226696 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
DST
1 ST FL. SQ. FT. @
2ND FL. SO. FT. @
POR. SO. FT. [ul
GAR. SQ-FT. @
CAR P. SO. FT_ �dl
WALL SOFT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION
NO.
NO.
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
Is
K-W_ UNITS
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
I
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TfRAN K W
ORMER
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑WALL ❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. [:]OIL
CONST, SERV. ENTRANCE
WATER CLOSET
f
COMPRESSOR HP
POLE
LAVATORY
APPLIANCE VENT
/
AMPERES SERV. ENT
SHOWER
ABSORPTION SYSTEM B.T.U,
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS_ OR COMM.
SQ. FT. @ t
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID, @ 1
SEWAGE DISPOSAL
BOILER 0 B.T•U.
SQ_ FT_ GARAGE @1/2Q
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
"MOBILE HOME HOOKUP FEE
$
PERMIT FEE
PERMIT FEE
p pp
Y V
� .I
TOTAL FEES
MOB, HK,EE F
MICRO FEE MECH ]DBL
PL. Ck. FEE.
CON5T. FEE
DEL. ELECT. FEE
mid
DBL
SMI FEE
FEE PLUMB. FEE JD-BL
'I
I F
I M
A
I M I
J
I J
A
I S
r1
1 N
D
JOB ADDRESS
OWNER73
74
USE OF BUILDING w
t �i l "% ✓/C �- �i.=! e$r 155-
F.0
C
DATE
r� ' i .� .- ��
PERM�.TN f[•�� �{-j¢
•D I ' LJ aJ
M1
75
M.H HOOKUP FEE
$
COMMUNITY DST
UNITS I
ROOMS VALUATION
IIIJII.T.IEIMIT
OFFI/CE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
SETBACK
LOT SIZE ZONE
f,, _
USE NO,
111P
TYPE
CK BY
F S
PLAN CHECK FEE
$
BOTT)ANT.
1PLANNO,
PLAN CHECKER
FINAL DATE I INSPECTOR
- IJ_e/G .•.3h
D
CONSTRUCTION FEE
pBL
$
NAME OF CONST, LENDER BRANCH
QFn CE .
NO LENDER INVOLYILU
ELECTRICAL FEE
D13L
$
:7"g
.�
ADDRESS CITY
STATE
SMI FEE
$
HEREBY AC-F.EE THAT A!,L WORi: I;-J Cj �hJ'gL'CTfOfJ AIIJ'N THIS FfPz ADT W11,L SF Do' ;E I; ;
i4V_.'.NrE WIIH THE LAWS OF [01VEPSIDE C)! !,f Y AND. THE STATE OF C'+LIFOPNIA, I E;!.:.0
REIE TO CAI'RY COMI'ENSVIO I ['NSLIRANCE UFOi4r MIY` ENVLOYE1=S. C;OMPLINNICE VVI'iH
D.Y.76 OF TIDE STATE OF CA01'EDS!.,]A LfDL'} i II l3 Cu.ITRA+`roOkS IS Ai50 GUARANTEED.
;'.I lI II IF I, !r•I I.;L VJHO PREPARED THE PLANS AND SPIECIFICATiONS
_ • ;EC'fltDN $5d1 OF THE BUSINESS AND PR551p'JS
FEE
PLUMBING FEE
DBL
$
TOTAL FEES
'�
U
CASH El CHECK [}� M.O. ❑ N.C. El-y
OWNER .'� 1 _ -
�"
CONTRA - R
RECEIVED BY [ jr
gDDREss
ADDRESS
SEWAGE SYSTEM T
I LL_ f
P
TREES REQUIRED
YES
NO
CITY
�7
CFFY _
t-I
INFORMATION
Al
FORM 284-2081Re 111721
TEL- NO-
TEL. O. LICENSE