179301 (SFD)FIELD OFFICE I
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL MOOD
SET BACK
DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE •
MOTOR H. P.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd Fl.
Par.
Gar.
Car P.
Wall
/'
Sq. Ft. @�,
f' +
NO.
r �
Sq. Ft. @
'
Sq. Ft. @
DATE
Sq. Ft.
Sq. Ft. @
POLES
SIGNS
Sq. Ft. @ Z4 v
TRANS. AND/
OR T. CLK.
Sq. Ft. @
MOTOR H. P.
LAUNDRY TRAY
MOTOR H. P.
ESTIMATED VALUATION Is
AIR HANDLING UNIT
4.r" MOTOR H. P.
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
SET BACK
MOTOR H. P.
WASHER (AUTO)YOISH)
JOB ADDRESS OWNER
49-737 Coack*lla Drive lla QuintAk Day- Co.
F
APPLIANCE
R 15
FIXTURES
'
GARBAGE DISPOSAL
DATE
•�
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
PLAN CHECK FEE $
LAUNDRY TRAY
,I#n4f
5111-70
AIR HANDLING UNIT
SUB -PANEL
COMW6N I"DISTRIC
KITCHEN SINK
FI
ITS
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
OFFICE
WATER CLOSET
COMPRESSOR HP
MECHANICAL FEE $
RANGE AND/OR OVEN
LAVATORY
{
APPLIANCE VENT
WATER HEATER
SHOWER
TYPE
,..'
ABSORPTION SYSTEM j B.T.U.
PERMIT
NUMBER
SPACE HEATER
r
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM FORCED ❑ GRAVITY
t-13 Tr -"76
179301
SERVICE ENTR,(j
SEWAGE DISPOSAL
SPEC. INSP.
BOILER B.T.U.
SUPP. TO PERMIT
%'
RESID. 10 50. FT.
HOUSE SEWER
F
PERMIT FEE
PLAN CHECKER
�.
GARAGE iC SO. FT.
CASH
GAS PIPING
1
I PECTOR
PLUMBING FEE $ �•
PERMIT FEE
PERMIT FEE
PERMIT NUMBER REN. JDBL. TOTAL FEES EAT fi VENT FEE PLN. CK. FEE JCONST. FEEELEC. FEE PLUMB. FEE
179301
7'
J F M I A M J J AS O N D ,
1 J F M A M J J A S O I N D I
SET BACK
LOT S1ZE
USE #
ff Far -779
JOB ADDRESS OWNER
49-737 Coack*lla Drive lla QuintAk Day- Co.
F
S12
R 15
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE $
,I#n4f
5111-70
CHECKED BY
COMW6N I"DISTRIC
FI
ITS
VALUATION
OFFICE
MECHANICAL FEE $
-✓'^'^�-
GR UP
TYPE
LEGAL DESCRIPTION
PERMIT
NUMBER
CONSTRUCTION FEE $
t-13 Tr -"76
179301
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $ �
F
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
I PECTOR
PLUMBING FEE $ �•
I
TOTAL FEES
BECOME VOID WORKNOT
DAYS SHALLNCED
l 01S
WITHIIS N 60ERMIT DAYS.SHALL
CESSAT ON OF WORK FOR ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK INCONNECTION WITH THIS
CASH CHECK 0 M.0. N. C.
RECEIV
SEWAGE
SYSTEM
IBY
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
-•kyr
/ /
T1 �!I
P U
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
Greddy
• p.
OWNER
ON A TOR
BRANCH OFFICE
"
ADDRESS
_
ADDpES 1 y'•'
'ADDRESS'
CITY STATE
`
ail
NO LENDER INVOLVEDgni•
INFORMATION
,P44 N
TEL. NO.
TEL. NO.
S.Y,
_
LICENSESE NO.
, �?,_ /
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