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171452 (SFD)DEPARTMENT OF BUILDING & SAFETY SET BACK FIELD OFFICE USE # JOB ADDRESS � OWNER 41 COUNTY OF RIVERSIDE S R CONSTRUCTION ESTIMATE r ELECTRICAL FEES PLUMBING FEES ZONE 1st FI. "? i' Sq. Ft. @1.7.4— t; 2 7;' `S2 NO. r' 21 NO. •` Sq. Ft. @ y �� 1( i t.,r I ,( 2nd FI. Sq. Ft. @ n`ITS N FFIMECHANICAL FEE Por. �'� ` I ` j POLES GR -fY PE LEGAL D R {ION Q f Sq. Ft. @ � SIGNS DRAINAGE PIPING ` 1 Car P. Sq. Ft, @ SUPP. TO PERMIT ORAT SCLK.O/ DRINKING FOUNTAIN / — i' +� _' ��r rL,s/ 7" r WOII Sq. Ft. @ i�7 MOTOR M.P. URINAL B -CASH \i FINALF DATE MOTOR H.P. WATER PIPING 1.2 �� 1( ESTIMATED VALUATION Is MOTOR H. P. FLOOR DRAIN 1__1z I` TOTAL FEES MECHANICAL FEES /f }�fJn MOTOR H. P. WATER SOFTENER 1/` 8r(•► 4S::+�� VENT SYSTEM' FAN ❑ EVAP. COOLMOOD MOTOR H. P. WASHER (AUTO) ISH) 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 a8 APPLIANCE FIXTURES GARBAGE DISPOSAL PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER - I. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY 3 J Z AIR HANDLING UNIT O •h SUB-PAMEL KITCHEN SINK LL J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - G ' WATER CLOSET INFORMATION V� Q V COMPRESSOR i T r "� HP µ ANfiE AND/OR OVEN LAVATORY i.�,e a ,( WAPPLIANCE VENT ..� CONTRACTOR WATER HEATER SHOWER 2 ABSORPTION SYSTEM � B.T.U. • SPACE HEATER :T BATH TUB ADDRESS R � w] O U INCINERATOR DOMESTIC ❑INDUS. ❑COMM. D ALJ�3.. p� CONSTRUCTION POLE WATER HEATER t VEATING SYSTEM J2FORCED ❑ GRAVITY ♦ / (s F ! SERVICE ENTRANC J . SEWAGE DISPOSAL 4i G3 BOILER B.T.U. No INVO A RESID. 1Q SO. FT. HOUSE SEWER )TC4�Al RESIDENTAL FEE SO.FT.E� GARAGE zQ SO. FT. GAS PIPING TEL. NO. 11 �-IN PERMIT FEE LL 1._ 9 PERMIT FEE {SV I PERMIT FEE �V PERMITIy M�fj� /� REN. DBL. TOTAL FEES T FEE PLN. CK. FEE CONST. FEE EIEC. FEE PLUMB. FEE _J -II � •G, � TEAT � V F M A M J J S O N D SET BACK LOT 512E W� USE # JOB ADDRESS � OWNER F S R C ZONE E OF BUILDING GATE r' 21 •` PLAN CHECK FEE y �� 1( i t.,r I ,( C EC KED BY n`ITS N FFIMECHANICAL FEE jVk ]:1�STR(CT- GR -fY PE LEGAL D R {ION PERMIT N M R 17152 CONSTRUCTION FEE � '✓"� ` SPEC. INSP. , SUPP. TO PERMIT ELECTRICAL FEE C*•. / — i' +� _' ��r rL,s/ 7" r PLAN CHECKER B -CASH PLAN FIL a FINALF DATE INSPECTOR - PLUMBING FEE 1.2 �� ti .- -K� IgOND'$ �At) 1__1z I` TOTAL FEES /f }�fJn 1/` 8r(•► 4S::+�� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED �VVVV✓l 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 - P'+, ��"' % SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO r LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - INFORMATION TRACTORS IS ALSO GUARANTEED. •!r .~ , TI��i�«` i.�,e OWNER CONTRACTOR A, }! • ADDRESS ADbR E55 IR IFCH IF r / !� ;t/,M tTT]T,NiJl,i dV i" D ALJ�3.. t CITY No INVO )TC4�Al txt u i ` { TEL. NO. TEL. NO. A' / 6,— f aaa333� LICENSE NO. 284.208 11/878 Jt /) 1