162263 (SATT)DEPARTMENT OF. -BUILDING &.'SAFETY-�
°•a.
v: , C•OUNTY,",OF•'RJVERSIDE '
TOTAL FEES
MEAT &•VENT FEE
PLN. CK.•FEE.�.
.CONSTRUCTION ESTIMATE
EIEC. FEE
ELECTRICAC,FEES
' 1st Fl.
Sq. Ft..@�No.
`.
f
xx
2nd FI. ,.
Sq. Ft. @ `
Sq. Ft: @
Por.
..
(�y�r
POLES
Gar., • -
Sq. Ft. @
_'+r" .'
O - . N D
Car P.
'
Sq. Ft. @
�-
SIGNS
Sq., Ft. @'
-
ORAT SC:LK.D/
' WOII - 1't
Sq. F•}."@..1,
'M 0 T 0 R r 'H. P.
-
-
MOTOR H.P.
r.
ESTIMATED VALUATION $
A
MOTOR H.B.'
MECHANICAL' FEES'
`,MoroR
H.P.
;F
VENT SYSTEM ❑•FAN 11EVAP. COOL �Fi00D
-
MOTOR
.. APPLIANCE ` 1
,
- -
.FIXTURES'.
>_ FURNACE❑UNIT❑WALL❑FLOOR ❑ SUSPENDED •
J
..
OUTLETS
Z AIR HANDLING UNIT -�
0
MECHANICAL FEE
,SUB -PANEL ~
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL '
Q I
U COMPRESSOR- 1---IHP
.RANGE AND/OR OVEN
(r
W APPLIANCE -VENT _ .
~.
WATER HEATER-
f ABSORPTION SYSTEM _O B.T.U.
LEGAL DESCRIP ION _ - -
- --
SPACE HEATER _
r O INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
.• CONSTRUCTION FEE
CONSTRUCTION POLE
_ .HEATING SYSTEM '[3 -FORCED El GRAVITY
SERVICE ENTRANCE" -
BOILER B.T.U.
RESID. 1Q SO. FT.
l RESIDENTAL FEE -SQ. FT. �-�@
SPEC.'INSP.
f
': GARAGE '.0 SO. FT. '
PERMIT FEE. J-..
_
- PERMIT FEE
:FIELD OFFICE'
PLUMBING FEES
DRAINAGE PIPING .
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN <
WATER,SOFTENER
WASHER +(AUTO)DISH)
`GARBAGE DISPOSAL
,LAUNDRY TRAY
KITCHEN -SINK
WATER CLOSET
LAVATORY
' SHOWER
BATH TUB "
WATER HEATER,
SEWAGE DISPOSAL
HOUSE .$EWER
GAS PIPING <
-PERMIT FEE
PERMIT NU E
REN-. DBL'.
TOTAL FEES
MEAT &•VENT FEE
PLN. CK.•FEE.�.
'• CONST. 'FE E
EIEC. FEE
PLUMB. FEE i
xx
9
'
J F - M•
A
M •- .. J J A -- S ..
O - . N D
_.. .-. J .. ..._-: F .-. M. .._.
A
. -. M _.. -, J ... J.... .,., .A- S . :
O N p
SET BACK
USE #.
_.
JOB ADDRESS • OWNER
JLOT'SIZE
'R
•� 1 -.
V '.
.arc •..-54
• _
A
ZONE -
USE OF BUILDING
`+„',,
1 PLAN CHECK FEE
_
•.}'� _
_ -. • -
-
CHECKED BY
COM U W
f N
IS CT'
.C." UNITS
VALUATION �
��•
FElGr
MECHANICAL FEE
..
- • �.
.I a�_ ' -TY
�/
PE
LEGAL DESCRIP ION _ - -
- --
16
PERMIT NUMBER
2263_;
.• CONSTRUCTION FEE
- -
SPEC.'INSP.
f
y. F -
SUPP. TO PERMIT
'
ELECTRICAL.'FEE`#~
+
'
-
PLAN CHECKERgOND
$
'BOND.
CASH
FILE if
FINAL DATE
INSPECTOR
JPL_A;N
'PLUMBING"F E'E � ��
.. -
+;
TOTAL 'FEES$'V
�"•
r'
'
�.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT'COMMENCED•
WITHIN 60 DAYS. CESSATION. OF WORK FOR 120 DAYS SHALL ALSO
PERMIT TO BECOME VOID_ -
- I HEREBY AGREE THAT ALL WORK IN' CONNECTION WITH THIS �
CASH CHECK. M.o. • N.C.,CA-USE
RECEIVED BY
SEWAGE
SYSTEM
-
PERMIT WILL .BE DONE„IN ACCORDANCE WITH THE LAWS -OF RIVER-
�LL
SIDE COUNTY AND THE" STATE OF CALIFORNIA. I ALSO AGREE TO' '
Vz
T r,
6X/�, -s
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE..STATE OF C.ALIFOR IA COVERING CON-•
IN FOR MAr10 N.
TRACTORS IS ALSO GUARANTEED. [
' s
OWNER
CO TRA ---R a ..
-
A'd' ESS.
�_,_
-
e
LICENSE NO. .. E
-
284-208 11/87