166688 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
1st FI. Sq. Ft. @`
2nd FI. Sq. Ft. @
Par. Sq. Ft. @ 7
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wo�ll Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
VENT SYSTEIJJ DD'FAN ❑ EVAP. COOLi' HOOD
APPLIANCE
FURNACE❑UNIT❑WAL.L❑FLOOR ❑ SUSPENDED
AIR HANDLING UNIT
„GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
COMPRESSOR HP -
APPLIANCE VENT -
ABSORPTION SYSTEM �J B.T.U.
INCINERATOR DOMESTIC ❑ INDUS. -0 COMM.
-HEATING SYSTEM .R.FORCED ❑ GRAVITY '
BOILER � B.T.U.
_RFSI L FEE SO.FT.E::�
PERMIT FEE
IERMIT IM6B 688, REN. DBL. TOTAL FEES
J F I M (' M
MA NO.
POLES —
SIGNS
TRANS. AND/
OR T. CLK.
MOTOR H.
MOTOR H.
MOTOR H.
MOTOR H.
MOTOR H.
FIXTURES
OUTLETS' .
SUB-PAMEL
RANGE AND/OR OVEN
WATER HEATER
SPACE HEATER
CONSTRUCTION POLE
SERVICE ENTRANCE
RESID. 11 SO. FT.
GARAGE i0 Sp. FT.
PERMIT FEE
VENT FEE PLN. CK. FEEJ
CONST
i IA
FIELD OFFICE
PLUMBING FEES
LOT SIZE
SET BACIR]4;
DRAINAGE PIPING
JOB ADDRESS OWNER
- DRINKING FOUNTAIN
URINAL
WATER PIPING
U4 -F B' IL
FLOOR DRAIN
WATER SOFTENER
-
WASHER (AUTO `DISH)
�.. jy _
'GARBAGE DISPOSAL
CH CKED BY
LAUNDRY TRAY
DIST T
KITCHEN SINK
'UNITSVALUATION
WATER CLOSET.
OF
LAVATORY
f
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL'
- HOUSE SEWER
GAS PIPING
LETA L ULSCR IP O
PERMIT FEE
�JE4C.EE
i�
PLUMB. F
S
IN 'D
LOT SIZE
SET BACIR]4;
USE if -
JOB ADDRESS OWNER
r S
—
J
ON E' -
U4 -F B' IL
PLAN CHECK FEE f,..w_
-
�.. jy _
CH CKED BY
COMM Y ,.
DIST T
F:
'UNITSVALUATION
OF
MECHANICAL FEEs11�
f
_."�.w...,.
40
ce
CONSTRUCTION FEE
T�
LETA L ULSCR IP O
�P
� � NiIM�8
i�
ELECTRICAL FEE
SPEC. INSP.
-
SUPP. TO PERMIT
PLUMBING FEE
PLAN CHECKER.
BOND $.
BOND
I CA 511
PLAN FILE 11
FINAL DATE
INSPECTOR
TOTAL FEES$'
.�
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.
I HEREBY AGREE .THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECKICI M. d. N.C.
ECEIVED 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
r Ilt
Ttj
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
TRACTORS IS ALSO GUARANTEED.
INFORMAT10N
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OWNER
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5R115MR11 .y
ADDRESS
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ADDRES
CITY t5-71--
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LICENSE NO.
84.208 11/87.
7