176614 (SATT)DEPARTMENT OF BUILDING & SAFETY
VENT SYSTEM' FAN ❑
EVAP. COOL HOOD
COUNTY OF RIVERSIDE
•
FIELD OFFICE;
MOTOR H. P.
CONSTRUCTION ESTIMATE
S
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
WOII
A�
/'�
; y f'
Sq. Ft. @ ' y"�
At
NO.
FIXTURES
NO. 1
Sq. Ft. @
GARBAGE DISPOSAL
Sq. Ft. @
FURNACE ❑ UNIT ❑ WALL
POLES
Sq. Ft. '
UNITS
SIGNS
Sq. Ft. @
DRAINAGE PIPING
TRANS. AND/
E
Sq. Ft. @ OR T. LK.
DRINKING FOUNTA IN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING L/
ESTIMATED VALUATION $ 5 ` 2
MOTOR
H. P.
FLOOR DRAIN
MECHANICAL FEES..
KITCHEN SINK
vr"
GAS PIPE ❑ NATURAL
-
VENT SYSTEM' FAN ❑
EVAP. COOL HOOD
t
W V
USE Jt
MOTOR H. P.
S
WASHER (AU TO )(DISH)
`
APPLIANCE
USE OF BUILDING V (
DATE
PLAN CHECK FEE $ g'(
9 -f
FIXTURES
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GARBAGE DISPOSAL
U
FURNACE ❑ UNIT ❑ WALL
❑ FLOOR ❑ SUSPENDED
UNITS
VALUATION
FF E
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT
MECHANICAL FEE $ �...•
;
SUB -PANEL
KITCHEN SINK
vr"
GAS PIPE ❑ NATURAL
❑ L.P.G. ❑ OIL
GR7UP
TYPE
DES RIPT'ON
Q �- A4- ��-
176614
PERMIT
NUMBER
WATER CLOSET
COMPRESSOR
HP
SUPP. TO PERMIT
J
RANGE AND/OR OVEN
y
V
.LAVATORY
BOND $
APPLIANCE VENT
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
WATER HEATER
SHOWER
(}
ABSORPTION SYSTEM
D B.T.U.
SPACE HEATER
TOTAL FEES
$f) � 26
BATH TUB
cl
INCINERATOR DOMESTIC
❑ INDUS. ❑ COMM.
CASH CHECK M.O. I I N.C.
RECEIVED BY
SEWAGE SYSTEM
CONSTRUCTION POLE
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
WATER HEATER
f
HEATING SYSTEM FORCED ❑ GRAVITY
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
�yt
`
SERVICE ENTRANCQSEWAGE
P �( 1,��!
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPEL -
WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
DISPOSAL
f
BOILER
B.T.U.
'r .
RESID. IQ SO. FT_
CONTRACTOR
BRANCH OFFICE
HOUSE SEWER
ln.> �. •.f d�' 1
PERMIT FEE
ADDRESS
ADDRESS
'W"
GARAGE iQ SO. FT.
.
NO LENDER INVOLVED'
GAS PIPING
..`\
! 1frV
- -
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♦�
Y
PERMIT FEE
T %
1
PERMIT FEE
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P1 /T�LUE@ IREN, IDBL, IshF^�� INE �FEE IPLN. CK, F I/
FEE IELf� 'FEE �
EE
F I M J 1 J T " 1 0IPLUMB,
�FV �+
1 6 1 A M A ••'�'f`LJ.-10 12s.] ,✓✓,✓`� �(^j N O
SET BACKLOT
SIZE
USE Jt
JOB ADORES O 1 OWNER
S
R1
`
ZONE
USE OF BUILDING V (
DATE
PLAN CHECK FEE $ g'(
9 -f
t.. Ila
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CHECKED BY
CO' 1
DIST CT
F.C.
UNITS
VALUATION
FF E
s
MECHANICAL FEE $ �...•
;
T
ILEdAC
/
/
vr"
CONSTRUCTION FEE $
GR7UP
TYPE
DES RIPT'ON
Q �- A4- ��-
176614
PERMIT
NUMBER
SPEC. INSP.
SUPP. TO PERMIT
+ t
ELECTRICAL FEE $+{,
0 .- c/
y
V
PLAN CHECKER
BOND $
BAND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE $ �~
I
/ p
P -A -JO
TOTAL FEES
$f) � 26
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. I I N.C.
RECEIVED 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
,hQ,.,
T
LL
P �( 1,��!
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPEL -
WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAMR OF CONSTRUCTION LENDER
'r .
OWNER
CONTRACTOR
BRANCH OFFICE
ln.> �. •.f d�' 1
ADDRESS
ADDRESS
ADDRESS
CITY �;"; STATE
NO LENDER INVOLVED'
INFORMATION
- -
TEL. NO.
TEL. NO.
LICENSE NO.
,�,rAJ
t84-208 12/88 / /I