188283 (AR)FIELD OFFICE'.
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑
EVAP, COOL
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
Sq. Ft. @
FIXTURES
NO.
Sq. Ft. @
❑ FLOOR ❑
Sq. Ft. @
OUTLETS
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
$q. Ft. @
ORAT SC LK.D/
Sq. Ft. @.-.
MOTOR H. P.
OIL
MOTOR H. P.
ESTIMATED VALUATION Is
,s.
[y�� MOTOR H.P.
MECHANICAL FEES'
LAVATORY
r e
FIELD OFFICE'.
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN ❑
EVAP, COOL
❑ HOOD
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
JOB ADDRESS JOINER
! ' '
FIXTURES
GARBAGE DISPOSAL `
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑
SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
LI,( T
p / '� 5 /` /✓'I~'L1 fs T" I /':
_ SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑
OIL
F.C.UNITS
WATER CLOSET
COMPRESSOR
�HP
RANGE AND/OR .OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM
GROUP
D B.T.U.
SPACE HEATER
BATH TUB ,
INCINERATOR DOMESTIC
❑ INDUS.
❑ COMM. -
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
.SEWAGE DISPOSAL
BOILER
B.T.U.
SPEC. INSP.
RESID. 12 SQ. FT.
HOUSE SEWER
PERMIT FEE
GARAGE iQ SQ. FT.
GAS PIPING
PLAN CHECKER
PERMIT FEE
PERMIT FEE
PERMIT N
REN. JOBL. ITOTAL EES
MEAT R VENT FEE IPLN, CK, FEE CONST, FEE JELEC, FEE
M J J A
PLUMB. FE
SET BACK
ILOT SIZE
USE ;$
JOB ADDRESS JOINER
! ' '
ZONE
SE OF
PLAN CHECK FEE $
LI,( T
p / '� 5 /` /✓'I~'L1 fs T" I /':
'
CHECKED BY
CONCMUNITY _ J
✓�
DISTRICT
F.C.UNITS
V UATION OFFICE
MECHANICAL FEE $
A
%
GROUP
TYPE
LEGAL D" SCR1 PTION
PERMIT NUMBER
CONSTRUCTION FEE $
!— +_ C, .. 7_51-
8
SPEC. INSP.
SVPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 17
FINAL//DATE
INSPECTOR
PLUMBING FEE $
I
1
TOTAL FEES
$
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.
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-
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
ADDRESS
ADDRESS '
CITY STATE
,4r<, .
NO LENDER INVOLVED
INFO RMA ION
j
TEL. NO. -
TEL. NO.
/
LICENSE NO.
284-208 12/68.
lei F`XR