179304 (SFD)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM 0FAN ❑ EVAP. COOL HOOD
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE 0
H. P.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
lst FI.
2nd FI.
Par.
Gar.
Car P.
Wall
`? ` !L
`2
Sq. Ft. @f
ZONE
No.
Sq. Ft. @
Sq. Ft.
OUTLETS
Sq. Ft. t�ts'
+"" POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
0RAT.SCLK.D/
5q. Fr. @
MOTOR H.P.
y
MOTOR M.P.
ESTIMATED VALUATION
VALUATION
MOTOR H.P.
WATER CLOSET
MECHANICAL FEES
MOTOR H.P.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
F 11, 1 F ! 1w: I. li - o In - 1
SET BACK LOT SIZE
VENT SYSTEM 0FAN ❑ EVAP. COOL HOOD
MOTOR
H. P.
WASHER (AUTO (DISH)
Tar479
49-77S Coudelertis C1 IX.1 EA
APPLIANCE
FIXTURES
ZONE
GARBAGE DISPOSAL
T
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
PLAN CHECK FEE $
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
CHECKED BY
KITCHEN SINK
y
.C.
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
VALUATION
O CE
WATER CLOSET
COMPRESSOR HP
RANGE AND/OR OVEN
LAVATORY
J
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
I
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
l WATER HEATER
i
`
ERMIT NU MBE
HEATING SYSTEM Ij FORCED ❑ GRAVITY
V1 p' SERVICE ENTRANCE
SEWAGE DISPOSAL
I
BOILER B.T.U.
y- RESID. IC SO. FT.
' CONSTRUCTION FEE $
HOUSE SEWER
PERMIT FEE
J/' GARAGE iG 50. FT. +�y
GAS PIPING
i
SPEC. INSP.
PERMIT FEE
SUPP• TO PERMIT
PERMIT FEE
JR T
U B
REN.
OBL.
J
TOTAL FE/ES�.
HEAT & VENT FEE
pLN. CK. FEE
J
CONST}. FEEE
ELEC.
FEE
PLUMB. FEE
BOND §BOND
F 11, 1 F ! 1w: I. li - o In - 1
SET BACK LOT SIZE
USE #
JOB ADDRESS OWNER
F jois R 2j
Tar479
49-77S Coudelertis C1 IX.1 EA
ZONE
USE OF BVILDIN • DATE
PLAN CHECK FEE $
CHECKED BY
COMMUNITY
DISTRI
.C.
UNITS
VALUATION
O CE
J
MECHANICAL FEE $
I
GROU OF
TYPE
LEGAL DeSCRIPTION
`
ERMIT NU MBE
yam."
��
I
179304
' CONSTRUCTION FEE $
15
i
SPEC. INSP.
-
SUPP• TO PERMIT
ELECTRICAL FEE $ t
PLAN CHECKER
BOND §BOND
CASH
it
FINAL DATE
1 PECTOR
PLUMBING FEE $ ��+!
-'
jPL'jFtLE
P-19. ?b
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 I CHECK I gal M.O. I N.C. I
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
_
T
LL
rx'—
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNiA COVERING CON-
TRACTORS IS ALSO GUARANTEED.: 1
NAME OF CONSTRUCTION LENDER
1 t
OWNER
CONTRACTOR .�
Croddy Corp.
BRANCH OFFICE
MS
ADDRESSQMMA-
201 •
ADDRE
ADD
CITY
STATE
NO LENDER INVOLVED
INFORMATION
?4A of "67 di
Newport Reach
TEL. NO.
TEL. NO.
* �)
LICENSE NO.
84-208 12/6 Be, —
Yy �.�/
_ ._
a_l 23701E