186302 (GRES)NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN
�►
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
MOTOR H. P.
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
APPLIANCE
Sq. *Ft. @
NO. '
Sq. Ft. @
]LO
Sq. Ft. @
FURNACE ❑ UNIT ❑ WALL
Sq. Ft. @ 2 Z_-
_
�� �- '* 0 POLES
Sq. Ft. @
SIGNS
Sq. Ft. @
TRANS. AND/ -
OR T. ELK.
Sq. Ft. @
MOTOR H. P.
SUB -PANEL
MOTOR H. P.
ESTIMATED VALUATION $
MOTOR H. P.
❑ L.P.G. ❑ OIL
MECHANICAL FEES
NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
VENT SYSTEM ❑ FAN
EVAP. COOL ❑ HOOD
OC7
MOTOR H. P.
SIZE
WASHER (AUTO) (DISH)
APPLIANCE
JOB ADDRESS OWNER
FIXTURES
]LO
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
�
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑ OIL
!,
'' ^) �,
^C
WATER CLOSET
COMPRESSOR
D MP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
F.C.
UNITS
WATER HEATER
OFFICE
SHOWER '
ABSORPTION SYSTEM
D B.T.U.
SPACE HEATER
BATHTUB
INCINERATOR DOMESTIC
❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER
D B.T.U.
RESID. IC SO. FT.
HOUSE SEWER
PERMIT FEE'
PERMIT NUMBER
✓ GARAGE f C SO. FT.
V4
GAS PIPING
•
PERMIT FEE
_ �S/
PERMIT FEE
j;R8T8UjjBn REN. DBL. TOTAL FEES HEAT & VENT FEE .PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE
J
J
IJ
I
SET BACK
SIZE
USE #
JOB ADDRESS OWNER
]LO
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tE3t'c.i�ICL-
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USE OF BUILDING '" - -
DATlE
PLAN CHECK FEE $
!,
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^C
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� G i.� C �� /�RA V L,, /.
"`.G o-,7,0
CH ED BY
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
�®
.Y-
MECHANICAL FEE $
9,J s v�
GR`94P
TYPE
LEGAL DESCRIPTION
PERMIT NUMBER
P�
CONSTRUCTION FEE $
186302
SPEC.
)NSP.
SUPP. TO PERMIT .
ELECTRICAL FEE $
r
PLAN CHECKER
BOND $
BOND CASH
PLAN FILE,it
NAL ATE
I145fTOR
PLUMBING FEE $
TOTAL FEES$�vs
1 .
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT 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. 0.
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
Jr
Ff5 t% '�.
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH OF THE STATE OF CALIFORNIA. COVERING CON-
,.
y
LAWS
h
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
-
OWNER
CONTRACTOR '
BRANCH OFFICE
-
ADDRESS
ADDRESS
ADDRESS
. CITY
STATE
.� �� .. Vl•
[s
.. .'.' if ..i: s`t
NO LENDER INVOLVED L
INFORMATION
„ 2 `,mak TO
-
TEL. NO.
TEL. NO.
LICENSE NO.
284-208 12/88
!
i
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DEPARTMENT OF BUILDING & SAFETY
COUNTY OF. RIVERSIDE
uCTiQf�l E
S`PIMA-M ELECTRICAL REBS
PLUMBING RBEtB
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THIS PERMIT SHALL BECOIdE.V010IF WORK 1 N
f.:._... S. 0Mot ENCED
tw"s t;: :,itRt]. •c. VI1T,41N 60 DAYS. CESSATION O,F',WORK FOR 120 DAYS 'SHALL 'ALSO'
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`:iil1(c vsa:M. ':r %,;:'::: •. '..:- s¢wA oe•srsTRIA .. I HEREBY AGP,E.E THAT ALL"WORK•IN'CONNECTION,: WIT H.. T. l;IS'.
PERMIT WILL BF DONE IN ACCORDANCE VITH'?HE LAWS OF
SIDE'COONTY'AND THE STATE OF CALIFaORNIA: I -AL;SO AGREE t'Q,;;
CA'RRY'4COrtPENSATION INSURANCE: UPON MY EMPLOYEES, COtflPl:l .'s
ANCE•WITH LAWS OF THE STATE OF CALJFORNIA COVERING COTI
�f+Aal of caiis�Ri�ctrtiK s �i�o>sn
TRACTORS IS ALSO GUARANTEED.
CONTRAC Too
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BNtI.OiHG APPROVALS MECHANICAL APPROVALS
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31 C tion Air
38 00 44
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40 fire Da"of
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