SFD (180771)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
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DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 0
I LOT SIZE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
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2nd FI.
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MOTOR M.P.
SUB -PANEL
MOTOR H.P.
ESTIMATED VALUATION $
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•,a YET-. MOTOR M.P.
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
MECHANICAL FEES
I---- _
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
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MOTOR H. P.
I LOT SIZE
USE 9
WASHER (AUTO)C�. SM)
,
APPLIANCE
FIXTURES
R
GARBAGE DISPOSSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
- f
OUTLETS
ZONE
USE -OF BUILDING - 1
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
PLAN CHECK FEE $
KITCHEN SINKS.i
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GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
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CHEC (CED BV
WATER CLOSET
COMPRESSOR -.� HP�
NITS
R NGE AND/OR OVEN
OFFICE
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LAVATORY
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APPLIANCE VEN '.;.p
JOISTRIC
WATER HEATER
SHOWER
MECHANICAL FEE $
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
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SC
BATH TUB
t
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE-,p_�
GROUP
TYPE
WATER HEATER
PERMIT NUMBER
HEATING SYSTEM "FORCED ❑ GRAVITY
pJ
f
SERVICE ENTRANCE/.,"
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r
SEWAGE DISPOSAL
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BOILER B.T.U.
RESID. 12 SO. FT.
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HOUSE SEWER
PERMIT FEE
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GARAGE
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GAS PIPING�
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ELECTRICAL FEE $
PERMIT FEE
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PERMIT FEE=j
PERMITNUMBE REN. DBL. TOTAL FEES HEAT B VENT FEE PLN. CK. FEE CONST. FEE JELEC.,FEE PLUMB. FEE. -
'J F M A M J J A S O N D
J F M �A M J J IA S I0 IN ID
SET BACK
I LOT SIZE
USE 9
JOB ADDRESSOWNER
R
yr
717_S�A Wa 44M l
- f
ZONE
USE -OF BUILDING - 1
DATE
PLAN CHECK FEE $
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CHEC (CED BV
COMM T
NITS
VALUATION
OFFICE
JOISTRIC
MECHANICAL FEE $
/.,
-!~fe_.C.0
SC
GROUP
TYPE
LEGAL fESCRIPTION of
PERMIT NUMBER
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Jd
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1807
CONSTRUCTION FEE $
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
'yv
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 11
FINAL DATE
INSPECTOR'
1
PLUMBING FEE $441
I
f
TOTAL FEES
$7
41
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. 0. 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 •'
T
LL
P.'� d�
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
wi rH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
NAME OF CONSTRUCTION
LENDER
ACTORS IS ALSO GUARANTEED.
t/ ,
OWNER
CONTRACTOR
BRANCH OFFICE
f
ADDRESS
ADDRESS
ADDRESS
CITY
• STATE
-
NO LENDER INVOLVED_
INFORMA 4 ON
-
c 1
TEL. NO.
TEL. NO. '
./P
y
LICENSE NO.
284-208 12/88
51l
,