188618 (CONR)FIELD OFFICE ti
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
.
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
00
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. @
ORATSCLK AND/
Sq. Ft. @
l
MOTOR M.P.
BATH TUB
MOTOR M.P.
. ESTIMATED VALUATION Is
WATER HEATER
MOTOR H.P.
SERVICE ENTRANCE
MECHANICAL FEES
r e
FIELD OFFICE ti
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTOI (DISH) y
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
WATER CLOSET
COMPRESSOR HP
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.U.
RE51D. 10 SO•,FT.
HOUSE SEWER '
PERMIT FEE
GARAGE zQ SO. FT.
GAS PIPING
PERMIT FEE
h PERMIT FEE
Pi R 8TAU BE 8' REN,
J F_ M
J F
BL. TOTAFEES
/S� HEAT & VENT FEE JPLN. CK. FEE
�''w'. 1CONST,�.JJFEE
•�.�..''.�. ELEC. FEE
Al�i/'' / '—Y I If"-, l /f/ /- I b" I
PLUMB. FEE
11
SET BACK
ILOT SIZE .•
USE #
JOB ADDRESS-
OWNER . '
j •�
f
J
PLAN CHECK FEE $-
ZONE
USE OF BUILDING fW
r, ••',? A
DATE
C ECKED BY
CO IYNI
F.C.
VALUATION
O C
MECHANICAL FEE $
�}/ 414 /
jDfSTRICT
JUNITS
CONSTRUCTION FEE $
GROUP
TYPE
L AL DESCRIPTION
' , i ""•' i c
t'
188618
PERMIT NUMBER
SPEC. INSP.
"'
SU PP. TO PERMIT
ELECTRICAL FEE $70&-C
•'�
PLAN CHECKER
BOND $
BONDCASH
FINAL DATE
INSPECTOR
PLUMBING FEE $
}
JPLAN
FILEN
/-/�• �i—•
TOTAL FEES
THIS BECOME VOID R NOT
WITHIN 60ERMIT DAYS.SHALL OIS
CESSATION OF WORK FOR DAYS SHALLNCED
ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS '
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
CASH CHECK M.O. N.C.
RECE!,VED Y
SEWAGE SYSTEM
T
LL
1p
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
NAME OF COSTRUCTION
LENDER
TRACTORS IS ALSO GUARANTEED.
'
BRANCH OFFICE
OWNERI/�w�" ,f -_ ��t'�r+F
CONTRACTOR
ADDRESS
CITU
STATE
ADDRESS •` [ /
C
ADDRESS
NO LENDER INVOLVED
INFORMATION
'
TEL. NO.
TEL. NO.
224-208 12/88 _. _ _`
_ •. C _
[,/•�
1 _ li,fff J_
LICENSE NO.