176662 (SATT)FIELD OFFICE,
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE 0
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd Fl.
Por.
i Gar.
1
Car P.
!
I Wall
OUTLETS
Sq. Ft. @
Sq. Ft. @
AIR HANDLING UNIT
NO.
Sq. Ft. @ r
.r
Sq. Ft. @ *
POLES
$q. Ft. @
SIGNS
Sq, Ft, @
TRANS. AND/
OR T. CLK.
Sq. Ft. @
MOTOR H. P.
ABSORPTION SYSTEM D B.T.U.
MOTOR H.P.
ESTIMATED VALUATION Is
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
"V MOTOR H. P.
WATER HEATER
MECHANICAL FEES ,
MOTOR H. P.
FIELD OFFICE,
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
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
WATER CLOSET
COMPRESSOR OHP
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 ENTRANCK,oi
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. IC SQ. FT.
HOUSE SEWER
PERMIT FEE
`GARAGE iQ SO. FT.
GAS PIPING
.4 0604
PERMIT FEE
PERMIT FEE
P R T U BE REN. IDBL. 1TOTAL FEES HEAT & VENT FE PLN. CK, FEE CONST. FEE ELEC. FEE PLUMB. FEE
JF M _ A M J J A S _ O N O
J F M I A 1 M I J I J A S O N I D
SET BACK
ILOT SIZE
1_Aa,
USE #
JOB ADDRESSOWNER '
DJAZ v ,
F
S
R $66
ZONE
TE
USE7 OF BUILDING A6.
PLAN CHECK FEE $ �'^
)7
p /�
CHECKED 8Y
COMMUNITYISTRICT F.C..0UNITS VALUATI N OF '
RIw- y
J
$�
MECHANICAL FEE
a/� / .0,1010
RO P
VPE
LEGAL DES IPTION
PERMIT
NUMB
R
CONSTRUCTION FEE $ b ,.Lv
.4 0604
176662
SPEC. INSP.
4IFe/ *+;2 b
SUPP. TO PERMIT
ELECTRICAL FEE $r�
�
PLAN CHECKER
BOND $ ND CASH PLA F LE # FINAL DATE
INSP CTOR
PLUMBING FEE $
/0 62o
,`/�•(
TOTAL FEES
$
fte
VOID
R1
WI WIIS THIN 60ERMIT DAYS.SHALL CESSATBECOME
ON OF WORK FOR 01 DAYOS SHALLNCED ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. 0. N, C.
RECEIVED BY
SEWAGE SYSTEM
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-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
OWNER.,
;
CONTRACTOR
BRANCH OFFICE
ADDRESS
CITY STATE
ADDRESS
ADDRESS
NO LENDER INVOLVED Le
INFORMATION
I
TEL. NO. j
TEL. NO.
j/
s
�
J�):Y.
/�✓�j d0 Ar /,7A j �q%f — l�J �,
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284-208 12/88
LICENSE NO.