SFD (166876)DEPARTMENT OF BUILDING & SAFETY "
ft COUNTY OF RIVERSIDE AM
FIELD OFFICE
PERMIT
CONSTRUCTION ESTIMATE
/�
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76
ELECTRICAL
FEES
TOTAL FE E`RS
PLUMBING FEES
j let FI.
2nd Fl.
Par.
F Gar.
,� g"r'rF.
Wall
4
Sq. Ft.
Sq. Ft. @
CONST. TE, _ _
'I
NO.
PLUMB. FEE
NO.
r
Sq. Ft. @ 5 Q 0.. P i
Sq. Ft. @ P6,rLES
Sq. Ft. @ 's% SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft./1 MOTOR H. P.
1:
URINAL
MOTOR H.P.
WATER PIPING
M
- M A _
ESTIMATED VALUATION $
`O N _ D
O N D
MOTOR
M.P.
USE #
FLOOR DRAIN
MECHANICAL FEES
ZONE
MOTOR
H.P.
WATER SOFTENER
FF
VENT SYSTEM �LFAN [3.p
EVAP. COOL HOOD
02
MOTOR
H. P.
WASHER (AUTO) DISH)
,
APPLIANCE
FIXTURESGARBAGE
BY
C
DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
VALUATION
OUTLETS
MECHANICAL FEE
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LAUNDRY TRAY
AIR HANDLING UNIT
IDIM-rRICrF.C.'
,-��
! SUB -PANEL
1
J
-
KITCHEN SINK
r
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
PE
LE6P.L D'E CRIPTION - �
�
WATER CLOSET K
F
COMPRESSOR HP
RANGE AND/OR OVEN
�r LAVATORY
el[ k
_
APPLIANCE VENT
WATER HEATER
SPEC. INSP.
_
SHOWER
ELECTRICAL FEE"
ABSORPTION SYSTEM D
B.T.U.
SPACE HEATER
BATH TUB ..
•
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CHECKER
CONSTRUCTION POLE
BOND
Y
WATER HEATER
'
HEATING SYSTEM FORCED ❑ GRAVITY
<
j Wj
j# SERVICE ENTRANCE?A
�
SEWAGE DISPOSAL
1 I
BOILER B.T.U�T
RESID. 1Q SO. FT.
TOTAL FEES
HOUSE SEWER
RgS�{ZrFt'LZ.M .�♦' �,• SQ.FT.II
I@
vw GARAGE iQ SQ. FT.GAS
;;,..�+"
PIPING
PERMIT FEE
PERMIT FEE
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 r® M.O. N.C.
PERMIT FEE '9y
PERMIT
{`r,_,J
/�
�oJ
76
REN. DBL.
J
TOTAL FE E`RS
'NEA
INVEN�E
PLN. CK. FEE
CONST. TE, _ _
'I
E . FEE
PLUMB. FEE
J F
J F yyY
M
- M A _
M - J .,, J A SiS*�•�!,'j
M J J A S
`O N _ D
O N D
SET BACK
F 5
LOT SIZE
USE #
JOB ADDRESS OWNER
114 _
ZONE
SE OF BUILDI - - • DA
PLAN CHECK FEEM
av
,
CHECKED
BY
C
UNITS
VALUATION
OF'rTdE
MECHANICAL FEE
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'?
IDIM-rRICrF.C.'
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J
-
�
PE
LE6P.L D'E CRIPTION - �
�
ERMIT NUM�E R_
6 6 88 6
CONSTRUCTION FEE
SPEC. INSP.
_
SUPP. TO PERMIT
ELECTRICAL FEE"
PLAN
CHECKER
BOND $
BOND
CASH
PLAN FILE A
FINAL DATE
INSPECTOR
PLUMBING FEE
1 I
5-a7_0
TOTAL FEES
$
'
;;,..�+"
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 r® M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER—
IP
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
.�{
.CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI—
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON—
w.
TRACTORS IS ALSO GUARANTEED.
OWNER
CONTRACTOR
Ifnil�li,"i.`,
R 'SS
A DRES
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+
0 -A S 1 i i�
emif !i - '.
TEL. NO.
TEL. NO.
JLTCENSE
N .
284-208 11/87