189705 (GRD)FIELD OFFICE d
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
SETBACK
DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0
CONSTRUCTION ESTIMATE ELECTRICAL FEES
Ist FI.
2nd Fl.
Par.
Czar.
Car P.
Wall
FSq.
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Ft. (�
yQ % .-� u NO"
Sq. Ft. @
GARBAGE DISPOSAL
Sq. Ft. @
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Sq. Ft. @ l
71 POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/
OR T. ELK.
. .
SqFt@
MOTOR H.P.
MOTOR H.P.
ESTIMATED VALUATION Is
Q p Jd 1 MOTOR M.P.
UN I TS
MECHANICAL FEES MO N o
FIELD OFFICE d
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
SETBACK
MOTOR H. P.
WASHER (AUTO) (DISH)
-y
APPLIANCE
F
FIXTURES
R'/�
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
USE OF BUILDIN
OUTLETS
PLAN CHECK FEE $
LAUNDRY TRAY
/ 1
AIR HANDLING UNIT
SUB -PANEL
KITCHEN"SINK
COMMUNITY DISTRICT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
UN I TS
VALUATION
OFwICE
E
WATER CLOSET
U'
COMPRESSOR �HPRANGE
AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
TYPE
SHOWER
ABSORPTION SYSTEM D B.T.U.
CONSTRUCTION FEE
SPACE HEATER
C
BATH TUB
it ! / ,,1 /
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
`j /O
WATER HEATER
a
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
C 00
SERVICE ENTRANCE
Q
SEWAGE DISPOSAL
BOND
BOILER D B.T.U.
PLAN FILE i!
RESID. 16 SO. FT.
/
HOUSE SEWER
Q
43 O
PERMIT FEE
O�
GARAGE zQ SO. FT.
GAS PIPING
"/lO %I
TOTAL FEES
PERMIT FEE
O
PERMIT FEE
PERMIT NUMBERREN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE
Iq'
J
J
cF _ M IN
111.IM J l Q
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SETBACK
LOT SIZE
USE P
JO,_____jB ADDRESS OWNER -
C:tZ
F
5 ip
R'/�
ZONE
USE OF BUILDIN
DATE
PLAN CHECK FEE $
/ 1
CHECKED BY
COMMUNITY DISTRICT
F.C.
UN I TS
VALUATION
OFwICE
E
MECHANICAL FEE $
AGR UP
TYPE
LEGAL DESCRIPTION
PERMIT NUMBER
CONSTRUCTION FEE
$
C
it ! / ,,1 /
189705
ELECTRICAL FEE $
`j /O
SPEC. INSP.
-SUPP.
.... 4� �- cJ
TO PERMIT
PLAN CHECKER
BOND t
BOND
CASH
PLAN FILE i!
FINAL DATE
INSPECTOR
PLUMBING FEE $
Q
43 O
"/lO %I
TOTAL FEES
$ o
THIS BECOME VOID NOT
Rt
_
///
01S
DAYS SHALLNCED
WITHIN 60ERMIT DAYS.SHALL
CESSAT ON OF WORK FOR ALSO
CAUSE PERMIT TO BECOME VOID.
IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
IS ALSO GUARANTEED.
S
CASH D CHECK M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
T
ILL
P
NAME
NAME OF CONSTRUCTION LENDER Ai' ✓.<
OWNER-
d /�
CONTRACTOR
BRANCH OFFICE
ADDRESS
D KESS
ADDRESS
CITY
STATE
�,.%��
NO LENDER INVOLVED
INFORMATION
TEt. NO.
TEL. NO.
284-208 12/68V
LICENSE NO. —