188026 (ELEC)'
EVAP. COOL
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
0 - 1 0
MOTOR H. P.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft. @
GARBAGE DISPOSAL
No.
Sq. Ft. @
SUSPENDED
Sq. Ft. @
LAUNDRY TRAY
Sq. Ft. @
POLES _
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/
OR T. CLK.
Sq. Ft. @
1:
MOTOR H. P.
'
MOTOR H.P.
ESTIMATED VALUATION Is
E::�HP
MOTOR H. P.
RANGE AND/OR OVEN
MECHANICAL FEES
APPLIANCE VENT
FIELD OFFICE!
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
-------------
VENT SYSTEM ❑ FAN ❑
EVAP. COOL
❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
JOB ADDRESS 1 OWNER
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
4) . v
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑
OIL
-
WATER CLOSET
COMPRESSOR
E::�HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
DIST ICT
F.C. '-
WATER HEATER
SHOWER
ABSORPTION SYSTEM
MECHANICAL FEE $
B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC
❑ INDUS.
❑ COMM.
CONSTRUCTION
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑GRAVITY
gqPOLE
IrtKC
SERVICE ENT!�&
SEWAGE DISPOSAL
BOILER E::�
B.T.U.
RESID. IC 50. FT.
HOUSE SEWER
PERMIT FEE
,
GARAGE zC SO. FT.
GAS PIPING
L' 'H C PTI'N r'
PERMIT NUMBER
PERMIT FEE ✓� n se
PERMIT FEE
Pj R NALTAUIkBEA A REN. DBL. TOTAL FEES I HEAT & VENT FEP IPLN. CK. FEE TCONST. FEE
ELEC. FEE (PLUMB, FEE
SET BACK
LOT
SIZE
USE #
JOB ADDRESS 1 OWNER
F
S
R
4) . v
ZONE
E F B L N / 'G✓- / `'r
DA•
PLAN CHECK FEE $
-
.r.
} �...
�`•.. +y
D EC -KED BY
C ""'
DIST ICT
F.C. '-
'U TS
VALUATION
OFFICE
MECHANICAL FEE $
jNi/J}}
uy
3
"�'Fi UP
PEfE
L' 'H C PTI'N r'
PERMIT NUMBER
CONSTRUCTION FEE $
18.8026
SPEC. INSP.
b. �'•'
SUPP. TO PERMIT
ELECTRICAL FEE $
"7 Z 92_ 4
10A
PLAN CHECKER
BOND $
OND
'C S
PLAN FILE #
I
INSPECTOR
PLUMBING FEE $
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IFWORKIS NOT✓COOM,MENCED
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-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
A
T
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STA.TE�OF CALIFORNIA. COVERING CON-
TRACTORS IS ALSO GUARANTE.ED�
NAME OF CONSTRUCTION LENDER
OWNER
fONTRACTOR
BRANCH OFFICE
Af
_f
ADDRESS
CITY
STATE
-
,..
•/
""`
.. r,
NO LENDER INVOLVED
IN FOR
ATION
TE fr.
LICENSE NO.
284-208 12/08
IC+
1 <i>414,