166607 (PLBG)DEPARTMENT OF BUILDING 81 SAFETY
COUNTY OF- RIVE RSIDE.
FIELD OFFICE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
let FI. Sq. Ft. @
n
Por..
Gar. -
' Car P. ORAINAGE PIPING
Wall', DRINKING FOUNTAIN
URINAL
1
WATER PIPING
FLOO R. DRAIN - -
-
WATER SOFTENER
WASHER (AUTO) kIDISH)
GARBAGE DISPOSAL
LAUNDRYTRAY• "
KITCHEN SINK '
:WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
.SEWAGE
DISPOSAL.�
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GAS PI.PING
PERMIT FEE - /�•�/S
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PLAN CHECK FEE -S_
MOTOR
Sq. Ft: @
H. P.
MOTOR
H. P.
ESTIMATED VALUATION $
Moron
H. P.
• MECHANICAL- FEES
MOTOR
:H. P.
,. VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD'
MOTOR
H. P.
APPLIANCE
F.-1%TURES
FURNACE❑ UNIT ❑' WALL ❑ FLOOR SUSPENDED-
'• OUTLETS
GROUP
-
Z AIR HANDLING UNIT
'0
SUB -PANEL
-
T'J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL-
FEE-
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RANGEAND/OR OVEN
�1666
y W APPLIANCE VENT -- - -
'WATERHEATER
- SPEC. INSP:
E ABSORPTION SYSTEM B.T.U.
"SPACE HEATER
'ELECTRICAL FEE
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U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM-.
CONSTRUCTION POLE
-
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE"
BOND $�,
_• BOILER C� B.T.U.
RESID. 10 SO. FT:
PLAN . J
RESIDENTAL FEE Sp.FT.IC^I
GARAGE i'6SO.. FT_
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F' PERMIT F -EE " - •'
PERMIT FEE
PLUMB. FEE
;ERMIT NUIE
.
?6660_7
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REN.
�DBL. fTOTAL
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HEAT & VENT FEE
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CONST. TEE
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MECHANICAL" FEE'
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PERMIT NUM E
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- -
- SPEC. INSP:
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SUPP. TO PERMIT
'ELECTRICAL FEE
•
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CHECKER
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MECHANICAL" FEE'
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`.CONSTRUCTION
GROUP
-
TYPE
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DSCRIPTION
ip,4 '
PERMIT NUM E
� 7�•
FEE-
,�,.. �! '.`^• _ •'
�1666
- -
- SPEC. INSP:
.,_ - - -
SUPP. TO PERMIT
'ELECTRICAL FEE
•
-
-,PLAN
70
CHECKER
BOND $�,
PLAN . J
IN�SPECT�ORCA�.
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PLUMBIN G• FEE
;INALA�T,.,
TO• ^L TEES
THIS PERMIT'SHALL BECOME VOID IF WORK ISNOT COMMENCED
WITHIN,60 DAYS',: CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE -PERMIT TO BECOME' VOID.
THEREBY AGREE'THAT- ALL WORK IN CONNECTION WITH THIS
'PERMIT
CASH CHECK MM.O. N.c.
SEC EI,VED BY' -- '' SEWAGE SYSTEM
r,
WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
THE SID£.COU'NTY AND STATE OF CALIFORNIA. I ALSO AGREE TO,
.A� LL
e P
CARRY'COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE",STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
INFORMATION'
- -
OWNER -
CO TRACTOR
ADDRESS
ADDRES,` - -
TEL. NO.
TEL./ - NO../j
LICENSE NO.
'
84.208 11/87
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