RPL (186209)NO.
FIELD OFFICE'
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
DEPARTMENT OF BUILDING 81 SAFETY
COUNTY OF RIVERSIDE.9 . . •
WASHER (AUTO) (DISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Por.
Gar.
,Car P.
Wall
Sq. Ft. @
ZONE
NO.
Sq. Ft. @,
LQ�
Y
Sq. Ft. @
-
Piz"
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Sq. Ft. @
MOTOR H. P. �1
WATER CLOSET
MOTOR H. P.
ESTIMATED VALUATION Is
RANGE ANDIOR OVEN
MOTOR H. P.
LAVATORY
MECHANICAL FEES
MOTOR H.P.
NO.
FIELD OFFICE'
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
JOB ADDRESS OWNER
WASHER (AUTO) (DISH)
APPLIANCE -
FI%TURES.
GARBAGE DISPOSAL
ZONE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LQ�
Y
"LAUNDRY TRAY
-
Piz"
AIR HANDLING UNIT
SUB -PANEL
,KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CHECKED BY
COMMU ITV
WATER CLOSET
F.C.
COMPRESSOR D HP
RANGE ANDIOR OVEN
OFFIC
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
ROIp
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
,3 v
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
-
SZf.E DISPOSAL - ,'
BOILER B.T.U.
RESID. 11 SO. FT.
HOUSE SEWER
PERMIT FEE
GARAGE iQ SQ. FT.
V
GAS PIPING
'
PERMIT FEE
'��
PERMIT FEE
G
PERMIT NUMBERREN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FEE
°` s9�
_ I
J- F M A M J. J. A S
ELEC. FEE. PLUMB. FEE
&W i4.��
O N D
SET BACK ILOT SIZE
USE 0
JOB ADDRESS OWNER
J
ZONE
SE OF ILDING DATE
PLAN CHECK FEE $
A"�
-
Piz"
��- y
CHECKED BY
COMMU ITV
S R T
F.C.
U 1
VALUATION
OFFIC
MECHANICAL FEE $
-'
t�L✓
ROIp
fYPE
LEGAL DESC PTION
PERMIT NUMBER
CONSTRUCTION FEE $
V
-62
SPEC.INSP.
-
SUPP. TO PERMIT "
ELECTRICAL FEE $
s1.
�r
' �0
'
PLAN CHECKER
BOND $
B ND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE $��
TOTAL FEES
`
$T
HIS 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-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO
,i
T
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA 'COVERING CON-
I. .��
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
t
OWNER
CO TRACTOR '
w
BRANCH OFFICE
.
9 _
ADDRESS
CITY
STATE
ADDRESS
ADDRESS
'
NO LENDER'INVOLVED
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ft4z 044 Ole
INFORMATION
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TEL. NO. -
TE . NO.
- - -.
LICENSE NO.
260-206 12,86
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