186272 (GRES)NO.
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
0 COUNTY OF RIVERSIDE 0
APPLIANCE
CONSTRUCTION ESTIMATE ELECTRICAL FEES
1st FI...
2nd FIS'
Par.
Gar.
Car P.
Wall
-
Sq. Ft. @
NO.
Sq. Ft. @
Sq. Ft. @
COMPRESSOR �HP
Sq. Ft. @
POLES
Sq. Ft. @
SIGNS
Sq, Ft. @
TRANS. AND/
T. CLK.
Sq. Ft. @
M
MOTOR H. P.
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MOTOR H. P.
EStI4rTE_b'VA:IJTUATI0lNr
1$
MECHANICAL FE
MOTOR H. P.
> T , 4MOTOR H. P.
NO.
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 ❑ UNIT13 WALL ❑ FLOOR ❑ SUSPENDED
AIR HANDLING UNIT
�L 5 f
SUB -PANEL
LAUNDRY TRAY
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM 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.
RESID. 10 50. FT.
HOUSE SEWER
PERMIT FEE
{% GARAG9 f C SO. FT. '�
GAS PIPING
'
PERMIT FEE
PERMIT FEE
P1 R U B '
REN. DBL.
TOTAL FE E5 _
MEAT & VENT FEE
PLN. CK, Fes+
JCONST* FEE
JELE FEE / � 1
Lsfril�
PLUMB. FEE
AT
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SET BACK ILOT S1ZE
USE 4
JOB ADDRE5 OWNER
f5
ZONE
E OF B L 1 t DATE
PLAN CHECK FEE $ � f
JJ
/
�. — .9—;70
CHECKED BY
COQ NIT ` IC .0[UNITS OFFICE
�DI [VALUATION f
V
MECHANICAL FEE $
R PE
LEGAL 16
R P ION ......NUMB
7Y
186272
CONSTRUCTION FEE $
4-
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SPEC. INSP.
_
1/ �rCJ � ••• a✓� �> �w• +i°'� f u, y i' f �1
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND $
BONDI_fASA�PLAlr"FILE
FINAL DATE
INSPECTOR
' PLUMBING FEE $
-
12,.LI. -
TOTAL FEES
j
:..,~
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT CO MENCED
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
IT
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF T STA E OF CALIFORNIA COVERING CON-
ON-
TRACT�rRS IS ALSO G A A,N,T D. c
IN
NAME OF CONSTRUCTION LENDER
++``
OWNER j
CONTRACTOR
BRANCH OFFICE
ADDRESS
O
DR SS
ADDRESS
CITY STATE
w
NO LENDER INVOLVED
INFORM TION
T ` N
TEL. NO.
84-208 12/6 8 G�'
'LICENSE NO.