168335 (RPL)1st FI. Sq. Ft. @
i 2nd FI. Sq. -Ft. @
Por. Sq. Ft. @
` Gar. Sq. Ft. @
Car P. Sq. Ft. @
Sq. Ft. @
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T15 -
i ESTIMAD VALU A T ION $
MECHANICAL FEES
1
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
t;
APPLIANCE
I'
FURNACE UNIT❑ WALL❑ FLOOR❑'SUSPENDED
G' J
1'. Z AIR HANDLING UNIT
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J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
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jj U COMPRESSOR O HP
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2 ABSORPTION SYSTEM
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U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
I' BOILER B.T.U.
RESIDENTAL FEE SOFT. �'
PERMIT FEE
I'PERMIT NU B A REN. DBL. ITOTAL FEA
J
IItFE J l�v(' F M q
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DEPARTMENT OF BUILDING & SAFETY
COUNTY'OF RIVERSIDE
d ELECTRICAL FEES.
NO.
FIELD OFFICE
PLUMBING FEES
SET BACK LOT SIZE
POLES
USE #
• -
`SIGNS
DRAINAGE PIPING
TDRINKING
OR•T Ce
FOUNTAIN
MOTOR ar H.P.
URINAL
�
PLAN CHECK FEE h ' +3'► 1
MOTOR • - M.P.
WATER PIPING
ft..
MOTOR H. P.
FLOOR DRAIN
COM "UNITY - ICTF. UNITS VALUATION O. E
MOTOR H. P.
WATER SOFTENER
MOTOR + _ H.P.
WASHER (AUTO) (DISH)
FIXTURES
GARBAGE DISPOSAL
OUTLETS <LAUNDRY
TRAY
PE'
SUB-PAMEL
KITCHEN SINK
WATER CLOSET
RANGE AND/OR OVEN
LAVATORY
_
WATER HEATER -
SHOWER
SPACE HEATER
BATH TUB '
CONSTRUCTION POLE
WATER HEATER
PLAN CHECKER
SERVICE 'ENTRANCE •
T
SEWAGE DISPOSAL
C -A Slr
RESID. IQ SO. FT.
HOI�jR alpj
INS fjCTOR -
GARAGE iQ SO. FT.
GAS PIPING, ,
PERMIT FEE
PERMIT FEE
MEAT & :EpT FE
LN'.CK. FEE
CONST. 'FEE f
ELEC. FEE
J
PLUMB. FEE
M J
J A S
O N D
SET BACK LOT SIZE
USE #
JOB ADDRESS OWNER '
F . S 6 1 R 1�71.♦'0-
+
'1 .a N 42
ZONE
S OFIL IN 1 ! DATES''
�
PLAN CHECK FEE h ' +3'► 1
- ♦�
•T
CHECKED BY
COM "UNITY - ICTF. UNITS VALUATION O. E
MECHANICAL FEE
_ •
9
PE'
E L D S DN111D:YR
1 E MIT NL
Z,4 83% E5
CONSTRUCTION FEE
SPEC. INSP.
_
SUPP. TO PERMIT
ELECTRICAL FEE
_..
PLAN CHECKER
NDS$
BOND
C -A Slr
PLA FILE 9
1 FINAL DATE
INS fjCTOR -
PLUMBING FEE
y'N -�O
TOTAL FEES
$
THIS •
PERMIT SHALL BECOME VOID IFWORK 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. 1 1 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
p
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
blam of Conutrtmtloft Lenftjt:
OWNER
.C,ONTRACTOR,- /♦ I"� '
AditIMVs
"
ADDR S
ADOR SS
,
No Leoder involved
r
TEL. N O,
LICENSE NO.
2 -208 11/87
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