173193 (SFD)1st FI. Sq. Ft. @�
2nd FI. Sq.. Ft. @
Par. j9 l Sq. Ft. @
Gar. t Sq. Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FE
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
APPLIANCE
FURNACE UNIT❑ WALL 11 FLOOR SUSPENDED
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR Eji"tp
APPLIANCE VENT
ABSORPTION SYSTEM D
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM FORCED ❑ GRAVITY
BOILER B.T.U.
5&J%"wu FCC SQ. FT.
PERMIT FEE •.
HERMIT NUM,8EJ6 w w w REN. DBL. TOTAL FE
J IP
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 4
ELECTRICAL FEES
7� ��: NO.
FIELD OFFICE
PLUMBING FEES
�@
SET BACK
POLES
LOT SIZE
USE 11
JOB ADDRESS JOWNER
73-433 Call* us* R •01! iwalty FealtyCO.
- j0
S l7
R 34
SIGNS
USE OF BUILDING
OATE
DRAINAGE PIPING
-s-i
PLAN CHECK FEE
�
TRANS. AND/
OR T. CLK.
j y� �y Lis tt
Now ws.,witt 2 -ca r— or attaCb*d L
-14-69
DRINKING FOUNTAIN
CHECKED BY
COMMUNITY
DISTRICT
F.C.
UNITS
MOTOR H.
P.
07,5_4
URINAL
{�/x��j
MOTOR H.P.
MECHANICAL FEE
A, ro
WATER PIPING
T
0J
'
s
�`-J
MOTOR H.
P.
GROUP
TYPE
FLOOR DRAIN
ip
RMIT NUMBE
31
CONSTRUCTION FEE
���
MOTOR M.P.
Loc 3� !'r-3ai
WATER SOFTENER)
'9
SPEC.INSP.
SUPP. TO PERMIT
ELECTRICAL FEEY
MOTOR H.
P.
WASHER (AUTODISH)
PLAN CHECKER
BOND $
BOND
FIXTURES
PLAN FILE 0
FINAL DATE
INSPECTOR
GARBAGE DISP05AL
I
OUTLETS
TOTAL FEES
LAUNDRY TRAY
'SUB-PAMEL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
KITCHEN SINK
CASH CHECK M. o. N.C.
-
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
+M!
S
WATER CLOSET
IJ)
. !
RANGE AND/OR OVEN
`1, ,,".�_
T
LL
LAVATORY
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
WATER HEATER
TRACTORS IS ALSO GUARANTEED.
11AnT fly' GONSTE C3OM019' MlDrSR
SHOWER
CONTRACTOR.
B.T.U.
SPACE HEATER
BATH TUB
A A V
ADDFWS
CONSTRUCTION PQLE
CI'.i'r
MAMa
WATER HEATER
NO T2=fff_11v5l7.u_r
SERVICE ENTRANCE
SEWAGE DISPOSAL
TEL. NO.
or i
y"
RESID. IC SQ. FT.
I
LICENSE NO.
HOUSE SEWER
—R_/ 9lr4J6,
GARAGE -.LC SQ. FT.
�f/
GAS PIPING
.�
PERMIT FEE
�'T
/
PERMIT FEE
��
HEAT &
VENT FEE
PLN.
CK. FEE
L�ONS�T.FEIE—
ELEC.
FEE
LUMB.
lp-
FEE
1
6
SET BACK
LOT SIZE
USE 11
JOB ADDRESS JOWNER
73-433 Call* us* R •01! iwalty FealtyCO.
- j0
S l7
R 34
ZONE
USE OF BUILDING
OATE
-s-i
PLAN CHECK FEE
�
.
j y� �y Lis tt
Now ws.,witt 2 -ca r— or attaCb*d L
-14-69
CHECKED BY
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
07,5_4
{�/x��j
MECHANICAL FEE
A, ro
iat
T
0J
'
,�1p
GROUP
TYPE
LEGAL DESCRIPTION DEES(CCRIPTION +j�`Q %
ip
RMIT NUMBE
31
CONSTRUCTION FEE
���
Loc 3� !'r-3ai
'9
SPEC.INSP.
SUPP. TO PERMIT
ELECTRICAL FEEY
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 0
FINAL DATE
INSPECTOR
PLUMBING FEE
I
TOTAL FEES
$
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 I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. o. N.C.
tECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
IJ)
. !
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
`1, ,,".�_
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
11AnT fly' GONSTE C3OM019' MlDrSR
OWNER
CONTRACTOR.
ADDRESS
A A V
ADDFWS
CI'.i'r
MAMa
NO T2=fff_11v5l7.u_r
TEL. NO.
TEL. NO'
LICENSE NO.
284_208 „,B�
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