179302 (SATT)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER' SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL PHOOD
DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0
MOTOR
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
Ist FI.
2nd FI.
Par.
Gar.
Car P.
W011
4/6;' ti
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e
Sq. Ft.
APPLIANCE
Sq. Ft. @
FIXTURES
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ZONE
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Sq. Ft. @
POLES
SIGNS
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MOTOR H. P.
PLAN CHECK FEE $ 1
MOTOR H. P.
ESTIMATED VALUATION $ ^} •5 -'
MOTOR H. P.
-571
MECHANICAL FEES
MOTOR H. P.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER' SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL PHOOD
j
MOTOR
H. P.
jP
WASHER (AUTO)I(DISH)
F
APPLIANCE
R12
FIXTURES
ZONE
USE OF BUILDING
GARBAGE DISPOSAL
,
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
PLAN CHECK FEE $ 1
LAUNDRY TRAY
-571
AIR HANDLING UNIT -
SUB -PANEL
COMMUNITY
DISTRIC
F.C.
KITCHEN SINK
VALUATION
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
a'
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WATER CLOSET
el
COMPRESSOR wwr MP
RANGE AND/OR
OVEN
•�•
LAVATORY
"y
APPLIANCE VENT
WATER HEATER
GRdVii
SHOWER
LEGAL DERI PTI ON
ABSORPTION SYSTEM D B.T.U.
PERMIT NUMBER
SPACE HEATER
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f17930
t
BATH TUB
,.
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION
POLE
WATER HEATER
T_nt 14 -
HEATING SYSTEM '� FORCED ❑ GRAVITY L
4/ }/
SERVICE ENTRANCE
SPEC. INS P.
SEWAGE DISPOSAL
SUPP. TO PERMIT
BOILER B.T.U.
y; RESID. 11 SO.
FT.
HOUSE SEWER
PLAN CHECKER
PERMIT FEE
1 BOND
GARAGE JC SO.
FT.i
71NAL DATE
INS CTOR
GAS PIPING
"1
PERMIT FEE
4
PERMIT FEE
+
P1 RTf� U e REN. JDBL. TOT/1L FEES a HEAT & VENT E PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE
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JJJ7 F M A M J J A SO N D
1 1 T I
SET BACKLOT
SIZE
USE 11
JOB ADDRESS OWNER
F
5
R12
ZONE
USE OF BUILDING
DATE
lt�
PLAN CHECK FEE $ 1
5-11-70
CHEC ED BY
COMMUNITY
DISTRIC
F.C.
UNITS
VALUATION
OFFICE
a'
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MECHANICAL FEE $
GRdVii
LEGAL DERI PTI ON
PERMIT NUMBER
>�
f17930
CONSTRUCTION FEE $ �t
T_nt 14 -
SPEC. INS P.
SUPP. TO PERMIT
ELECTRICAL FEE $ f
PLAN CHECKER
BOND $
1 BOND
I CASH
PLAN FILE 11
71NAL DATE
INS CTOR
PLUMBING FEE $
4
TOTAL FEES
.— r
THIS NCED
HALL BECOME VOID 1
RMIT SCESSATION 81201
,7
WITHIN 60EDAYS. OF WORK FOR DAYOS SHALLALSO
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
*
Y —,
LL
P `
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFOR COVERING CON-
TRACTORS IS ALSO GUARANTEED.,—'
NAME OF CONSTRUCTION LENDER
K
OWNER
C NT AC OR •ti
BRANCH OFFICE
ADDRESS qUlftta • •
°
A 5
"23 lireh St.
ADDRESS
•
STATE
CITY comes
_7
NO LENDER INVOLVED
INFORMATION
�
23' 4 1�
A/
TEL. NO.
TEL. N .
LICENSE NO.
84-208 12/88 _
N %�
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