162260 (SATT)DEPARTMENT OF. -BUILDING & SAFETY
PERMIT IM6
COUNTY OF -RIVERSIDE
. FIELD OFFICE -
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.'
' 2nd FI.
Par. -.2. 7
COr.'.P. ',$q.
Wall
- T
-
Sq. Ft. @4 r
ELEC_ FEE ,L.PLUMB.
NO.
NO.
Sq. Ft. @.
Sq: Ft. @
$q. Ft. ...
f1 POL:ES.•
.�
-Ft.@ - SIGNS.
. ORAINAGE PIPING
-TRANS. AND/ ; -
Sq. LFt. @• z e_ OR T. CLK.
. -DRINKING FOUNTAIN I
MOTOR H.P. T
Sqr Ft. @`
URINAL. '
- - ` MOTOR H.P.
WATER PIPING '
ESTIMATED `VALUATION. $' ..
'MOTOR
ii, P.
FLOOR OR;IN'
MECHANICAL FE S :
MOTOR ' i
� H. P. '� 'C
WATER SOFTENER '
VENT SYSTEM Q -FAN ❑ EVAP. COOL',p HOOD '
USE 0,
MOTOR
H. P. +
WASHER (AUTO)DISH')
APPLIANCE ' -
FIXTURES
.` GARBAGE DISPOSAL
- } FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED'e
J -
US OF BUILDING - ' i ---�' - DA
OUTLETS
1- ..
- LAUNDRY TRAY
ZO AIR HANDLING UNIT'
SUB-PAMEL
-
KITCHEN SINK
J GAS PIPE ❑.NATURAL ❑ L.P.G. ❑ OIL
O ST T
F.C:
'NITS
WATER CLOSET
-
;' Q
I U COMPRESSOR HP+.
ds
RANGE'AND/OR OVEN
-
�IPT
`
LAVATORYdel-
'.. E
. IU 7A LIANCE VENT
•ABSORPTION
WATER HEATER
'
SHOWER �-
SYSTEM D B. T. U.
O
LE GAUD S ON
SPACE NEATER
_ ,
BATH TUB 1
V INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION •POLE
622 0
WATER HEATER
HEATING SYSTEM kFORCED_❑,GRAVIT,Y
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER L J B..T. U. -
-
RESID. 16 SO. F.T. .
/..
HOUSE SEWER '
RESIDEN TAL FEE SOFT. �@
- "
GARAGE f4t SO. FT.
•PLAN CHECKER '-
GAS PIPING
t. PER M'IT FEE
�''
PERMIT FEE
�" Q'd
i PERMIT FEE
PERMIT IM6
2260
IREN,DBLTOPAL
FE ES�
HEAT "& VE E
pLN. CK.a FE
%
CONST, FE
Go
ELEC_ FEE ,L.PLUMB.
FE E
"
J F M A M - J J A S
FM. A M J J' A 5
O N - D
O _ N. D
SET BACK LOT SIZE
USE 0,
JOB ADDRESS' - OWNER -
lF ' 5 R -
�Y.f
V , 47:9 'V
-'
- r
I. I.
ZONE
US OF BUILDING - ' i ---�' - DA
+
PLAN CHECK FEE
-
C E KED BY
C 6ITFAU1 YT
O ST T
F.C:
'NITS
VALUATION
OF .11MECHANICAL
FEE .r�•6✓
�
-
�IPT
�v
'
,. •' - -
GR P TYPE
LE GAUD S ON
RMIT NUM ER
fE
622 0
CONSTRUCTION FEE
ASPEC. INSP.
i• -
SUPP. TO PERMIT
ELECTRICALFEEI"'"r��
- -
- "
t
•PLAN CHECKER '-
BOND $ -
BOND
CASHPLAN
FILE 0
FINAL DATE '-
INSPECTOR
I"'�-_0
PLUMBING FEE" .,•
y ,.
TOTAL ����+
w
'
*""
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. t
I HEREBY .AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK t; M. o. N.C:
;RECEIVED BY
SEWAGE SYSTEM
r'
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
/
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
LL ''y
.-'.
'eCA:R CARRY COMP E.N SATION INSURANCE'UPON MY EMPLOYEES. COMPLI-
"A'N•�_E WITH LAWS OF THE CAL'IFOR A COVERING CON-
INFORMATION
•STATE.OF
TRACTORS IS ALSO GUARANTEED:. !�J ✓'
OWNER - - _ ,.
COjNTRATOR ' Y.
ADORE
- -•
-
•�J� 'ate
� - ./�,..
•
•
• .. d
' - ' -. ,,
LICENSE NO,
284-20811/87
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