228491 (ELEC)BUILDING PERMIT � - ' DEPARTMENT OF BUILDING & SAFETY'
• COUNTY OF RIVERSIDE -
CONSTRUCTION ESTIMATE;,, -
,_ELECTRICAL FEES,,,,
1 ST FL....
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION VALUATION
SQ. FT. @.
NO.
SQ. FT.' @
g '
SQ. FT. @
t;
SQ.Fr. @
SQ. Fr. @'
MOTOR I OR LESS H.P.
'MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H:P.
SQ.FT. @
SQ. FT. @ ;
$
K.W. UNITS
NOTE: Not to be used as property tax valuation
DBL.
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑EVAP. COOL Cl HOOD
SIGN
APPLIANCE
TRANS-- K W
FORMER D
FURNACE ❑ UNIT ❑WALL ❑FLOOR ❑SUSPENDED
OUTLETS
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
— COMPRESSOR 0 HP
POLE
APPLIANCE VENT
'AMPERES SERV. ENT.
ABSORPTION SYSTEM B.T.U.
SO. FT. @ Q
INCINERATOR ❑ DOMESTIC ❑ INDUS: OR COMM.
SO. FT. @ Q
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
3 * SO. FT. RESID. @) 4 k
_
BOILER. 0 B.T.U.
SQ: FT. GARAGE @I/24
PERMIT FEE '
r BALANCE OF MIN. FEE
MOBILE HOME HOOKUP.FEE '�
f PERMIT FEE "?
. FIELDWFICE
PLUMBING FEES' DST
N O.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN.
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB '
WATER HEATER'
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
PE IT O
TOTAL FEES
MOB. HK. FEE MICRO FEE •
MEMFEE
DBL.
PL. CK: FEE
CONST. FEE
DBL.
ELECT. FEE
DBL.
SMI FEE
FEE'
PLUMB. FEE
DBL.
_2Z"�-�
-J F M A - M J J - A S O N D
�+�6!
JOB �A7DDRESS,I,�--. _ 'w•... .%-.-f�=r,g.�p"-.
OWNER.-. - .. -._ �. . ,«a.� • .
13
74 . . •
USE OF BUILDING- a 'F.C.
DATE /
PERM NP) Q
M.H. HOOKUP FEE -
$,. :.
-
COMMUNITY
DST
UN/ITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
•
'nOV.IA 74
!
!
Y-0
MICROFILM FEE `; .`
COPIES
$• y
LEGAL DESCRIPTION
MECHANICAL FEE
-DBL
$, .
.-
SETBACK
LOT SIZE • ZONE
USE NO.
GRP
TYPE
CK BY
!)FINAL
PLAN'CHECK FEE'.
•
' ' $
BOND AMT.
PLAN NO,
PLAN CHECKER
DATEPECTOR
'~ . ��
h=�C
-CONSTRUCTION FEE .
DBL'
$ " ' • •
NAME OF CONST: LENDER •. BRANCH
OFFICE... .NO
LENDER INVOLVED
-
ELECTRICAL FEE
D_BL
$
• • _"
(
ADDRESS CITY'
.
STATE
i.
_
s
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- '
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ;
FEE
$
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL..BE DONE IN,AC-
CORDANCE-WITI=I;THE'CAWS OF RIVERSIDE COUNTY AND THE STAT'E:OF CALIFORNIA,•I ALSO
PLUMBING FEE
DBL-
$Y
a.
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY. CERTIFY THAT -THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
]s!
TOTAL FEES
�.
-HAS DONE SO IN ACCORDANCE'WITH,-SECTION,5541 OF THE .BUSINESS AND PROFESSIONS
mr)F OF THE STATE OF CALIFORNIA.
CASH c CHECK ❑ M.D. ` N.C. .
OWNER. -
"N9OF
,CONTRACTOR
RECEIVED BY
ADDRESS
ADDRESS
✓t��
rA
LEY 1 5�
V A
SEWAGE SYSTEM
T
LL
P
/ :v <Pt
TREES REQUIRED _
YES
NO
clTv . # ... �
an -
INFORMATIONTEL.
;
NO.
•
TEL. NO. --,tLICENSE '
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ORM 284.208 We, 1 1 /721
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