206023 (SPIN)U PARTMENT OF BUILDING .& SAFET
.COUNTY OF "RIVERSIDE -
CONSTRUCTION ESTIMATE ELECTRICAL FEES-:'
1ST FL. SQ. FT. @ NO.. N
2ND FL. SQ. FT. @
POR. SQ. FT. @
MOTOR 1 OR LESS H.P.
GAR. SQ. FT. @
MOTOR 5 OR LESS H:P.
CAR P. SQ. FT. @ MOTOR 20 OR LESS H.P.
WALL SQ.'FT. @
SQ. FT. @ r .. ,
K.W. UNITS
ESTIMATED VALUATION Is
MECHANICAL FEES
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAII`
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER OK.W:
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED'
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNITI I CFM
GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL
FIXTURE OR SOCKET'
CONST. SERV. ENTRANCE
KITCHEN SINK c
WATER•CLOSET
COMPRESSOR E== HP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
:SHOWER.
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ ?
BATH TUB
INCINERATOR ❑ DOMESTIC ❑,INDUS. OR COMM.
SQ. FT.@ 2'.
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 4
SEWAGE DISPOSAL
BOILER E—= B.T.U.
SQ. FT. GARAGE
4—
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN: FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
I$
I I I (PERMIT FEE I
I I rlt rmml I rtt -I 1
PERMIT NUMBER I TOTAL FF
MOB.
HOOK FEE
HEAT, '& VENT FEE
DBL
PL. CK'.^FEE
CONST. FEE
DBL ELEC.'FEE
F .PLUMBING FEE
JDBL
6
0 3 /o®IDEI.Llp,
DATE
PER IT N
74
�� a
!�� =
J F M A' M J J
A
S O
N D
JOB ADDRESS �/ /
OWNER
72
_6`yu
73
USE OF BUILDING..
F.C.
DATE
PER IT N
74
!�� =
-� -'.0
023
75
COMMUNITY
Q6TT''°
UNITS-.�ROOMJV.ALU
ATION SUPP. TO PERMIT
OFFICE
76
MOBILE HOME
$
LEGAL DESCRIPTION
., ',.•.t —
HOOKUP FEE
, (� / Ym % % s' C. —OL
DBL
;SET BACK"- LOT SIZE -
ZONE
USE NO.
GRP
TYPE
BY
MECHANICAL FEE
$
F S
/
^
ICK
_
BOND _AMT.
PLAN NO. PLAN CHECKER
FINAL DATE INSPECITOR
PLAN CHECK FEE
$
I
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVO ED
CONSTRUCTION FEE
'
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$
` ca'$
THIS'PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSEPERMIT TO BECOME VOID.
PERMIT WILL
FEE
OdJ
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
ORNIA. I ALSO AGREE TO'CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
DBL
PLUMBING FEE
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 SPECIFI-
TOTAL FEES $
CATIONS HAS DONE SO IN!"AdCO R DANCE WITH SECTION 5541, OF THE BUSINESS AND
PROFESSIONS dDDF"OF THE�.ST7ATE OF CALIFORNIA.
CASH F-1CHECK[k M.O. ❑ .
N.C.
OWNERCONTRACTO
R '
r
Received By.- la
ADDRESS -
ADDRESS.
Sewage System
T
LL
P
CITY
CITY
Trees Required Yes
No
S/tS `�
INFORMATION
FEL. NO.
TEL. NO. LICENSE'• " -
rnou 2RA.208 (REV^'4/71•)' '
•�"
/ • � '
eR "n
NO.
OPERATION DATE
INSPECTOR'
NO.
OPERATION
DATE
INSPECTOR,
BUILDING APPROVALS
MECHANICAL APPROVALS
T..
-Set Back
33
Ventilation System
�2'-
Ftg s & Frms.-
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Block's
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Dock
39
Appl. Clearance
7
Framing 9- 72
40
Fite Damper
a
Vents
41
Smoke Detention Device
9
Garage Fire Wall
42
1 Commercial -Hood
10
Fireplace PA ❑
43-1
Final
10A
Fireplace T.O. 0
OPIN.
NO.
ADDITIONAL. INFORMATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Exterior Grade
14 Final 137q-79
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
-111 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23. Wcter Service
24 Gas Test
25 final"
ELECTRICAL APPROVALS
Tank. pit L. Line
26
Power Pole
SEWER DISPOSAL -LOCATION
B
A
c
K
F
R
0
N
T
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
30 Fixtures
31 Service
-32 Final
0 INSIDE 0 OUTSIDE. 0 KEY
W., :1 �
wk:�