166959 (CRES)DEPARTMENT OF BUILDING & SAFETY
NTRACTOR
FEE .�.
FIELD OFFICE
CONSTRUCTION
COUNTY OF RIVERSIDE
SPEC. IN
LICENSE NO.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. @
NO.
NO.
2nd FI.
Sq. Ft. @
TOTAL
FEES
Por.
Sq. Ft. @
�CEIVED BY
Gar.
Sq. Ft. @
POLES
P
Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
y
(
WO�I
Sq. Ft. @
TRANS. AMOR
OR T. CLK.
DRINKING FOUNTAIN
t
r_ a�
f 67✓Q
Sq.Ft. @
C
MOTOR H. P.
URINAL
MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION Is
*.Iii- MOTOR K. P.
FLOOR DRAIN
MECHANICAL FEES
MOTOR M.P.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD
MOTOR H.P.
WASHER (AUTO) DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY i -RAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
WATER CLOSET
COMPRESSOR OHP
RANGE AND/OR OVEN
LAVATORY
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER
BATH TUB
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 1C SO. FT.
HOUSE SEWER
R10�� Sn. FT.�e
s/ GARAGE iQ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE I j do
10 1 PERMIT FEE
'ERMIT NUTE
66959
REN.
DBL.
TOTAL FEES
HEAT & VENT E
PLN. CK. FEE
•'ONST. FEE
JELEC, FEE
PLUMB. FEE I
Q
JF
M
A M
J
J A
5
O N
D
J F M A rM_
lT � J J A S
O N D _
SET BACK
LOT SIZE
USE ,l'
OWNER
�
1;;IRESS
5
R
�'
sie
ZONE
U OF UI D
DAT
•
PLAN CHECK FEE
'r
.t�,e✓Aw
MECHANICAL FEE
I84-208 11/87
4
`_ I O V J J
SUPP. TO PERMIT
$ BOND 1 CASH PLAN FILE 11 FINAL DATE NS ECTOR
/o a - Ci 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
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY NO T E STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARR ENSA ON IN�SIJRANCE UPON MY EMPLOYEES. COMPLI-
ANC STATE OF CALIFORNIA COVERING CON-
T SO GUARANTEED.
O Rt'
NTRACTOR
FEE .�.
D 5$
aix
CONSTRUCTION
EL. NO%
SPEC. IN
LICENSE NO.
ELECTRICAL FEE
PLAN CHEI
PLUMBING FEE
TOTAL
FEES
$
CASH CHECK M.O. N.C.
�CEIVED BY
SEWAGE SYSTEM
T
ILL
P
INFORMATION
Vwlcll
ADDh izi
CITY
S 31I w
Nv
I84-208 11/87
4
`_ I O V J J
SUPP. TO PERMIT
$ BOND 1 CASH PLAN FILE 11 FINAL DATE NS ECTOR
/o a - Ci 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
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY NO T E STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARR ENSA ON IN�SIJRANCE UPON MY EMPLOYEES. COMPLI-
ANC STATE OF CALIFORNIA COVERING CON-
T SO GUARANTEED.
O Rt'
NTRACTOR
D 5$
aix
ADDRESS
EL. NO%
TEL. NO.
LICENSE NO.