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174979 (CP)DEPARTMENT OF BUILDING & SAFETY VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD • COUNTY OF RIVERSIDE 0 FIELD OFFICE JOB ADDRESS OWNER - �. CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1st FI. 2nd FI. Por. Gar. Car P. Wall Sq. Ft. @ NO. PLAN CHECK FEE $ NO. Sq. Ft. @ GARBAGE DISPOSAL Sq. Ft. @ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Sq. Ft. @ POLES OUTLETS Sq. Ft. @ SIGNS DRAINAGE PIPING T.RWiiNS. Aw)../Ll Sq. Ft. @ T. CLK. DRINKING FOUNTAIN – �} S Ft. MOTOR M.P. '4 Sq. @ URINAL MOTOR H. P. WATER PIPING ESTIMATED VALUATION $ MOTOR H. P. FLOOR DRAIN w MECHANICAL FEE $ MECHANICAL FEES GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SET BACK MOTOR H. P. USE 0 JOB ADDRESS OWNER - �. F k WASHER (AUTO) (DISH) I R APPLIANCE FIXTURES USE OF BUILDING DATE PLAN CHECK FEE $ ,y V '� GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED CHECKED BY OUTLETS DISTRICT F.C. .' U� -VALUATION O F C lf LAUNDRY TRAY ., AIR HANDLING UNIT SUB -PANEL MECHANICAL FEE $ KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL ....r+' WATER CLOSET TYPE COMPRESSOR E::�MP PERMIT NUMBER RANGE AND/OR OVEN 4 "... a LAVATORY APPLIANCE VENT SPEC. INSP. WATER HEATER SUPP. TO PERMIT ELECTRICAL FEE $ SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BOND E BOND CASH PLAN FILE it BATH TUB INSPECTOR INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. 4 v CONSTRUCTION POLE I WATER HEATER g� HEATING SYSTEM ❑ FORCED ❑ GRAVITY $ 4749 SERVICE ENTRANCE 6.2 SEWAGE DISPOSAL CASH CHECK M.O. I N.C. BOILER B.T.U. RESID. IC S0• FT. PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- HSE SEWER r/• PERMIT FEE GARAGE i0 50. FT. SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO 411,r GAS PIPING LL • CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. GOMPLI- ANCE WITH LAWS OF THE STATE OF CALI�p RN .A CQ,VER G -CON - TRACTORS IS ALSO GUARANTEED. 1r'.+S/�� '✓- PERMIT FEE NAME OF CONSTRUCTION LENDER / PERMIT FEE l/ PE MIT NUMBER N. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE�ry�ry CONST. FEE ELEC. FEE PLUMB. FEE Y �' J 9 r' / w► JI F M J c q M J J A S O N 1 D - _ I _ ... _ I - I c ^ - SET BACK LOT SIZE USE 0 JOB ADDRESS OWNER - �. F k S "` I R ZONE USE OF BUILDING DATE PLAN CHECK FEE $ �. '� 'Alf I CHECKED BY COMMUNITY DISTRICT F.C. ITS -VALUATION O F C lf MECHANICAL FEE $ ....r+' G UP TYPE LEGAL D SCRIPTION PERMIT NUMBER CONSTRUCTION FEE $ 2 � 4 "... a SPEC. INSP. % SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND E BOND CASH PLAN FILE it FINAL DATE INSPECTOR PLUMBING FEE $ 4 v I 3 /7 -71111-- TOTAL FEES $ 4749 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED 6.2 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. I 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 411,r LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. GOMPLI- ANCE WITH LAWS OF THE STATE OF CALI�p RN .A CQ,VER G -CON - TRACTORS IS ALSO GUARANTEED. 1r'.+S/�� '✓- �- NAME OF CONSTRUCTION LENDER BRANCH OFFICE OWNER CONTRALTO ADDRESS ADDRESS ADDRESS CITY STA.TE I / - d NO LENDER INVOLVED] INFORMATION =� „ TEL. NO. TEL. NO.y>. ��••`� LICENSE NO. �� t84-208 12/68 � � �r ! / ��• ,r � �X,