162239 (ELEC)DEPARTMENT -OF BUILDING &'SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
Is't Fl. Sq. Ft. @ No.
2nd FI. Sq. Ft. @
Por. Sq Ft @
FIELD OFFICE
PLUMBING FEES
NO.
Gar.
Caf.P.
Wall
.
Sq. Ft. @
_
R
PoD Es
USE #
.�,f� '`" s �Ca
JOB ADDRESS `' i OWNER
r # r• F J�$`'A " Fy� \ �I
fi
Sq.. F.T. @ SIGNS'
DRAINAGE PIPING
TRANS. AND/ -
Sq. Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR
H. P,
FLOOR DRAIN
- MECHANICAL FEES
COMMUNIT..
`+'
MOTOR'
- H:P.
VALUATION
�,
WATERT SOFTENER
- VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H.P.
'�"
WASHER (AUTO) kDISM)
APPLIANCE -
FIX TURES
-GROUP,
GARBAGE DISPOSAL
FURNACE❑ UNIT❑ WALL❑ FLOOR ❑SUSPENDED
J
OUTLETS
CONSTRUCTION FEE
'LAUNDRY TRAY
2. AIR HANDLING UNIT
O
Jc-s
SUB-PAMEL
2 2 3�.�
KITCHEN.SINK
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL,
Q
-
SUPP. TO PERMIT
.'
WATER CLOSET
V COMPRESSOR HP
..
RANGE AND/OR OVEN
LAVATORY.
W APPLIANCE VENT
BOND
WATER HEATER
PLAN FILE #-
FINALDATE
SHOWER
ABSORPTION SYSTEM D B.T.U.-
0
SPACE HEAT E R..
-'
BATH TUB,
V INCINERATOR DOMESTIC 13 INDUS. ❑COMM.
� pp�
CONSTRUCTION POLE �wil
WATER HEATER
HEATING. SYSTEM ❑ FORCED ❑ GRAVITY
�'""�
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
PERMITSHALL BECAME VOID IF'WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF MORK FOR 120 DAYS SHALL ALSO
- CAUSE PERMIT -TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
RESID. iQ SO.' FT.
RECEIVED BY -
SEWAGE
HOUSE SEWER
RES IDENTAL .FEE SO. FT. @
PERMIT WILL -BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
GARAGE iQ -SO. FT.
GAS PIPING
PERMIT FEE
j-
PERMIT FEE
yy
- ./.�'
PERMIT FEE
PERMIT NU
E
394JF
REN,
DBL.
TOTAL FEES�HEATNT
- CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
FEE
PLN.CK.
FEE'
CONST. 'FEE -
ELEC. PEE
PLUMB. FEE
M "A
` J F
J -
J LA
5
O
N D
SET BACK
_
R
LOT SIZE
USE #
.�,f� '`" s �Ca
JOB ADDRESS `' i OWNER
r # r• F J�$`'A " Fy� \ �I
F
S'
- -
ZONE
U E OF BUILDING =' • - "}"'. -
DATE
PLAN CHECK FEE.
CHECKED BVl
COMMUNIT..
`+'
DISTRICT F. C.
J
UNITS
VALUATION
�,
OP FI E '-
MECHANICAL FEES-�''
t T •1 .iY-,
'�"
f
-
-GROUP,
TYPE
LEGAL DESC .IPTION
PERMIT NUMBE
CONSTRUCTION FEE
Jc-s
16
2 2 3�.�
SPEC.INSP.
-
SUPP. TO PERMIT
ELECTRICAL FEE
-
-
.PLAN CHECKER .BOND
$
BOND
CASH
PLAN FILE #-
FINALDATE
INSPECTOR
PLUMBING FEE
(�
�.C•V, i •Q'
TOTAL FEES
�
�'""�
THIS
.`
PERMITSHALL BECAME VOID IF'WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF MORK 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 -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
OWNER
CON TR9'TO
- - -
ADDRESS
'ADDRESS
- -
TEL N;'0.. ."
TEL. NO. -
•-
'1
LICENSE NO. • -
'
284-208 11/87
-
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