RPL (189764)77451 Calle Madrid
189764
NO.
FIELD OFFICE-`!
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P. +
Wal
//y`
(,,G%
APPLIANCE
Sq. Ft. @
' F S ✓ Ft.J
No.
Sq. Ft. @
r1 -
Sq. Ft. @
OUTLETS
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
' 7f"T.sc o/
Sq. Ft. @
MOTOR H. P.
KITCHEN SINK
MOTOR H. P.
ESTIMATED VALUATION $`
MOTOR H. P.
COMMUNITY
MECHANICAL FEES J
r o 0
NO.
FIELD OFFICE-`!
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
USE 4
JOB ADDRESS ER
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
' F S ✓ Ft.J
r
GARBAGE DISPOSAL
r1 -
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
ZONE
U E OF BUIL ING D T'
LAUNDRY TRAY
5, 7
AIR HANDLING UNIT
SUB -PANEL
PLAN CHECK FEE $
KITCHEN SINK
-71 , i ,,, 1" ,
/'1
Y1131? U
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CHECKED BY
COMMUNITY
WATER CLOSET
COMPRESSOR HP
RANGE AND/OR OVEN
pF'TFICEMECHANICAL
FEE $
LAVATORY
-
APPLIANCE VENT
WATER NEATER
SHOWER
ABSORPTION SYSTEM E:: B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
lI
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
PERMIT NUMBER
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. IQ SO. FT.
189764
HOUSE SEWER
CONSTRUCTION FEE $
PERMIT FEE
GARAGE zQ SO. FT.
GAS PIPING
PERMIT FEE'S
SPEC. INSP.
PERMIT FEE
P R T U REN. DBL. TOTAL FEES) HEAT fi VENT FEE JPLN. CK. FE✓ E+ ICONST.IFEE JELEC. FEE Q' p7 PLUMB. FEE q/f
Fsfr 3 V M4 .I 7't.
.1. M I.A—. 1 `—
- SET BACK LOT SIZE
USE 4
JOB ADDRESS ER
I
+/r
ZrCot%&o*#olr nA
' F S ✓ Ft.J
r1 -
'
ZONE
U E OF BUIL ING D T'
5, 7
PLAN CHECK FEE $
-71 , i ,,, 1" ,
/'1
Y1131? U
CHECKED BY
COMMUNITY
ITS
VALUATION
pF'TFICEMECHANICAL
FEE $
,
•Y'
GRO
YPE
LEGAL DESC IPT ISN v
PERMIT NUMBER
189764
CONSTRUCTION FEE $
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
Q
/" a /-41'z- - l C .1
PLAN CHECKER
BEND$
B N y CASH
PLAN FILE #
FINAL DATE
INSP CTOR
PLUMBING FEE $
!/ f'7/
TOTAL FEES
$
""'
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO j
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
WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
7LLr
-aPERMIT
.wli
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
p
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA .COVERING CON -
/
RS TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
P _
i
OWNER
CONTRACTOR
BRANCH OFFICE
_
'P
ADDRESS
ADDRESS
ADDRESS
CITY STATE
-
NO LENDER INVOLVED
INFORMATION
I
TEL. NO.
TE I.,N O.
LICENSE NO. ,
`•y
Z84-208 12/6 11
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