173192 (SFD)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
SIZE
CONSTRUCTION ESTIMATE
JOB ADDRESS OWNER ,
78-477 Calll& g"w ftsm Realty Co.
ELECTRICAL FEES
S
PLUMBING FEES
1st FI. r
2nd FI.
Por. �
Gar. G`!
Car P.
WOII
Sq. Ft. @
NO,
NO.
Sq. Ft. @
PLAN CHECK FEE
4. Y
Sq. Ft. @
1_1
.
Sq. Ft. @ .r+" POLES
Sq. Ft. @ SIGNS DRAINAGE PIPING
CHECKED BY
TRANS. AND/ DRINKING FOUNTAIN
Sq. Ft. @ OR T. CLK,
VALUATION OFFICE
Sq. Ft. @ MOTOR H. P. URINAL
�!^
MOTOR H. P. WATER PIPING
XL
ESTIMATED VALUATION $
MOTOR H. P.
GROUP TYPE
FLOOR DRAIN
173192
MECHANICALFEES
CONSTRUCTION FEE
MOTOR H. P.
WATER SOFTENER
-
VENT SYSTEM AN 13EVAP. COOL WHOOD
MOTOR H.P.
SPEC. INSP.
WASHER (AUTO) 15H)
SUPP. TO PERMIT
APPLIANCE -
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
PLAN CHECKER
OUTLETS
BOND
LAUNDRY TRAY
PLAN FILE 11
AIR HANDLING UNIT
INSPGC�T
SUB•PAMEL -
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
I
�F/INALL
T7
WATER CLOSET
PLUMBING FEE {,
COMPRESSOR "'� HP
RANGE AND/OR OVEN
z.
LAVATORY
APPLIANCE VENT _
` ��
WATER HEATER
CPA -
r
SHOWER
`
ABSORPTION SYSTEM E::^ B.T.U.
SPACE HEATER
!
BATH TUB
.,7',
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
f WATER HEATER '
x
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
HEATING SYSTEM V,FORCED ❑ GRAVITY
E=EIVED BY
SERVICE ENT A
SEWAGE SYSTEM
SEWAGE DISPOSAL
f
BOILER D B.T.U.
RESID. 16 SQ. FT.
HOUSE SEWER
SQ.FT. � @I
GARAGE i Q SQ. FT.
GAS PIPING f
-�
PERMIT FEE • -
T
PERMIT FEE
LL
PERMIT FEE
P .'�'
•G,
ERMIT N�ijr\ 1 A
'JJJJ
REN.
DBL.
TOTAL F SI. "
fEy( 1
EAT & VE�NyT _
FFA
Tr+'`J ^'Y'j-]
PLN. CK`
CONST. TEE
JELEC. FE
,.�..?,�
`�/'�
PLU E
`.+rj'"
J F M M
J A 'I' S
O
N D
R !��t��
atW�.i'.1 331
ADD
SET BACK
LOT
SIZE
USE V
JOB ADDRESS OWNER ,
78-477 Calll& g"w ftsm Realty Co.
' 4
S
R
ZONE
USE OF BUILDING DATE
PLAN CHECK FEE
1_1
WeM Vq�witlh 2«c r-taraws&ttocbW 10-44-69
J V
CHECKED BY
COMMUNITY DISTRICT I F,C. JUNITS
VALUATION OFFICE
MECHANICAL FEE
�!^
A rs
;.
if 40
GROUP TYPE
LEGAL DESCRIPTION
173192
PERMIT NUMBER
CONSTRUCTION FEE
*
Lot 29 Tr -3448
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BONO $
BOND
CASH
PLAN FILE 11
DATE -
INSPGC�T
I
�F/INALL
T7
(✓`'
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 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK C! M. N.C.
E=EIVED BY
SEWAGE SYSTEM
f
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
f 1.
za,
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.
NAME OF CONSTRUCTION ?
OWNER
R CTORI
CONTmmm
~
R !��t��
atW�.i'.1 331
ADD
-AD15,7f
AC47W@WMi
CiTr
_
no 1; 0";t vo
V; •
��Fiww
1 '
EL, NO f
TEL. NO.`
LICENSE NO.
c".��` •�j�//' /�'
' lLf
8-208 11/67�y ' ��