166614 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF'RIVERSIDE'
FIELD OFFICE
USE i! -
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CONSTRUCTION ESTIMATE
ELECTRICAL FEES'
s
PLUMBING FEES,
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1st.Fl.
2nd .F I.
Por. "
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Sq. Ft..@
NO.
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Sq. Ft. @
COMMON TY
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POLES .. .
Sq. Ft. @
VA U/ATION
_
$q, Ft, Clp S,I GNS DRAINAGE PIPING
MECHANICAL FEE
Sq. Ft. @ ORANS. LK.O/ DRINKING FOUNTAIN
�F�"n
Sq. Ft. @ - MOTOR H''. P. URINAL
dd
- - MOTOR H.P. WATER PIPING'-' -
' ESTIMATED VALUATION Is
MOTOR H. P. `.
LEGAL DESCRIPTION
f
s
FLOOR DRAIN
PERMIT N MBER
MECHANICAL FEES..MOTOR
H. P.
WATER SOFTENER
VENT SYSTEM '-❑ FAN ❑ EVAP.-COO.L,.:❑ HOOD
- - MOTOR. - H. P.
-
- WASHER (AUTO) (DISH) _
SPEC. 'INSP.
APPLIANCE .J
FIXTURES
-' -
GARBAGE DISPOSAL '
BOND $ .J.1307NDC.SH
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑SUSPENDED
'J
�- '' OUTLETS. -
PLAN FILE .#
LAUNDRY TRAY
INSPECTOR
' Z AIR HANDLING UNIT - -
0
- SUB -PANEL
KITCHEN SINK
J GAS PIPE ❑ NATURAL. ❑ L.P.G. ❑ OIL
Q ,
-' -
WATER CLOSET
'
U .COMPRESSOR �HP -
RANGE AND/OR OVEN..
LAVATORY
jam.
(r
W APPLIANCE "VENT
WATER HEATER
SHOWER
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
I ABSORPTION SYSTEM - B.T.U.
0
SPACE HEATER
SEWAGE SYSTEM
BATH TUB
U INCINERATOR DOMESTIC ❑ INDUS: ❑.COMM.
CONSTRUCTION -POLE -
WATER HEATER
HEATING SYSTEM ❑ FORCED. ❑GRAVITY
- SERVICE ENTRANCE
SEWAGE DISPOSAL
SIDE.COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
BOILER B.T.U.
RESID. 10 50. FT.
I'
M-0.U,S.E�SEWER LT� •�*+�.
"' +c✓+/
" RESIDENTAL FEE SO.FT.�@
GARAGE 10 50. FT.'
GAS PIPING
TRACTORS IS ALSO GUARANTEED.
PERMIT FEE
71 PERMIT FEE. _
PERMIT FEE'S.)
CON .R AC TOR
PERMIT
1`6`6
61
REN.
IDBL.,ITOTALE?.
HEAT &VENT FEE
PLN. CK -.FEE '
CONST. 'FEE
ELEC..FEE
PLUMB. FEE
J
F F J J. A 'S
J - -
SET BACK
LOT SIZE
USE i! -
(jL�•,,�., _�
JOB ADDRESS "• - OWNER ^
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R
•
ZONE%%'
-`
USE"OF UI DING'-
DATE
PLAN CHECK FEE
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t1...
_ .. '
CHECKED BY ,'''
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COMMON TY
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DISTRICT F. UNITfSO
VA U/ATION
OF FI C_E..,,,.
MECHANICAL FEE
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- .F'
dd
GROUP'
TYPE
LEGAL DESCRIPTION
f
s
16614
PERMIT N MBER
CONSTRUCTION FEE
-
ELECTRICAL FEE- -
SPEC. 'INSP.
-
-
SUPP. TO PERMIT
-
-' -
PLAN CHECKER -
BOND $ .J.1307NDC.SH
PLAN FILE .#
FINAL DATE
INSPECTOR
PLUMBING FEE .•+..��
`.i'�•4O
TOTAL FEES
jam.
THIS PERMIT SHALL BECOME'VOID'IF WORK I,S 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.P. N. C::
iECEIVEO 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
T
LL
.:CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS'OF THE STATE OF CALIFORNIA COVERING CON-
''f' INFORMATION
TRACTORS IS ALSO GUARANTEED.
OWNER
CON .R AC TOR
ADDRE54 (e
A'DDR
-
-
TEL. NO. -
TEL. NO.
'
LICENSE
'84-208 11/87