186178 (RC)FIELD OFFICE'S
PLUMBING FEES
PRA•IN:4GE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
J(i
DEPARTMENT OF BUILDING & SAFE'
COUNTY OF RIVERSIDE
LOT SIZE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st Fl.
2nd FI.
Por.
Gar.
Car P.
Wall
i'41
f5,
Sq. Ft. @
i
._, c+�. NO.
Sq. Ft. @
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Sq. Ft. @ "'"
>
Sq. Ft. @
POLES
Sq. Ft. @
SIGHS
Sq. Ft. @
ORAT SCLK.9/
Sq. Ft. @
MOTOR H. P.
MOTOR H. P.
ESTIMATED VALUATION Is
ZONE
�sa_� MOTOR H. P.
WATER CLOSET
MECHANICAL FEES'f
I --
FIELD OFFICE'S
PLUMBING FEES
PRA•IN:4GE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
J(i
MOTOR H. P.
LOT SIZE
WASHER (AUTO) (DISH)
'
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
fe
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
ZONE
WATER CLOSET
�J
COMPRESSOR HP
-��
RANGE AND/OR OVEN
LAVATORY
b.r.
APPLIANCE VENT
/, 'm C)
•
WATER HEATER.
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SHOWER
/
ABSORPTION SYSTEM E::� B.T.U.
SPACE HEATER
BATH TUB
'DISTRICT
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
UNITS ']VALU
CONSTRUCTION POLE
pF FICEe
WATER HEATER
I r'^'•°"'�'"v,L
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
f
a
SEWAGE DISPOSAL
Com'
BOILER B.T.U.
RESID. IC SO. FT.
HOUSE SEWER
YPE
PERMIT FEE
GARAGE iQ SO. FT.
NUMBER
GAS PIPING
r �=`•
•_4.:'
PERMIT FEE
PERMIT FEE
Pf R ATfl B REN. DBL. TOTAL FEES I MEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB, FEE
78
J
J
1i 4F
SET BACK
LOT SIZE
USE n
JOB ADDRESS OWNER ,
fe
ZONE
USE -OF BUILDING ! f
DAVE
PLAN CHECK FEE $
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_ L.'• 1 1 � „T - lea �� �'- !ozi—
/
CHECKED BY
COM NITV +
'DISTRICT
F.C. �`
UNITS ']VALU
ATION
pF FICEe
MECHANICAL FEE $
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GROUP
YPE
LEGAL DESC I tPON y %
-ERMIT
NUMBER
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186178
CONSTRUCTION FEE $
!1f I "� .
SPEC.
INSP.
L •
SUPP. TO PERMIT
ELECTRICAL FEE $
(rt -cid
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PLAN CHECKER
BOND
BOND
CASH
PL/LAN F E Jf F'I DAT
INSPECTOR
PLUMBING FEE $
.- 1
_�� �,
/NAL1
7•bl �/
TOTAL FEES
$ /
5 M
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 CHECK M.O. N.C.
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
l/ L
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
C_
RUCTION
TRACTORS IS ALSO GUARANTEED.
NAMEOF CONS
LENDER
S, fOWNER
•-� .,
CONTRACTOR
BRANC. O CE
I�,'
ADDRESS
ADDRESS'
ADDRESS
CITY
ESTATE
� •{�
."1 �!
NO LENDER INVOLVED
INFORMATION
t
TEL. NO.
TEL. NO. '
284-208 12/88
y
Y /'
LICENSE NO.