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176911 (FSS)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING y FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • a WASHER (AUTO) (DISH) CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st Fl. 2nd FI. Par. Gar. Car P. Wall FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Sq. Ft. @ NO. ?g pp. 1 A Sq. Ft. @ till Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ POLES Sq. Ft. @ >r SIGNS Sq. Ft. @ oCLK"' 1 Sq. Ft. @ MOTOR H. P. ABSORPTION SYSTEM D B.T.U. MOTOR H.P. ESTIMATED VALUATION Is MOTOR H. P. CONSTRUCTION POLE MECHANICAL FEES TSP D FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING y FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET COMPRESSOR �HP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED .❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER B.T.U. RESID. IQ SO. FT. HOUSE SEWER ' PERMIT FEE GARAGE iC SO. FT. GAS PIPING UNITS PERMIT -FEE PERMIT FEE ,11 PE MIT NUMBER REN. DBL. TOTAL FEES I HEAT & VENT FEE PLN. CK, FEE CONST. FEE ELEC. FEE - PLUMB. FEE J J J 7691-L . IJ IF -M�.A.I_. -.-. 42 '_M J cO SET BACK LOT SIZE USE 11 JOB ADDRESS OWNER tt �a f — F S � R �r �y�f �" t i5L'r it fNd�r ZONE U F B 'IL ING - - DA E PLAN CHECK FEE $' ` Ij `� � ♦� CHECKEDN BY COM I 'DISTRICT ti j UNITS VALUATION MECHANICAL FEE • GROUP TYPEE6AL DESC I ION PERMIT NUMBER CONSTRUCTION FEE $ y2 • r JCC 6 ; �j SPEC. INSP. SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ BOND CASH PLAN FILE 0 FINAL DATE INS ECTOR PLUMBING FEE $ e�� I %�a�- 70 1 TOTAL FEES $016% 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 M.O. N.C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO COORIVER- T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- ME TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER OWNER CONTRACTOR BRANCH OFFICE ADDRESS ADDRESS ADDRESS / CITY .STATE NO LENDER INVOLVED L�.-'" INFORMATION' TEL. NO. TE-L:"NO. BB ��J�J�J�//////gjgjqj�]] �...Y �� K � • J LICENSE NO. • (1 IF �' 284-208 12/68 { /