162254 (SATT),lst Fl. d Sq. Ft.
2nd FI. Sq. Ft. @
Pori 42E4 Sq. Ft.11
@_
Gar. Sq. Ft. @
Car P. Sq. Ft. @
Wall. Sq. Ft. @
Sq. ,Ft.'@
ESTIMATED VALUATION Is
MECHANICAL FEES
VENT SYSTEM lj' WAN ❑ EVAP. COOL.'HOOD
APPLIANCE
> FURNACE[] UNIT❑ WALL❑ FLOOR❑ SUSPENDED
J
Z AIR HANDLING UNIT
0
J GAS PIPE ❑ NATURAL ❑ L;P.G. ❑ OIL
Q I�I
U COMPRESSOR HP ,.
cr
W 'APPLIANCE VENT
2 ABSORPTION SYSTEM
O
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ®"FORCED ❑ GRAVITY .
BOILER B.T.U.
RES IDENTAL FEE '• SO. FT.
PERMIT FEE
DEPARTMENT OF BUILDING 8t SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES
NO.
ZX POLES,
SIGNS
TRANS. AND/ -
OR T. Si AND/
MOTOR_ H. P.
.MOTOR H. P.
.� MOTOR H. P.
MOTOR' - H. P.
MOTOR - H. P.
FI'%TURES
OUTLETS ,
SUB-PAMEL -
' - RANGE AND/OR OVEN
WATER HEATER
B.T.U. SPACE HEATER
'CONSTRUCTION POLE
�. SERVICE ENTRANCE '
r RESID. IC SO. FT'.
@ GARAGE i Q SO. FT.
PERMIT FEE
FIELD OFFICE
PLUMBING FEES
NO,
PERMIT I'{
•GG�� •G/
m62 2 5 �
ORAINA GE PIPING
REN. JDBL�TOTAL
FEES,,,HEAT
DRINKING FOUNTAIN
pL� CK. IF��
CO�. 'FEE
�M
'
URINAL
J F M M J A S
J F _ M A M J J A S
O N D
O N D _
WATER PIPING
LOT SIZE
USE `11 Jj y
FLOOR DRAIN
OWNER
WATER SOFTENER
`
ZONE
U E OF BUILDING
WASHER (AUTO DISH)
PLAN CHECK FEE
'
-J
GARBAGE DISPOSAL
.
0-.0
MECHANICAL FEE .rte.
MECHANICAL
CHECKED BY
COMMUNITY /--
✓/
LAUNDRY TRAY
,
-
VALUATION
KITCHEN SINK
CONSTRUCTION FEE
TYPE
"T
LEGAL DESCRIPTION
♦�
�,
WATER CLOSET-
PER IT N�15R
4
•
ELECTRICAL FEE
SPEC. INSP. ..,
LAVATORY
G/
PLUMBINGFEE
PLAN '-CHECKER --
SHOWER
BOND
"
PLAN FILE 7t
BATH TUB `
. 3G
TOTAL FEES
$�� _ .�
WATER. HEATER
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'
SEWAGE DISPOSAL
RECEIVED BY
'V
HOUSE SEWER '
GAS PIPING
TLL
f
PERMIT FEE
J
INFORMATION
PERMIT I'{
•GG�� •G/
m62 2 5 �
REN. JDBL�TOTAL
FEES,,,HEAT
& VENT fEE
7/JJ
pL� CK. IF��
CO�. 'FEE
�M
ELEC�FE
PLUMB. FES'
J F M M J A S
J F _ M A M J J A S
O N D
O N D _
SET BACK
LOT SIZE
USE `11 Jj y
JOB ADDRESS
OWNER
l
`
ZONE
U E OF BUILDING
PLAN CHECK FEE
-J
.
0-.0
MECHANICAL FEE .rte.
MECHANICAL
CHECKED BY
COMMUNITY /--
✓/
(STRICT JF.C1.
��
UNITS
VALUATION
OFFIC-
"�'
CONSTRUCTION FEE
TYPE
"T
LEGAL DESCRIPTION
♦�
�,
162
PER IT N�15R
4
•
ELECTRICAL FEE
SPEC. INSP. ..,
'' -
SUPP. TO. PERMIT
PLUMBINGFEE
PLAN '-CHECKER --
BOND $
BOND
CASH
PLAN FILE 7t
FINAL DA/TE(,
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 CHECK e' M.o. ' N. C.,
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE.DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
TLL
16W re
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY :COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE O CALIFORI IA COVERING CON -
TRACTORS IS.ALSO GUARANTEE. =
a�
J
INFORMATION
OWNER
CONTRACTOR t -
-Ile)
v - -
ADD -5
`XU6RE9S
'(]
.
..
E"L. N6.7/
L. NO.
-
- -I
�. .,
LICENSE NO.
lM1" Jf-C. ! •. `1
-
284-208 11/87 -