197341 (SFD)�'
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DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
Ft" OFFICE
"
C0NSTRUCTI0N.EST IMATE
CONST. SERV. ENTRANCE WATER CLOSET'
ELECTRICAL -FEES
PLUMBING FEES
1ST FL.
'F
ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ 4 J BATH TUB
sQ. FT.
�' -•
` ` NO.
NO: A
2ND L.
POR. -
GAR.
CAR P.
WALL
-
u
v 7 7
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SQ: FT,
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT,FEE y PERMIT FEE
PER
j
50. FT. a� ` I�< r MOTOR I OR LESS H.P.
SQ.FT. Cai MOTOR 5 OR LESS H.P.
V. li &2 d% � MOTOR 20 OR LESS H.P.
SQ. FT. 6
•�
. �
SQ.FT@
DRAINAGE PIPING -
DRINKING FOUNTAIN
SQ. FT.
�a
PLUMBING FEE
URINAL
y
i
OK W. UNITS
WATER PIPING
ESTIMATED VALUATION-
$ j
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o
FLOOR DRAIN
M A
J r., r F-.-. .�� MTS A
MECHANICAL•FEES
- N- D.
" r
12, WATER SOFTENER - �f
VENT SYSTEZ6 FAN Cl EVAP. COCIA HOOD'. �. a • SIGN WASHER (AUT . (DISH) ' {
APPLIANCE R )07 f"—
FORMER D K.W. -GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM i FIXTURE OR SOCKET KITCHEN SINK '
GAS PIPE ❑ NATURAL.❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET'
COMPRESSOR '•3' U/ H =- II} • POLE LAVATORY
,APPLIANCE VENT
AMPERES SERV. ENT. .�. SHOWER
ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ 4 J BATH TUB
INCINERATOR ❑ DOMESTIC ' ❑ INDUS. OR COMM.. SQ. FT. @ 4 WATER HEATER '
-
9 HEATING SYSTEM FORCED ❑ GRAVITY_
' SQ. FT. RESID. @ I4 3TD % r SEWAGE DISPOSAL U -
BOILERB.T.U'. `
SQ. FT. GARAGE @a 124 `t" HOUSE SEWER
PERMIT FEE
,a BALANCE OF MIN. FEE ti GAS PIPING d
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT,FEE y PERMIT FEE
PER
TOTALFEES
.REN: !RAILER FEE HEAT 8 VENT. FEE
PL. CK,.,E CON/SpT.
fEE ,'
jDBL.j!LEC.
oeL.
SPEC. INSP. FEE
PLUMBING FEE
DBL_
jr-
M A
J r., r F-.-. .�� MTS A
M' S O
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- N- D.
IT BACK
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USE #
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USE OF BUILDINGQDATE
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PLAN CHECK FEE
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CHECKED BY
1Ls �.
COMMUNITY -,r •. 01
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OFFICE _
MECHANICAL FEE
l JF�t�
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DBL.�
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$
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GROUP
TYPE
LEGAL DESCRIPTION . - _
01- �57'�-s �
ERMIT NUMBER
1 973 4 1
CONSTRUCTION FEE.
4T ;A A 01A,!"'f•/� {9rij�� ��
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CHECKER
-
- -
SUPP. TO•PERMIT
ELECTRICAL FEE
S
DBL
BOND $
BOND.
CASH
PLAN FILE,# FINAL
DATE '• -
INSP T� •1
PLUMBING FEET
u,
-
TRAILER PERMIT
-
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE - NO LENDER
INVOLVED
ISSUANCE FEE
$
•1
"
ADDRESS
CITY - .• -----[STATE
-
FEE
$
a
TOTAL FEES.
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT CO ENCED WITHIN 60 DAYS. CESSATION
!/ �''`
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BE E" VOID,
I HEREBY AGREE THAT- WORK IN CONNECTION THIS PERMIT WILL BE DONE IN ACCOR-
-
Y
CASH CHECK M.O. N.C.
❑ ❑
DANCE WITH, THE LAWS OF RIVERSIDE COUNTY AND -T STATE OF CALI NIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOY S. COMPLIANC T HE LAWS OF THE STATE
OF CALIFORNIA COVERING CONTRACTORS IS ALSO G.' RANTE
REcerveo BY SEWAGE SYSTEM
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•,Y
T LL P
IHEREBYCERTIFYTHATTHEINDIVIDUALWHOPR EDTHF�LAN' SPECIFICATIONS DONE
OOF ICAIFO�NDANCE WITH SECTION 5541 OF THE BIII � Flee EST E
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• INFORMATION
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