SFD (161791)DEPARTMENT OF BUILDING & SAFETY
mk COUNTY OF RIVERSIDE AskFIELD OFFICE
UUNSTRUCTION ESTIMATE
SET BACK
ELECTRICAL FEES
USE #
PLUMBING FEES
1st FI.
r
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft. @ _
--j
NO.
ZONE
Sq. Ft. @
4
Sq. Ft. @
POLES
Sq. Ft. @ 504
Sq. Ft. @ 1 y%t SIGNS DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK. DRINKING FOUNTAIN
COMMUNITY
Sq Ft /1 MOTOR H. P. URINAL
J l:
F.C.
MOTOR H. P. WATER PIPING
�y OFFICE
ESTIMATED VALUATION $
LL!!
1
MOTOR H. P.
FLOOR DRAIN
MECHANICAL FEES
! -
-R-
MOTOR H. P.
GROUPTYPE
WATER soFT ER
LEGAL DESCRIPTION /t ¢"'
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VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
PERMIT NUM
ER
1
MOTOR H. P.
WASHER (AUTO) (DISH)
APPLIANCE
SUPP. TO PERMIT
ELECTRICAL FEE�,�
FIXTURES
�� _�t
GARBAGE DISPOSAL
PLUMBING FEE
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
PLAN CHECKER,;)
� J T'�,
BOND $
OUTLETS
I CASH.
LAUNDRY TRAY
FINAL DATE
/`�/-L`cY
Z AIR HANDLING UNIT
0
TOTAL FEES
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SUB-PAMEL
KITCHEN SINK
'ted
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
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 ICHECK JUI M.O. I N.C. I
RE IVSD BY
SEWAGE SYSTEM
WATER CLOSET
J!'f'
+CJ d
U COMPRESSOR �HP
R
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO
RANGE AND/OR OVEN
LAVATORY
�1
W APPLIANCE VENT
LL
WATER HEATER
AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
SHOWER
ABSORPTION SYSTEM D B.T.U.
0
SPACE HEATER
CONTRACTOR
BATH TUB
ADLTRESS
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
=TELA,!�! Z7 47 -
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
TEL.
. NO.
SERVICE ENTRANCE /
SEWAGE DISPOSAL
BOILER B.T. U.
�3 ZSID. IQ SQ. FT. 1/
HOUSE SEWER
RESIDENTAL FEE SQ.FT.�@
284-208 11/87
-.
GARAGE iQ SQ. FT.
GAS PIPING
PERMIT FEE �'
PERMIT FEE
PERMIT FEE
. PERMIT NU
E
VF
REN.
DBL.
TOTALFEES
HEAT & VENT
1/
PLN. CK. FEE
2_5.
CONST. 'FEE
ELEC.
FEE
PLUMB.
FEE
J M A M
J
J A S
0 N ID
SET BACK
LOT SIZEJ /
4 K 1 1r
USE #
JOB ADDRESS` f� f /� .C! rJ j, l JOWNER
zW66 ddeA.1�tt.
js
R 7
A p. `J
ZONE
USE OF BUILDING
�
�yy[j�Fy
4
PLAN CHECK FEE} ��
cu /a L l' t e ��11' �"
111
CHECKED BY
COMMUNITY
DISTRICT
J
F.C.
JUNITS1ALIATION
�y OFFICE
MECHANICAL FEE
1
i (
! -
-R-
CONSTRUCTION FEE Y.�`j r
GROUPTYPE
LEGAL DESCRIPTION /t ¢"'
� ~j ✓1/Ui f
1617
PERMIT NUM
ER
1
SPEC. INSP.
1•
SUPP. TO PERMIT
ELECTRICAL FEE�,�
�� _�t
PLUMBING FEE
r I��L
PLAN CHECKER,;)
� J T'�,
BOND $
1 BOND
I CASH.
PLAN FILE 11
f ;3F �S
FINAL DATE
/`�/-L`cY
INSPECTOR
n- vc �1 =
TOTAL FEES
�fi J ..�J '....�
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 ICHECK JUI M.O. I N.C. I
RE IVSD BY
SEWAGE SYSTEM
)
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO
T�
LL
P
AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
INFORMATION
OWNER
CONTRACTOR
ADDRESS
ADLTRESS
=TELA,!�! Z7 47 -
TEL.
. NO.
TEL. NO.
"
LICENSE NO. '
284-208 11/87
-.
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