166685 (PLBG)wrvO I r%Ut,, I IUN CJ I IMA I r
1st Fl. Sq. Ft. @
2nd FI. Sq. Ft. @
Par. Sq. Ft. @
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE 13 UNIT❑ WALL 13 FLOOR SUSPENDED
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR �HP
APPLIANCE VENT
ABSORPTION SYSTEM D
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER B.T.U.
pj_%I FEm -I I -.Fr SO.FT.
PERMIT FEE
PERMIT NUMBER A w A REN. DBL. TOTAL FE
DEPARTMENT OF BUILDING & SAFETY
bCOUNTY OF RIVERSIDE a
NO.
ELECTRICAL FEES
POLES r
SIGNS
TRANS. ANO/
OR T. CLK.
MOTOR
MOTOR
MOTOR
MOTOR
MOTOR
FIXTURES
OUTLETS
SUB-PAMEL
RANGE AND/OR OVEN
WATER HEATER
B.T.U. SPACE HEATER
CONSTRUCTION POLE
SERVICE ENTRANCE
RESID. 10 SQ. FT.
�@ GARAGE iQ SQ. FT.
PERMIT FEE
ES IHEAT & VENT FEE PLN. CK, FEE ICI
1 Ir I.•. IA IM
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
H. P.
URINAL
H. P.
WATER PIPING
H. P.
FLOOR DRAIN
H. P.
WATER SOFTENER
H. P.
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
JOWNE
i
LAUNDRY TRAY
KITCHEN SINK
USE OF BUILDING '✓
WATER CLOSET
PLAN CHECK
LAVATORY
SHOWER
��
BATH TUB
WATER HEATER
' r �^*• 2
SEWAGE DISPOSAL
HOUSE SEWER
CM CKED BY
GAS PIPING
PERMIT FEE
;T. FEE
ELEC. FEE
PLUMB``ww.��1Ipp__F��EE
S
O IN
D
SET BACKI
LOT SIZE
USE #
J -V
JOB AJ{DDRjE�SJ)S+ -
JOWNE
i
ZONE
USE OF BUILDING '✓
DATE
PLAN CHECK
��
FEE
..
' r �^*• 2
CM CKED BY
COMMUNIT, .C. UNIT pFFi qE
ESTRICT [ALUATION1►
04
MECHANICAL FEE
i _.g. va
J1
GROUP TYPE
LEGAL DES IPTION - PERMIT NUMIE
CONSTRUCTION FEE
t�L 16 6 6 6 5
SPEC. INP.
SUPP. TO PERMIT
"w✓
ELECTRICAL FEE
PLAN CHECKER
BOND E
BOND
CASH
PLAN FILE #
FINAL DATE
INSPE TOR
PLUMBING FEE
�f
;t'�•
,L,�_c 11'�
TOTAL FEES
$ i t
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. N. C.
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
RECEIVED BY SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
3
T ., �)
)„
LL -� P
SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARRY
COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
INFORMATION
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
�4 ��yyL ,,)y t jj t ftes�''//,}1,1
NAKE Q C0A' 3Ti1ijC 10N'
�'" f� �j
�Llit:�D:-. 11
..
OWNER
CON TR ACT-OiR
JREaS
V
ADDRESS
ADDRESS
/A�
V 1TY
� q
STAR"
c
No L3 4n�, fi I N v0 T 1 'ITS?
TEL. NO.
TEL. NO,
LICENSE NO.
2 84-2 08 11/87
,