188619 (CONR)FIELD OFFICE<J
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
'A.- '%>
Sq. Ft. @
ti�i 9
_ NO.
Sq. Ft. @ y
v
Sq. Ft. @
WATER CLOSET
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS ..
Sq. Ft. @
TRANS. AND/
OR T. CLK.
Sq. Ft. @
MOTOR H. P.
BATH TUB
MOTOR H. P.
ESTIMATED VALUATION Is
WATER HEATER
MOTOR H. P.
SERVICE ENTRANCE I
MECHANICAL FEES
e
FIELD OFFICE<J
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
.g
WATER CLOSET
COMPRESSOR O 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 I
SEWAGE DISPOSAL
BOILER C� B.T.U.
RESID. 10 SO. FT.
HOUSE SEWER '
PERMIT FEE `
GARAGE iQ SO. FT.
GAS PIPING
VALUATION Of FFI E r
PERMIT FEE,
PERMIT FEE
PERMIT NUMBER REN. DBL. ITOTAL� 3 FE ES HEAT B VENT FEE pLN. CK./FEE -CONST. FEpE�''' ELEC/y./F/EE ()�. PLUMB.�FEE /f'^
1886
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SET BACK
ILOT-SIZE -
USE V
JOB ADDRESS OWNER + -
-F ..,
«.r—
r�. P
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. iso' ."► .�
ZONE
USE OF BUILDING "
PLAN CHECK FEE $
77
CHECKED BY
Cy6M ITY
DISTRI
F.C.
UNITS
VALUATION Of FFI E r
MECHANICAL FEE $
GROUP
ITYPE
JEEGAFLDESCRIPTION I
PERMIT NUMBER ,
CONSTRUCTION FEE $
� �; / G
188619
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND1`$
BOND
tAS4JPLANFINAL/
DATE
INSP CTOR
PLUMBING FEE $
u�
kid �W
I
���yyy
`'j�
cam'
/-/oi
z
r
TOTAL FEES
$
V j�
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED 7
/
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO 1
CAUSE PERMIT TO BECOME VOID. ti
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-
IP
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
r
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CO TRUCTION
LENDER
OWNER/
i
CONTRACTOR
BRANCH OFFICE
�Z_'l, a�Cr�![
-�'
wADDRESS
ADDRESS >'
ADDRESS
CITY
STATE
f
;
NO LENDER INVOLVED
INFORMATION
_
TEL. NO.
TEL. NO.
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LICENSE NO.