162238 (ELEC)DEPARTMENT OF BUILDING & SAFETY
• -
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FLSq.
2nd FI.
Par. Sq.
Gar.
Car P.
WOII
.
-
Ft. @
N0.`
No.
Sq. Ft. @
ZONE 'Y..
. �,,n ` Y �, .
Ft. @ f a."
� ��.
Sq.'Ft..@ P, LES . .
Sq, Ft. @ "^ " " - - SIGNS
ORAINAGE PIPING -
TRANS. AND/
$q. Ft. @ OR T. CLK.
.DRINKING FOUN TAIN
Sq. Ft. @ MOTOR H. P.
URINAL -
- MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION is
MOTOR H. P.
FLOOR 'DRAIN
MECHANICAL FEES-
MOTOR M.P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD
MOTOR -H. P.
WASHER (AUTO) „`DISH) ,
APPLIANCE
FIXTURES -
GARBAGE DISPOSAL
.) FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
- OUTLETS
LAUNDRY TRAY
Z AIR HANDLING UNIT
0
_ - SUB-PAR,EL
- KITCHEN SINK
J GAS PIPE ❑ NATURAL ❑:L.P.G. ❑ OIL
-
WATER CLOSET
U COMPRESSOR �HP.
RANGE AND/OR OVEN
LAVATORY,
W APPLIANCE VENT
WATER HEATER
SHOWER
f. ABSORPTION SYSTEMD B.T.U.
0
SPACE HEATER
BATH. TUB
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
- WATER HEATER -
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
•• SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 10 SQ. FT. _
HOUSE SEWER '.
RESIDEN TAL FEE SQ.FT. ��@
GARAGE iQ SQ. FT.
GAS PIPING -
PERMIT FEE
.-, PERMIT FEE' - ,
Jin. PERMIT FEE
PERMIT <�pM�f�. /� /� /�
,rL,J, •Gj •G�
jlv'Jj
REN,.
DBL.
ITOTALS
HEAT & VENT FEE
PLN. CK. FEE -
CONST, 'FEE
E311LEC E-
L/i;
PLUMB. FEE
.J M A M
IF
J F
N D
• -
SET BACK
-
LOT -SIZE
USE V
7 r,
W
JOB 'DD'��'R ESS OWNER -
w�'
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PLAN CHECK FEE
ZONE 'Y..
USE OF BUILDING ' ✓< --
.3�
C.R-
DATE
S�
_ -
CHECKED BpY�P'�
COMMUNI Y176-i—STRiC/T
I F.C?.
IUNItS
IVA�L{yU��AyTION
FFI E
MECHANICAL FEE,
S•'Y 5. �,o'!✓'n�
/s _3.: "-ss
5,
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.4
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,-
GROUP
TYPE
LE GAL'DEW� VTIO _
NUMBER
CONSTRUCTION FEE
r
1PERMIT
1 62238
-
SPEC.IMSP.
� �
SU PP. TO PERMIT
E LECTRI.CA L"FEE
•
PLAN CHECKER
BOND $
BOND-.
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE
L TOTAL FEES
NY.�A
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 M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
4 -•PERMIT
WILL BE DONE 1N ACCORDANCE' WITH THE LAWS OF RIVER-
-SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
+T
LL'
P
CARRY.COM,P'ENSATION:INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
�r
INFORMATION
TRACTORS IS ALSO GUARANTEED. ."
-
' -
OWNER -
.CONTRACTOR
ADDRESS'. - -?ADDRESS
1 I
r w-
•
TEL. NO
TEL. NO. -
r
-.'
'i- . _ .. -
,
LICENSE NO.
7 - •... / 1 J.. /:r-
284-208 111/037 • .... .. ,.
tin :.