174574 (RPL)FIELD OFFICE I
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ MOOD
MOTOR H. P.
DEPARTMENT OF BUILDING 81 SAFETY
• COUNTY OF RIVERSIDE 0
WASHER (AUTO) (DISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
Ist FI.
2nd FI.
Por.
Gar.
Car P.
Wall
r�sci.
Sq. Ft. @
F
NO.
Sq. Ft. @
Sq. Ft. @
6444 C- 144 4
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
T Kms. ` C
Sq. Ft. @
MOTOR H.P. G
WATER CLOSET
MOTOR if H.P.
ESTIMATED VALUATION $
RANGE AND/OR OVEN
,0j' MOTOR H. P.
LAVATORY
MECHANICAL FEES
MOTOR H.P.
FIELD OFFICE I
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ MOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
USE N
APPLIANCEFIXTURES
I �'
GARBAGE DISPOSAL
F
FURNACE❑UNIT❑WALL❑FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
6444 C- 144 4
AIR HANDLING UNIT
SUB -PANEL
ZONE
KITCHEN SINK
DATE
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
COMPRESSOR �HP
RANGE AND/OR OVEN
CHECKED BY
LAVATORY
DISTRICT
APPLIANCE VENT
WATER HEATER
VALUATION
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SirtWAA.IK DISPOSAL
BOILER B.T.U.
RESID. IQ SO. FT.
HOUSE SEWER
P
PERMIT FEE
GARAGE zQ SO. FT.
GAS PIPING
�_
-
PERMIT FEE
PERMIT FEE
174574
PWTu REN. DBL. TOTAL FE�E)S HEAT $ VENT FEE JPLN. CK. FEE CONST. FEE �7IELEC. FEE PLUMB. FEEJ:yy wv I .SAO r � OL%FA M J J A S O N DF I M A M I J J 1`A Is O IN D
SETBACKBACK
LOT SIZE
USE N
JOB ADDRESS JOWNER
15dr,111 4
F
5
R
6444 C- 144 4
ZONE
S OF BUILDING
0A
DATE
PLAN CHECK FEE $
CHECKED BY
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
O ICE1
!+�
MECHANICAL FEE $
I
j)�►�`
P
TV PEit
_141
LEGAL DESCR TION
PERMIT NUMBER
`
174574
' CONSTRUCTION FEE $
OJC�
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BOND $ BOND
CASH
PLAN FILE 0
FINAL DATE
INSPECTOR
I
U
�?
' PLUMBING FEE $
TOTAL FEES..w
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-
SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
T
LL
P
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
a
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION
LENDER
"
OWNER
CONTRACTOR
BRANCH OFFICE
--
ADDRESS
ADDRESS
ADDRESS
CITY
STATE
NO LENDER INVOLVED
INFORMATION
TEL. NO.
TEL. NO.
W�Y P
LICENSE NO.
84-208 12/88
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