188617 (CSCS)NO.
FIELD OFFICE:=
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
DEPARTMENT OF BUILDING & SAFETY
0 COUNTY OF RIVERSIDE 0,
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st Fl.
2nd FI.
Par.
Gar.
Car P.
Wall
)
Sq. Ft. @
AIR HANDLING UNIT
No.
Sq. Ft. @
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Sq..Ft. @
WATER CLOSET
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/
OR T. LK.
C
Sq. Ft. @
MOTOR H. P.
BATH TUB
MOTOR H. P.
ESTIMATED VALUATION Is
WATER HEATER
MOTOR H. P.
SERVICE ENTRANCE
MECHANICAL
FEES
—1—
NO.
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
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
f f = t 9 2:;";
WATER CLOSET
COMPRESSOR E�jHP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
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.V.
RESID. IC SQ. FT.
HOUSE SEWER '
PERMIT FEE
GARAGE zQ SQ. FT.
GAS PIPING
VALUATION
PERMIT FEE
PERMIT FEE
PER
EN. IDSL. [TOTAL FE
HEAT 8 VENT FEE IPLN. CK. FEE
CONST. FEE ELEC. FEE PLUMB. FEE
I.A • IM.. IJ J A�....��...�� S.��..��..-�: __ C_..
SET BACK
ILOT SIZE
►;
USES#-
JOB ADDRESS 1 -•' OWNER �^• -� - '
"
'i
F
S R
f f = t 9 2:;";
ZONE
O BUILDING '+-
PLAN CHECK FEE $ _ _
��
y r',,, 774-
'
•
E KED BY
COMMUNITY'-
DIS• IC
_
ITS
VALUATION
O F fCIf f-
I
MECHANICAL FEE
J
G UP /
TYPE
PERMIT NUMBER
Y
CONSTRUCTION FEE $
� }
8 6
SPEC. INSP.
'^ '^ C„�
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BO D il
BOND
CASH
PLAN FILE #
FINAL DATE
INSPEC'TOR
t
PLUMBING FEE $
/
TOTAL FEES$
w
'
/^
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COM ENCED
(
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. 0. N.0
REC EI•VeD
SEWAGE
SYSTEM
f`
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/ *
I
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- -
TRACTORS IS ALSO GUARANTEED.
NAME OF C,� STRUCTION LENDER
OWNER (//)
CONTRACTOR
BRANCH OFFICE
{'
• "• r�'' 1'd�''�•^-`r'^'� �C�L..^.a.
ADDRESS
ADDRESS `��`
ADDRESS
CITY STATE
NO LENDER INVOLVED
42
INFORMATION
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TEL. NO. ^
TEL. NO.
- 7 M45
284-208 12/88 - -,
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LIC EN'SE NO. -'
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