184384 (AR)DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI. Sq. Ft. @ No.
2nd FI. Sq. Ft. @
Par. ,-- 5 h9 Sq. Ft. @t
Gar. Sq. Ft. POLES
Car P. Sq. Ft. @ slcNs
Wall Sq. Ft. @ AND/
OR TRANS.N AN
SqFt@ MOTOR H. P.
. .
MOTOR H. P.
ESTIMATED VALUATION$i+� MOTOR H. P.
El
MECHANICAL FEES MOTOR H.P.
FIELD OFFICE I
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR GRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
COMPRESSOR D HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM O B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS.. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. IQ SO. FT.
HOUSE SEWER
PERMIT FEE •
GARAGE zQ SO. FT.
GAS PIPING
i
PERMIT FEE
PERMIT FEE
P R T U B REN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FE'E ELEC. FEE PLUMB. FEE
J
J
J
31 17
J F J.__._. _ A .. _ S_ +- P _. _-L'I _.. D
Ir II A IS
SET BACK LOT SIZE
USE #
JOB ADDRESS 11
F R j
JOWNER
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E O BUI i G '" I J jpfE
f
PLAN CHECK FEE $
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CHECKED BY
T C1FA MUN I
TR•I CT .C.
NITS r
L' ION OFFICE
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MECHANICAL FEE $
i
TYPE 0
LEYT L IDT ION
_P
MIT NUMBE
4 3 8'4
i CONSTRUCTION FEE $
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15U8
i
SPEC. INSP.
TO PERMIT
IPP.
1
ELECTRICAL FEE $
Tw�.�•
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-$
PLAN CHECKER
•B' D BON CA M 1'LAN IL 0 INA DA
INSPECTOR
PLUMBING FEE $
✓ 71
TOTAL FEES
1
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 INCONNECTION 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 COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALS GUA NTEED.
NAME OF CONSTRUCTION LENDER
OWNER'
CONTRACTOR
BRANCH OFFICE
-�
ADDRESS
ADDRESS
CITU
STATE
NO LENDER INVOLVE D
IN FOR
ATION
%-
TEL. NO.
TEL. NO.
84-208 12/0 8
GAjVJ?
4!.
LICENSE NO.
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