174726 (SATT)VENT SYSTEM - FAN [3EVA'P. COOL OOD
MOTOR MI. I..
DEPARTMENT OF
BUILDING & SAFETY
WASHER ('AUTO); ISN)
1
APPLIANCE
COUNTY OF RIVERSIDE
10
R V
GARBAGE DI,$POSAL
,� f
FURNACE ❑ UNIT ❑ WAL'L ❑ FLOOR ❑ SUSPENDED
FIELD OFFICE -
DA TE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1'st FI.
f
Sq. Fr. @
�� NO.
KITCHEN SINK
NO.
Sq. Ft. @
-
CHECKED BY
2nd. Fl.
DISTRICT
Sq. Ft. -@ os�
i irB
VALUATION
+I
M
Par.
a
Sq. Ft. @ ��
s
3 If
POLES
D/r
Gar.
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Sq. Ft. @
f
SIGN.
DRAINAGE PIPING .I
Car P.
Ft. @
.CONSTRUCTION POLE
TRAT. CNS. Li NID/
DRINKING 'FOUNTAIN
WO.11Sq.
Sq. Ft. @
S
-/ SERVIC,E ENTRANCE
MOTOR H. P.
URINAL
SEWAGE ISPO.AL
de
BOILER E::�B.T.U_
-
MOTOR H. P.
WATER PirIHGi
HOUSE SEWER
ESTIMATED 'VALUATION Is
PERMIT FEE -
MOTOR H. I'.
FLOOR DRAIN i
MECHANICAL FEES
MnTno
WATER"SOFTENER z
VENT SYSTEM - FAN [3EVA'P. COOL OOD
MOTOR MI. I..
LOT
WASHER ('AUTO); ISN)
1
APPLIANCE
FIXTURES
10
R V
GARBAGE DI,$POSAL
,� f
FURNACE ❑ UNIT ❑ WAL'L ❑ FLOOR ❑ SUSPENDED
OUTLETS
DA TE
-
LAUNDRY TRAY
f
AIR �HANOLING UNIT
'SUBePANE'L.
PLAN CHECK FEE '$-
¢' ,��'
KITCHEN SINK
L ;r�'/
.GAS PIPE ❑.NATURAL D L.P.G. ❑ OIL
-
CHECKED BY
'WATER CLOSET
DISTRICT
COMPRESSOR HP
RANGE ANDD/OR OVEN
VALUATION
+I
M
'LAVATORY
SIP
APPLIANCE- VENT
WATER -HEATER
D/r
SHOWER!
J
ABSORPTION'S SYSTEM S. T. Ur.
SPACE HEATER
QRVP TYPE.
BATH TUB
INCINERATOR 'DOMEST'IC 13 mous. ❑ COMM.
.CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEMFORCED '❑ GRAVITY-
-/ SERVIC,E ENTRANCE
CONSTRU'C'T10N 'FEE $
SEWAGE ISPO.AL
de
BOILER E::�B.T.U_
ow REBID. 110 $C. FT.
'F-�
rC,
V'
HOUSE SEWER
PERMIT FEE -
GARAGE, iQ SQ. FT.
SU,PP. TO 'PERMIT
GAS PIPING
J4 PERMIT FEE
.ELECTRICAL FEE $
Oj
PERMIT FEE
P R7 'U' REN.. DBL: 17TOTAL FEES.HEAT & VENT FEE PLN. CK. FEE G.BNST. FEE ELEC.: FEE PLUMB. 'FEE �S
J
J
r.-
J _ ..F _ _ M,__. ___ — �.NI_ _ J -J.
A 5 o JN D
e M e
SET BACK
LOT
SIZE
USE It
R
208 ADDRESS OWNER _
• r .� •G. - l/% �% '- - - 'Sl L� ..J!J - fr ,
J
F ZI01S
10
R V
ZOND' -
USE OF BUILDING -
DA TE
aiI 7
f
E
PLAN CHECK FEE '$-
¢' ,��'
L ;r�'/
-
CHECKED BY
COMMUNITY
DISTRICT
F.C. -
UNI TS'
VALUATION
OFF, E' -
MECH.AN.ICAL FEE S
��
�-
D/r
F
QRVP TYPE.
LEGAL ESCRIPTION
PERMIT NUMBER
CONSTRU'C'T10N 'FEE $
1 7 q' ? Z
rC,
V'
SPEC. 'INSP..
-
SU,PP. TO 'PERMIT
7
.ELECTRICAL FEE $
Oj
W�
PLAN CHECKER
BONDS
BOND
CAS.
PLAN FILE.*FINAL
DATE,
INSP TO
1
P.LUMBING FEE $,�
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
r
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 I CHECK 1 401 M.O. I I N.C:
RECEIVED BY
-
.SEwA.GE 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
Pjr' ,!I/�
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OFTHE STATE OF CALIFORN)A COVERING' CON-
AV
TRACTORS IS ALSO GUARANTEED
NAME OF CONSTRUCTION LE'N.DE
OWNER
_01fTRAETOR A -
'BRANCH OFFICEla
`T,
���� '' t
-
ADDRESS
S'
-
ADDRESS
ADDRESS
CITY
STATE,
A
y rr
3
NO LENDER INVOLVED
IN FO RMAT 1 ON
-
Yarm", C
i
TEL. NO.
'TEL. NO.
LICENSE NO.
:B4 -20B. I2/BBQii�FF