166691 (BLCK)DEPARTMENT OF.BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE •
ELECTRICAL FEES
1st FI.
2nd•FI.
Por.
Gar.
Car P.
Wall
.
Sq. Ft. @
HEAT & VENT FEE
NO.
CONST. 'FEE
Sq. Ft. @
PLUMB, FEE
Sq. Ft., @
- POLES
Sq. Ft.. @
'
Sq. Ft. -6' SIGNS
TRANS'. AND/
Sq. Ft. @ i^ OR T. CLK.
- - MOTOR'. -
Sq. Ft. @ '
H. P. -
MOTOR
H. P:
ESTIMATED VALUATION is ...
USE #
MoroR-''
H.P.
MECHANICAL FEES
w A
Moron
H. P. `.
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
PLAN CHECK FEE
MOTOR
H. P.
APPLIANCE ,
CH`EC'KED BY
FIXTURES
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
AIR HANDLING UNIT
'
SUB-PAMEL
LFTN O C IPTION PERMIT
GAS PIPE - ❑ NATURAL ❑'L.P.G: ❑ OIL.
666MjjCONSTRUCTION
~ N f Sr"
-
COMPRESSOR �HP-
7,•- + .-
RANGE AND/OR OVEN
ELECTRICAL FEE.
APPLIANCE VENT
WATER HEATER
-
ABSORPTION SYSTEM. D B.T.U.
BOND $
SPAC E'H E AT ER
CASH
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
f
.CONSTRUCTION POLE
'
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
- BOILER B.T.U.
FCF!1NAL'OATE
40
RESID. 1Q SO. FT.
TOTAL FEES
�,,R ESI. TAL fi.Ft__ SO.FT.�@
GARAGE iQ SO. FT.
PERMIT FEE -
PERMIT"FEE
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
FIELD OFFICE
PLUMBING FEES
ORAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB,
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
•ERMIT NU E$
jo`
REN. DBL'.
J
ITOTAL E
HEAT & VENT FEE
PLN. CK. FEE
CONST. 'FEE
ELEC. FEE
PLUMB, FEE
a
J F M A M J J A S
J. _ F . M A M J J' A S
O N D
O N D
SET BACK .LOT SIZE -
USE #
JOB ADDRESS OWNER
S R
.a;
w A
"
TONE'' -
E OF DI G 0A.T
PLAN CHECK FEE
,n�"
` _'•�
s
CH`EC'KED BY
C'O1firMU T - �D S I 11 .C.1ITNII—.VALUATI ON
MECHANICAL FEE- -
'
G UJ.S'!' PE
LFTN O C IPTION PERMIT
FEE^'(pt
666MjjCONSTRUCTION
~ N f Sr"
'
SPEC. INSP..
7,•- + .-
SUPP. TO PERMIT
ELECTRICAL FEE.
- -
PLAN CHECKER
BOND $
BOND
CASH
N
'INSPECTORPLUMBING
FEE
I
jPLAN.FILE
FCF!1NAL'OATE
40
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 M: o. N.C.
ECEIVED BY -
SEWAGE SYSTEM,
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF.RIVER-
1p
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE,WITH LAWS OF THE STATE OF CALIFORNP COVERING'CON-
E.
INFORMAT1oN
TRACTORS IS ALSO GUARANTEED.
SP
f> P
OWNER
C 'C R
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vi I
..
�lL4*D+�[�''nDRSJS
A CiWeS S. V r
AD DR� 4v ..
4...
TEL.'IC7
'LICENSE NO.
84-208 11/87 - -
y51
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