @ `L ✓^'' No.
2nd FI. Sq. Ft. @
Par. ' Sq. Ft. @
Gar. Sq. Ft. @ POLES
Car P. Sq. Ft. @ SIGNS
TRANS. AND/
Wall Sq. Ft. @ OR T. CLK.
Sq. Ft. @ MOTOR H. P.
MOTOR H. P.
ESTIMATED VALUATION $ +�? �r 2 S. MOTOR H. P.
MECHANICAL FEES e
FIELD OFFICE �
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SET BACKLOT
MOTOR H. P.
SIZE
USE #
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
PLAN CHECK FEE $
OUTLETS
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LAUNDRY TRAY
AIR HANDLING UNIT
C�jO,/NJ4l�yMUNITY
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SUB -PANEL
UNjITS
FLEE +
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
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WATER CLOSET
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COMPRESSOR �HP
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RANGE AND/OR OVEN
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LAVATORY
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APPLIANCE VENT
TYPE
WATER HEATER
PERMIT
SHOWER
CONSTRUCTION FEE $�
ABSORPTION SYSTEM D B.T.U.
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SPACE HEATER
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174572
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
SUPP. TO PERMIT
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
ELECTRICAL FEE $
SEWAGE DISPOSAL
BOILER B.T.U.
7
RESID. IC SO. FT.
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BOND $
HOUSE SEWER
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PERMIT FEE
FINAL DATE
GARAGE zQ SO. FT.
PLUMBING FEE $
P..
GAS PIPING
J
PERMIT FEE
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PERMIT FEE
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P R T U REN. jDBL.tTOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE
J
J FM A M J J A S O N D xY
,.. J,.. F M A _ M -« -..J.. J A S O _ N D
SET BACKLOT
SIZE
USE #
JOB ADDRESS OWNER / (/
IS
oc
PLAN CHECK FEE $
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USE OF B ING - �. DA-rf'ft
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CHECKED BY
C�jO,/NJ4l�yMUNITY
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DISTfl ICT F.C.%
UNjITS
FLEE +
MECHANICAL FEE
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GRO/UP
TYPE
I.E G'AL DESCRIPTION
•�
PERMIT
NUMBE
CONSTRUCTION FEE $�
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174572
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE $
P..
�' Q - 70
n ,
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
Lf
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.
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
T
LL
P
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
OWNER
CONTRACTOR
BRANCH OFFICE
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ADDRESS
°
It✓-.C�-..C1
ADDRESS ~
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ADDRESS
CITY
STATE
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NO LENDER INVOLVED
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INFORMATION
TEL. NO.
TEL. NO.
LICENSE NO.
Z84-208 1 2/88 Ve