166692 (SATT)DEPARTMENT OF BUILDING & SAFETY
ERMIT y�l
COUNTY OF RIVERSIDE"
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FIELD OFFICE
REN. DBL.
CONSTRUCTION ESTIMATE
MEAT & FEE
ELECTRICAL FEES
CONST.
PLUMBING FEES
1st Fl. 3
2nd FI."
Por. _221
Gar. s c*
Car P.
Wall
. _
Sq. Ft. @:fes
NO.
NO.
Sq. Ft. @
Sq. Ft. @'
t
Sq. Ft. @' `� ` - POLES '
,
Sq. Ft. @ SIGNS DRAINAGE PIPING
- $q. Ft. @ TRANS. AND/ DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P. URINAL
-
MOTOR H.P. WATER PIPING
V+
ESTIMATED VALUATION is L
MOTOR
H. P.
FLOOR DRAIN
LOT SIZE
MECHANICAL FEES
10. ADDRESS }
'.¢� �'r�t_4
MOTOR
H. P.
WATER SOFTENER
-
ONE
VENT 'SYSTEM FAN ❑ EVAP. COOL /HOOD
DATE
MOTOR
H. P.
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^UNITS
WASHER (AU TOIftDISH)
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•L:r
APPLIANCE
DISTRICT
FIXTURES
-
f
GARBAGE DISPOSAL
MECHANICAL FEE
'.,-�. ./`
FURNACE ❑ UNIT ❑ WALL ❑.FLOOR ❑ SUSPENDED
OUTLETS
IVALUATION
16
LAUNDRY TRAY
FEES666
CROUP -
AIR HANDLING UNIT
LEGAL DES *JR--
SUB-P.AREL
-
KITCHEN SINK
i'
N
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
1.
•�
WATER CLOSET
Z
5Y
COMPRESSOR HP
PLAN FILE #
RANGE AND/OR OVEN
INSPECTOR
PLUMBING FEE�r
LAVATORY
+��
APPLIANCE VENT
WATER HEATER
TOTAL
SHOWER
.FEES
I�I
ABSORPTION SYSTEM �.J B.T.U.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
SPACE HEATER
(
BATH TUBY
ECEIVED BY
SEWAGE SYSTEM
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
PERMIT WILL'BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
WATER HEATER
HEATING SYSTEM 'p'FOR'CEO ❑ GRAVITY
'
SERVICE ENTRANCE
T
LL
SEWAGE DISPOSAL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA. COVERING CON-
ON-TRACTORS
INFORMATION
BOILER B.T.U.
a
RESID. IC SQ. FT.
'
OWNERCN
HOUSE SEWER
SO.FT.�@
GARAGE iS SO: FT.
'�ylY
GAS PIPING
PERMIT FEE _ .
.L...'
e/ j
PERMIT FEE.
i\
¢
PERMIT FEE
5
ERMIT y�l
An�fiA
�
�
/�
REN. DBL.
FE�E�
MEAT & FEE
PLN.�CK. F^ -
CONST.
ELEC. FEE•2ITOTAL
�
. J F M A M" J J A F S O N
J _ F - M A M J J A S O N
D
D
SET BACK
LOT SIZE
U E 4
f
10. ADDRESS }
'.¢� �'r�t_4
OWwt
-
R
-
ONE
—
USE OF BU�ILLDI
DATE
PLAN CHECK FEE 3
1. ?
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^UNITS
1Z j �Y
<
CHECKED =B`Y, - •.
COMMUNITYt
DISTRICT
F. Cf�
O FI CE
MECHANICAL FEE
'.,-�. ./`
�'t'
++�i
{/
IVALUATION
16
FEES666
CROUP -
T PE
LEGAL DES *JR--
fRMIT BifCONSTRUCTION
9�
SPEC. INS".-
.SU PP. TO PERMIT
ELECTRICAL FEE
- g
J
PLAN CHECKER
BOND $
BOND 1
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE�r
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.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M. 0., N. C.
ECEIVED BY
SEWAGE SYSTEM
_
"L
PERMIT WILL'BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
��pp
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
Pj } J7t
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA. COVERING CON-
ON-TRACTORS
INFORMATION
T RACTORSIS ALSO GUARANTEED.
d4�.7.WaF-U3'#
'
OWNERCN
CT'R"
ADDRESS' .
ADDRESS
No i w.
TEL. NO.
TEL. NO.
'
LICENSE NO.
B4-208 1'1/87 o
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