166681 (ELEC)1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Par. Sq. Ft. @
Gar. Sq. Ft. @
Car" P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION $
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
FURNACE UNIT❑ WALL❑ FLOOR SUSPENDED
AIR HANDLING UNIT
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES
NO.
1 7 -
SIGNS
HP
TRANS.ANO/
OR T. CLK.
RANGE AND/OR OVEN
MOTOR
H. P.
MOTOR
H.P.
MOTOR
H. P.
MOTOR
H. P.
MOTOR
H. P.
FIXTURES
CONSTRUCTION POLE 4.
OUTLETS
SUB-PAMEL
BOILER �]
COMPRESSOR
HP
RANGE AND/OR OVEN
APPLIANCE VENT
WATER HEATER
ABSORPTION SYSTEM
D T. U.
SPACE HEATER
INCINERATOR DOMESTIC
•
❑ INDUS. ❑COMM.
CONSTRUCTION POLE 4.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
BOILER �]
B.T.U.
RESID. 1Q S0. FT.
yR�
SO.FT.�_�@
GARAGE yQ SO. FT.
PERMIT FEE
PERMIT FEE
-ERMIT NU
E
81
REN.
DBL.
TOTAL FEES
NEAT &
VENT FEE
PLN. CK. FEE
JCONST. FEE
J F
J _ F
M "A M
M A M
J
J
J A S
J A S
SET BACK
LOT SIZE
USE 11
JOB
ADDRESS
PLAN CHECK FEE '
:KED BY
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PTION
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
ELEC. FEE/ PLUMB. FEE
n
O N D
O N D
OWNER
VALUA
PERMIT
SUPP. TO PERMIT
-' PLAN CHECKER BaNb $ BOND I CASH PLAN FILE 0 FINAL DATE INSPECTOR
PLUMBING FEE (j 17-��
TOTAL FEES " THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CASH CHECK .b. N.C. CAUSE PERMIT TO BECOME VOID.
ECEIVED Y SEWAGE SYSTEM I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
INFORMATION ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
ACTORS IS ALS9.GUARANTEED.
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of
N 7711,F,
ADD ES ADDRM S "
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N 11777-75"
3 �
T L. A OT L. NO.
64-208 1 1 /67 ;�yl,