SFD (164804)DEPARTMENT OF BUILDING 81 SAFETY
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
LEC. FEE PLUMB. FEE
IN �D
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
. 2nd FI.
Par.
Gar.
Car P.
Wall
Sq. Ft. @
No.
Sq. Ft. @
5
Sq. Ft. @
Sq. Ft. @ POLES
Sq. Ft. @ SIGNS
ZONE
TRANS. AND/
Sq. Ft. @ OR T. CLK.
p
Sq. Ft. @ MOTOR H. P.
MOTOR H. P.
ESTIMATED VALUATION Is
MOTOR H. P.
_
MECHANICAL FEES
MOTOR H. P.
CHECKED BY
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
APPLIANCE
FIXTURES
MECHANICAL FEE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLETS
IDISTRICT-IF.C.-02
" Z AIR HANDLING UNIT
0
SUB -PANEL
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
it
U COMPRESSOR �HP
RANGE AND/OR OVEN
W APPLIANCE VENT
WATER NEATER
I
2 ABSORPTION SYSTEM D B.T.U.
0
SPACE HEATER
164814
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
BOILER B.T.U.
So, RESID. 16 50. FT.
SPEC. INSP.
' RESIDENTAL FEE SOFT. �@
GARAGE 126 SO. FT.
- ELECTRICAL FEE
PERMIT- FEE
PERMIT FEE
>ERMIT1t"I6R
PLAN CHECKER
1 8
4I,9
REN.
DBL.
TOTAL FE
wAIVMIV
HEAT & VENT FEE
PLN. CK, o Jz
.t+nn.rV
CON ST.
'FE
�
Y
J M A M J J A
1
S
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
LEC. FEE PLUMB. FEE
IN �D
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER
F
5
R
ZONE
VSE OF BUIL 11M -'
p
PLAN CHECK FEE
_
d; All%
OFFICE
CHECKED BY
COM MUNI Y -
NITS
VALUATION
MECHANICAL FEE
IDISTRICT-IF.C.-02
je
14
it
TYPE
LEGAL DES RIPTION
PERMIT NU ER
-
164814
CONSTRUCTION FEE
I � �
SPEC. INSP.
SUPP. TO PERMIT
- ELECTRICAL FEE
PLAN CHECKER
BOND $
BOND CASH'
PLAN I'I LE #
FIDATE
NAL
TOR
PLUMBING FEE
�.�.�7_69
JINS,P
TOTAL FEES
�s'
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. N. C.
IECEIVED 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
"INSURANCE
,y
T
LL
P
CARRY COMPENSATION UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
INFORMATION
�( jp f t fS r f�`
t� �r� 1r1 r_�r�US��B�yO y�.S �( 3R
TRACTORS IS ALSO GUARANTEED.
OWNE CONTRACTOR
/ � r
ADDRESS
ADDRESS
TEL. NO.
TEL. NO.
NO.
884.208 11/87
r. -ti
ILICENSE