176615 (SATT)DEPARTMENT OF BUILDING & SAFETY
VENT SY5TEM3 FAN ❑ EVA;. COOL MOOD
SET BACK
iO
COUNTY OF RIVERSIDE0
USE N
FIELD OFFICE
WASHER (AUTO(DISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
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mow.,
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Sq. Ft. @
i -"` t y�
NO.
NO.
Sq. Ft. @
DATE
q• Ft. @ S i IL'i .
y,� q
Sq. Ft. @ A a ( , 0 POLES
LAUNDRY TRAY
Sq. Ft. @ SIGNS
DRAINAGE PIPING .
TRANSE. AND/
Sq. Ft. @ OR T. LK.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
C
URINAL
MOTOR H. P.
{ WATER PIPING
ESTIMATED VALUATION $
- ' ,
MOTOR
H. P.
FLOOR DRAIN
MECHANICAL
ES
..---
COMPRESSORf.. [ HP
VENT SY5TEM3 FAN ❑ EVA;. COOL MOOD
SET BACK
iO
MOTOR H. P.
USE N
JOB ADDRESSy_� , OWN/ER
WASHER (AUTO(DISH)
APPLIANCE
FIXTURES
!� - ff�t%
GARBAGE DISPOSAL
FURNACE ❑UNIT 13 WALL 13 FLOOR 11 SUSPENDED
OSE OF BUILDING •
DATE
OUTLETS
LAUNDRY TRAY
PLAN CHECK FEE $
AIR HANDLING UNIT
i
SUB -PANEL
CHECKED BY
{
KITCHEN SINK
v
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
VALUATION
OFFICE
MECHANICAL FEE $ -�•
1
WATER CLOSET
{
COMPRESSORf.. [ HP
r f 1
^�
RANGE AND/OR OVEN
GRO P
I 9ryPE
IA VATORy
•-��
APPLIANCE VENT
WATER NEATER
1766
y
SHOWER
- d' '
ABSORPTION SYSTEM D B.T.U.
'��
ELECTRICAL FEE $ 3,2
SPACE HEATER
BATH TUB'
J .
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CASH
PLAN FILwfi it
CONSTRUCTION POLE
IN
PLUMBING FEE $
WATER HEATER
HEATING SYSTEM FORC ED ❑GRAVITY
V
A
I SERVICE ENTRAN CF3
TOTAL FEES
SEWAGE DISPOSAL
Q
BOILER E=� B.T.U.
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
�. RESID. 11 SO. FT.
RECEIVED BY
HOUSE SEWER
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
PERMIT FEEGARAGE
,q SO. FT.
•a
GAS PIPING
d '
V
LL
i PERMIT FEE
A
t
PERMIT FEE
tw
PERMIT NUMBER MRCN*DBL.TOTAL, FEES HEAT & VENT FEE PLN. CK. FEE
�2 La q 1I
J F M A 1 M J J
Co,
O4, NFEE ELEC. FEE
2 °
---I A. _ S_ 10 _.
SET BACK
LOT SIZE
USE N
JOB ADDRESSy_� , OWN/ER
!� - ff�t%
C3" f014 r
ZE
OSE OF BUILDING •
DATE
PLAN CHECK FEE $
i
CHECKED BY
COMMUNITY:
11
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE $ -�•
1
�
{
? '�......R
GRO P
I 9ryPE
LEGAL DES IPT T
PERMIT NUMBER
CONSTRUCTION FEE $ j 1Tj,2
1766
SPEC. INSP.
- d' '
SUPP. TO PERMIT
'��
ELECTRICAL FEE $ 3,2
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILwfi it
FINAL DATE
IN
PLUMBING FEE $
�.�/�•'��
TOTAL FEES
$/
,Lt
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. o. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
((}p'���
IT
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
V
LL
P�
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
CON -
TRACTORS IS ALSO GUARANTEED.
NA
NAME OF CONSTRUCTION LENDER
71
z 13 RQ
..
OWNER
CONTRACTOR 1
BRANCH OFFICE
ADDRESS
ADDRESS
ADDRESS
CITY STATE
NO LENDER INVOLVED
INFORMATION
1
ni A% tJFr�
v
TEL. NO.
TEL. NO.
284-208 12/88 h/Ivy�c / t�d ,�
LICEN SEINO.