166694 (SATT)DEPARTMENTOF BUILDING 8 SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI.' ! a,p is Qs' l Sq. Ft. @ i 2 NO.
2nd Fl. Sq.. Ft. @
Por. O1 Sq. Ft. @ P. it
Gar. <� Sq. Ft. @s
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL (HOOD
APPLIANCE
FURNACE 13 UNIT( WALL [I FLOOR SUSPENDED
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR L--iJ HP
APPLIANCE VENT
ABSORPTION SYSTEM O B.T.U.
0
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM FORCED ❑ GRAVITY
BOILER - .� B.T.U.
�. 5Q. FT. @
PERMIT FEE
ERMIT 9 4 REN. DBL. TOTAL FEES NEA'
_II LoLo- Lo',
F
J F
FIELD OFFICE
PLUMBING FEES
NO.
d
POLES
LOT -SIZE
USE #
SIGNS
DRAINAGE PIPING
TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
MOTOR, -
M.P.
URINAL
MOTOR
H. P.
WATER PIPING'
PLAN CHECK FEE
MOTOR
H. P.
FLOOR DRAIN '
-MOTOR
H. P.
WATER SOFTENER
COM ` +` " " --TR
MOTOR.
H.P.
WASHER (AUTO) toISH)
VALUATION
FIXTURES
MECHANICAL FEE
GARBAGE DISPOSAL
n
OUTLETS
LAUNDRY TRAY
SUB -PANEL
KITCHEN SINK
ROUP
TYPE
WATER CLOSET
RANGE AND/OR OVEN
LAVATORY
WATER HEATER,
A SHOWER
SPACE HEATER
BATH TUB
l,M
i
CONSTRUCTION POLE
WATER HEATER
q
SERVICE ENTRANCE
,1 (,{ _ SEWAGE D15POSAL
_
Jr. RESID. 10 SO. FT.
x
HOUSE SEWER
GARAGE i C SO. FT.
BOND $
GAS PIPING
[C7ASHPLAN
PERMIT FEE
+
PERMIT FEE
;�VENTFEE
pLN. ;CK. FEE
CONST. TEEELEC.
FEE
PLUMB. FEE
A
5
O N .D
d
SET BACK
LOT -SIZE
USE #
JOB ADDRESS
R 4 t
p JOWN�R
j
-
Z
USE OF BUIL ING' T - -
DATE
PLAN CHECK FEE
+]
.fd
j
�` 1. 'J'i;.r.']r+•7(
'UNITY
`
CHEC ED BY
COM ` +` " " --TR
'UNITS
VALUATION
OFFI
MECHANICAL FEE
n
IF,C-4,"
ROUP
TYPE
LEGAL DESFiS TION v
PERMIT N MBER
CONSTRUCTION FEE
4v,�,..
.. i. �.f 1rtM�
1 66 V 94
l,M
i
SPEC. INSP.-.
SUPP. TO PERMIT
ELECTRICAL FEEL
_
-
7
PLAN CHECKER
BOND $
BOND
[C7ASHPLAN
FILE 4
FINAL DATE
INSPECTOR
PLUMBING FEE
It (o C+
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
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 f' M. o. N. C.
CCEIVEO BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
')�
SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO
T
LL
P <S'.X<.I',i''
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFOR IA COVERING CON-
INFORMATION
TRACTORS IS ALSO GUARANTEED.
.s�'•j►►7D
m�
OWNER
eblr"t�iclw�i
A oa .
e 3G f'
'BIRMCH On -Vic
11 T-+-
.
ADDRESS
ADDRESS
roi�`5AV
-
TEL. NO.
TEL. NO.,
•
94.208 11/87 _
- -
�j_ •
LICENSE NO.