166797 (ELEC)CONSTRUCTION ESTIMATE
I 1st FI. Sq. Ft. @
1 2nd Fl. Sq. Ft. @ _
Por. Sq. Ft. @
Gar. Sq. Ft. @
I Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION $
MECHANICAL FEES
VENT SYSTEM [I FAN 11EVAP. COOL 11HOOD
APPLIANCE
FURNACE 11 UNIT 13 WALL❑ FLOOR SUSPENDED
AIR HANDLING UNIT
{[! GAS PIPE ❑ NATURAL 13L.P.G. ❑ OIL
COMPRESSOR �HP
APPLIANCE VENT
ABSORPTION SYSTEM
INCINERATOR DOMESTIC 13 INDUS. 13 comm.
HEATING SYSTEM ❑I FORCED ❑ GRAVITY
'
BOILER I B.T.U.
PERMIT FEE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 4
I ELECTRICAL FEES
B.T.U.
y
PERMIT NUTES REN. JDBL. TOTAL FEES
cu r7l 97
J e M A M
I•
NO.
POLES
LOT SIZE
SIGNS
USE V
TRANS. AND/
OR T. ELK.
MOTOR
H. P.
MOTOR
H.P.
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
FIXTURES
OUTLETS
SUB-PAMEL
CO MU IT
RANGE AND/OR OVEN
WATER HEATER
SPACE HEATER
CONSTRUCTION POLE
SERVICE ENTRANCE
RESID. 10 SQ. FT.
GARAGE z Q SQ. FT.
PERMIT FEE
=HEAT&NT=FEEpLN,EK. FEE CONST. FEE
J J A S
FIELD OFFICE
PLUMBING FEES
NO.
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
(x"f SEWAGE DISPOSAL
HOUSE SEWER
♦ GAS PIPING
vV PERMIT FEE
ELEC. FEE PLUMB. FEE
O N D
SET BACK
LOT SIZE
USE V
JOB A%DDRESS (f / OWNERj
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
-
e1
CHECKED BY
CO MU IT
DIISSTTR CCT
F.C.
UN TS
VjALU ATIOON
F!fI CE {
MECHANICAL FEE
lJ >�rt".1
.j )
(
L~
yK,
J -,6
7J
GROUP
TYPE
L O
LEGAE CR IPTI ON
PE R
M E
CONSTRUCTION FEE
1< ' :%1,
16
6 9 7 ii
SPEC.INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
PLUMBING FEE
PLAN CHECKER
BOND $V
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
TOTAL FEES
$
42 ��
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 1451 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- -�
TRACTORS IS ALSO GUARANTEED.
INFORMATION
NA MIS L1k 0 `diTAWICTIU i iAHIW Rs
n
UA It 7,hr's I1.6
AL{1JW,S4
OWNER yf
( {
CONTRACTOR
ADDRESS
ADDRESS
CITY 3T
A TT
NO MOLM
TEL. NO.
TEL. NO.
LICENSE NO.
2 84.2 08 11/67