184205 (ELEC)DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL
FEES
PLUMBING FEES
lst FI.
2nd FI.
Por.
Gar.
• Car P.
'
Wall
Sq. Ft. @
NO.
NO.
Sq. Ft. @
5
Sq. Ft. @
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION Is
MOTOR
H. P.
FLOOR DRAIN
MECHANICAL FEES
MOTOR
H. P.
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR
H. P.
WASHERHAUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
CONSTRUCTION FEE $
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
SPEC. INSP.
WATER CLOSET
COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER NEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
CASH
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
PLUMBING FEE $
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRA�IQ
SEWAGE DISPOSAL
BOILER O B.T.U.
RESID. 10 SQ. FT.
HOUSE SEWER
PERMIT FEE
GARAGE iQ SQ. FT.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
GAS PIPING
PERMIT FEE
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
PERMIT FEE
PERMIT NUMBER
.
;..
DBL.
TOTAL FEES
HEAT & VENT E
PLN. CK. FEE
CONST. FEE�ELEC.EE
PLUMB. FEE
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LOT SIZE
USE 4
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JOB ADDRESS la OWNER
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2111, 0.4`
ZONE
-dSIf O BUILDING
PLAN CHECK FEE $_
CITE KED Y
C M N T S- R K "F. — I VALUATION
OFFICE
MECHANICAL FEE $
h�
PE
LEGAL DESCRIPTION PERMIT NUM
ER
CONSTRUCTION FEE $
f //— '* 205
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $ 1
BOND
CASH
PLAN FILE 11
FINAL DATE
INSPECTOR
PLUMBING FEE $
I
'-I
1
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.
IHEREBY 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
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T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
—CE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
F
TRACTORS IS ALSO GUARANTEED. ,
NAME OF CONSTRUCTION LENDER
OWNER I46NTRACTOR
BRANCH OFFICE
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DR EfS -I4V&REvF
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ADDRESS
CITY
STATE
NO LENDER INVOLVED
INFORMATION
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L. NO.
I
284.208 12/68V
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LICENSE N0.
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