178450 (MECH)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑
EVAP. COOL
DEPARTMENT OF 4UILDING & SAFETY
0 COUNTY,OF RIVERSIDE •
MOTOR H. P.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd Fl.
Por.
Gar.
Car P.
Wall
Sq. Ft. @
GARBAGE DISPOSAL
NO.
Sq. Ft. @
SUSPENDED
Sq. Ft. @
LAUNDRY TRAY
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/
OR T. CLK.
Sq. Ft. @
MOTOR H. P.
jJ1 ( i) �r i^
MOTOR H. P.
ESTIMATED VALUATION is
D
MOTOR H. P.
RANGE AND/OR OVEN
MECHANICAL FEES
r e
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑
EVAP. COOL
❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
ZONE
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑
OIL
jJ1 ( i) �r i^
WATER CLOSET
COMPRESSOR
D
HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
VALUATION
WATER HEATER
SHOWER '
ABSORPTION SYSTEM
D B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC
❑ INDUS.
❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER
B.T.U.
CONSTRUCTION FEE $
RESID. IC SO. FT.
HOUSE SEWER
PERMIT FEE
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3
178450
GARAGE jQ SO. FT.
GAS PIPING
f}f
�F J
SPEC. INSP.
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PERMIT FEE
PERMIT FEE
P4R10 f1yjr A (REN. (DBL. (TOTAL FEES
J I F I M 1"A
PLN. CK. FEE CONST. FEE ELEC
J -h
^^ IJ ri IA IS �0
_—
PLUMB. FEE
N D
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER
ZONE
VVIE OF UILDIN (^I • '-
6ATt—
PLAN CHECK FEE $
..�.r+°
jJ1 ( i) �r i^
IV
CHECKED BY
COMMUN TY` •
DISTRIiCT
F.C.
VALUATION
OFF( E '-
MECHANICAL FEE $
y ,
JUNITS
�y
***.....iii
GROUP
TYPE
LEGAL DESCRIPTION
PERMIT NUMBER
CONSTRUCTION FEE $
I
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3
178450
ELECTRICAL FEE $
f}f
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SPEC. INSP.
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}
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SUPP. TO PERMIT
PLAN CHECKER
BOND
BOND
CASH
PLAN FILE # 7
FINAL DATE
INSP CTOR
PLUMBING FEE $
III r? �l�
(-,�O')U
TOTAL FEESTHIS
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 B
SEWAGE SYSTEM
*�
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/ •
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
r t'
TLL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CO RUCTION
LENDER
BRANCH OFFICE
OWNER.
CONTRACTOR
ADDRESS
CITY
STATE
ADDRESS o' ':.'
ADDRESS
NO LENDER INVOLVED
INFORMATION
111
TEL. NO. +-_fY�,�
TEL. NO.
'
LICENSE NO.
284-208 12/88