162257 (SATT)DEPARTMENT OF BUILDING & SAFETY
TEL. NO., TEL.
NO.
- - LICEN.E NO.
2 84-2 08 11/B7
COUNTY OF RIVERSIDE
FIELD OFFICE
COMMUNITY-
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gas.
Car P.
W611"'Sq.
Sq. Ft. @ 3.zyNo.
NO.
r
Sq. Ft.
Sq. Ft. @ • . i
Sq. Ft. @PDLES
• SIGNS DRAINAGE PIPING
Sq. Ft. @
G UP T{'PE
TRANS. ANO/ DRINKING FOUNTAIN
Ft. @ OR T.CLK.
'PER
Sq. Ft. @ MOTOR H. P. URINAL
CONSTRUCTION FEE
MOTOR H. P. WATER PIPING
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ESTIMATED VALUATION 1$
.1— MOTOR H. P.
FLOOR DRAIN
-f�
MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
ELECTRICAL FEE
VENT SYSTB "WFAN ❑ EVAP. COOK HOOD
1L/' MOTOR H.P.
WASHER (AUT LDISH)
y
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
BOND '$
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
OUTLETS
LAUNDRY TRAY
FINAL DATE
' -�-D 9
Z AIR HANDLING UNIT,
0
SUB -PANEL
KITCHEN SINK
QGAS PIPE ❑NATURAL ❑ L.P.G. ❑OIL -
THIS PERMIT
WATER CLOSET
U COMPRESSOR HP
RANGE AND/OR OVEN
irL
LAVATORY:.
-4
o
(r
W APPLIANCE VENT
WATER HEATER
SHOWER ,
O ABSORPTION SYSTEM S.T.U.
'SPACE HEATER
1 BAT. TUB
t
1
U INCINERATOR DOMESTIC 13INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER'�T5
66,x/►/
HEATING SYSTEM FORCED ❑ GRAVITY
nn
aJ SERVICE ENTRANCE
. ! SEWAGE DISPOSAL
A
BOILER B:T.U.
RESID. 16 SO. FT.
HOUSE SEWER
LL
RESIDENTAL FEE SO. FT: @
GARAGE p6'SO. FT.
GAS PIPING
1
PERMIT FEE
PERMIT FEE-�
PERMIT FEE '
P RMIT NU
E
62257
REN.
DBL.
TOTAL FEES
NEA & VENT FEE
PLN. CK. FEE
CONST. FEE
'7700
ELEC. FEE
J Iq
�N]J
PLUMB. FEE
It
J F M A:7 M
F M q M
J J A S
J J A S
O
O D
'
SET BACK
I
LOT SIZE USE #
yc
di
JOB ADDRESS
A
f
OWN,ERR
(
.ft z
F 5
RvAe
' ONE /
PLAN CHECK FEE
USE"OF B N V
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TE
TEL. NO., TEL.
NO.
- - LICEN.E NO.
2 84-2 08 11/B7
CHE IVED BY
COMMUNITY-
DISTRICT F.C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE
r
{ �.`./
'Or/
G UP T{'PE
_
LEGAL CRIPTION
�..'+�
'PER
I NU E
7
CONSTRUCTION FEE
-4TI
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16
2 2
-f�
SPEC. INSP.
.w
'
SUPP. TO PERMIT
ELECTRICAL FEE
PLUMBING FEE
,v PPjLAN, CHECKER
U d" =z9lf c.i%. J
iTf
BOND '$
BOND
CASH
PLAN FILE 9
FINAL DATE
' -�-D 9
INSP CTOR
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 CHECK M. o. N.
RECEIVED BY
SEWAGE
SYSTEM
PERMIT WILL, BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
,{
jj6SIDE
COUNTY AND THE STATE OF CALIFORNIA -IL
I ALSO AGREE TO
r
LL
Pl.
,CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALj,FORN A COVERING CON-
TRACTORS IS ALSO GUARANTEED. °y
- INFORMATION
OWNER
CgNTR.'ACTOR
'
ADDRESS
TEL. NO., TEL.
NO.
- - LICEN.E NO.
2 84-2 08 11/B7