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171089 (MECH)DEPARTMENT OF BUILDING & SAFETY ok COUNTY OF RIVERSIDE Amk FIELD OFFICE cUNSTRUCTION ESTIMATE 1st FI. Sq. Ft. @ 2nd FI. Sq. Ft. @ Por. Sq. Ft. @ Gar. Sq. Ft. @ Car P. Sq. Ft. @ Wall Sq. Ft. @ Sq. Ft. 0 - ESTIMATED VALUATION $ MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE } FURNACE UNIT❑ WALL FLOOR SUSPENDED J Z AIR HANDLING UNIT 0 J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Q UCOMPRESSOR HP 8 W APPLIANCE VENT 2 I� 2 ABSORPTION SYSTEM B.T.U. 0 U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. HEATING SYSTEM ❑ FORCED ❑ GRAVITY BOILER :j 9.T. U. RESIDENTAL FEE SO.FT.� 0 PERMIT FEE HERMIT NUtABFNM w REN. IDBL. TOTAL FEES IF IM IA I" NO. ELECTRICAL FEES POLES SET BACK SIGNS LOT SIZE -- TRANS. AND/ OR T. CLK. JOB ADDRESS lel MOTOR H.P- MOTOR H.P. MOTOR H. P. MOTOR H. P. MOTOR H. P. FIXTURES USE OF BUILDING DATE OUTLETS SUB - PARE L RANGE AND/OR OVEN WATER HEATER SPACE HEATER CONSTRUCTION POLE SERVICE ENTRANCE RESID. IC SO. FT. GARAGE f2 SO. FT. PERMIT FEE f FEE PLN. CK. FEE CONST. 'FEE J J A S PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE ELEC. FEE IPLUMB. F SET BACK LOT SIZE -- USE 11 JOB ADDRESS lel 5 R S S 3 // f ! Ip• FG ` I'1 / f /T c_ ZONE USE OF BUILDING DATE PLAN CHECK FEE '�'�""'""^`^ /4 q -4 co ,� y .tit < 7- CHECKED BY COMMUNITYIIIITRICTI,C* UNITS VALUATION OFyFII�C-E MECHANICAL FEE / / T -. CONSTRUCTION FEE- GROUP TYPE LEGAL DESCRIPTION 1P 1 IT NUMBEE� 8 SPEC. -INSP. - ' - SUPP. TO PERMIT ELECTRICAL FEE 4—oD PLAN CHECKER BOND $ BOND CASH PLAN 71CE # FINAL DATE INSPECTOR PLUMBING FEE >0-/0 +5 TOTAL FEES/ {� / I +�J THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CASH CHECK M.O. I N.C. CAUSE PERMIT TO BECOME VOID. i HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS :ECEIVED Y SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- N�■A��y���� TRACTORS TRACTORS IS ALSO GUARANTEED. /{�ows�I�Np�F}J�O{/��R��MATIO 1m -"- lom TAX=: OWNER ;fix CONTRACTOR ADDRIw I ADDRESS ?,•vis CITY.......»....__.,....� 1MQ i.Sim hlitmm TEL. NO. TEL. NO. r- /4-1-1 4: r 4_0 ,j ;84-208 11/87 LICENSE NO.