162261 (SATT)DEPARTMENT OF BUILDING 81 SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
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CONSTRUCTION ESTIMATE_
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ELECTRICAL FEES
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PLUMBING FEES:
lst FI.
2nd FI.
Par.
Gar.
Car P.
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Sq. Ft. @ z
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PLAN CHECK FEE
NO.
Sq. Ft. @
-
Sq. Ft.
CO U I Y
POLES
Sq. Ft. @ .
$q, Ft. @ SIGNS DRAINAGE PIPING
OF F4t-k
TRANS. AND/ "
Sq. Ft. @...' - OR T. CLK. DRINKING FOUNTAIN_
49
Sq. Ft. @ -MOTOR H. P. URINAL
MOTOR H. P.. WATER PIPING',
JUNITS
ESTIMATED VALUATION $
MOTOR H. P.
MECHANICAL FEE .,✓°-�
FLOOR DRAIN
' MECHANICAL FEES
MOTORH'. P.
WATER SOFTENER
�- VENT SYSTEM q✓FAN 11EVAP. COOL 911 -POD
TYPEI'LEGAL
MOTOR, 'M. P.
1PERIT
WASHER (AUT 0)'DISH
;
APPLIANCE
FIXTURES -
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GARBAGE DISPOSAL„
1 6,22
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑.SUS-PENDEO
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OUTLETS' -
SPEC. INSP.
LAUNDRY TRAY
SU PP. TO PERMIT
Z AIR HANDLING UNIT
O
-
SUB-PAMEL,
KITCHEN SINK
ELECTRICAL FEE -
J GAS PIPE 11 NATURAL ❑ L.P.G. 13 OIL
WATER CLOSET
er-
- PLAN CHECKER
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U COMPRESSOR N' HP
BOND
RANGE AND/OR OVEN
PLAN FILE 4
LAVATORY
INSPE'1 TOR
W APPLIANCE VENT _
WATER HEATER
I SHOWER
7
ABSORPTION SYSTEM - D B.T.U.
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SPACE -HEATER
TOTAL
BATH TUB
$/
V INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER -
HEATING SYSTEM. QFORCED ❑ GRAVITY -
�-
SERVICE ENTRANCE
SEWAGE DISPOSAL
BOILER B.T.U.
IF
RESID. 10SO. FT.HOUSE
ej
SEWER
4
RESIDENTAL FEE SO.FT.�@
+� {{
GARAGE -,LC SO.,FT. .r,�•..a1
GAS PIPING
•�.
PERMIT FEE - --
PERMIT FEE • �;j ®
PERMIT FEE
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.PERMIT NUIE
A
REN.
DBL.
TOTAL -FEES �'.
HEAT & VENT,FEE
PLN.
CK: FEE �,�,
CONST -.'FEE
EL C.
FEE
IPLUMB. FEE
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J A S
O N D
2 / —11
SET BACK
LOT SIZE
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JOB ADDRESS - OWNER
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PLAN CHECK FEE
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jjD.4Zfe(CY'j
-
CHECKED BY
CO U I Y
F.C.
VALUATION
OF F4t-k
49
JUNITS
I
MECHANICAL FEE .,✓°-�
'
-.
GR9U0
TYPEI'LEGAL
D 5 RI TION
1PERIT
M NUM ER
1
CONSTRUCTION FEE '
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1 6,22
1
-
SPEC. INSP.
SU PP. TO PERMIT
-
ELECTRICAL FEE -
-
- PLAN CHECKER
BOND$
BOND
CASH
PLAN FILE 4
FINAL DATE
INSPE'1 TOR
PLUMBING FEE
r
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TOTAL
FEES,
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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. 0. - N.C.
vRECEIVED
BY
SEWAGE SYSTEM
PERMIT WILL 6E DONE IN. ACCORDANCE WITH THE LAWS OF RIVER -
IT"
SIDE -COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
ZZA
LL
CARRY CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
_ oT
TRACTORS IS ALSO GUARANTEED.
0
".
2 / —11
OWNER
CO TRACTOR'
ADDRESS' ''
AD R/E f
•
-
T IfL.-NO: -
L.
LICENSE NO.
X284-208 11/87