186273 (AR)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
i Gar. Sq. Ft. @
Car P. Sq. Ft. @
I
Wall Sq. Ft. @
,�*eJos Sq. Ft. @
/ A
ESTfMATED VALUATION is
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
I
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
I
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR OHP
APPLIANCE VENT
ABSORPTION SYSTEM D
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER O B.T.U.
PERMIT FEE
L.
B.T.U.
w
1 IF Inn I n IM
NO.
FIELD OFFICE
PLUMBING FEES
POLES
SET BACK
SIGNS
USE #
DRAINAGE PIPING
TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
MOTOR
H. P.
URINAL
MOTOR
H.P.
WATER PIPING
MOTOR
H. P.
FLOOR DRAIN
MOTOR
H. P.
WATER'SOFTENER
MOTOR
H. P.
WASHER (AUTO) (DISH)
FIXTURES
PLAN CHECK FEE $
GARBAGE DISPOSAL
OUTLETS
.
LAUNDRY TRAY
SUB -PANEL
KITCHEN SINK
COM U
STRICT
WATER CLOSET
RANGE AND/OR OVEN
OFFICE
LAVATORY
WATER HEATER
'-
SHOWER
SPACE HEATER
BATH TUB
CONSTRUCTION POLE
MECHANICAL FEE $
WATER HEATER
SERVICE ENTRANCE
SEWAGE DISPOSAL
RESID. IQ SO. FT.
C2
HOUSE SEWER
GARAGE 1C 50. FT.
GAS PIPING
PERMIT FEE
L A D SC• )PTI N
PERMIT FEE
;VFNTFEE
PLN. CK. FEE
CONST. FE E����
fiw,
ELEC. FEE
w
PLUMB. FEE
J A
11 A
5
5
O N D
I n - I N
SET BACK
ILOT SIZE
USE #
JOB ADDRESS�/" OWNER
F�
5
R
�7 .,,��
ZONE
SE OF BU L - - "
D E
��'"C�
PLAN CHECK FEE $
.
CHECKED BY
COM U
STRICT
U I
VALUA N
OFFICE
'-
MECHANICAL FEE $
-do2
C2
TYPE
L A D SC• )PTI N
PERMIT NUMBER
CONSTRUCTION FEE $
f A- `5 " w
1862
SPEC. )NSP.
4—
SUPP. TO PERMIT
ELECTRICAL FEE $
lA ..+�"-
�
PLAN CHECKER
A LHPLANFI LE
FINAL DATE
)NSP CTOR
PLUMBING FEE $
' I�• �/
l„
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.
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 C PENSATION INSURAJCC UPON MY EMPLOYEES. COMPLI-
ANCE WIT LAWS OF TH STAF CALIFORNIA COVERING CON-
TRACTOR IS ALS A T£NAME
OF CONSTRUCTION
LENDER`
OWNER
CONTRACTOR
BRANCH OFFICE
` - AM I
ADDRESS
DD Lstt
ADDRESS
CITY
STATE
'S" ,,,,, --/
NO LENDER INVOLVED
INION
TE . NO.
TEL. NO.
LICENSE NO.
84-208 12/6B�,
O�
ID
N
(STUCCO
• 56'-3" STUCCO
19-6° -B'-0"- 1
- STUCCO
1 X 10 ROUGH SAWN
CEDAR SIDING
u --_ 10'_
6"CONC.
C3
co
01
FLOOR PLAN
(EK ISTi.AjE1
SCALE 0 1 10
1/ 8 INCH = ONE FOOT