162256 (SATT)DEPARTMENTbF BUILDING 8R. SAFETY
COUNTYOFRIVERSIDE FIELD OFFICE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1st FI. '`� !�} Sq. Ft. @ `>? t SofI NO. I I I NO.
2nd FI:
..y
Sq. Ft. @
Par.
Sq. Ft. @ Qd *�.
A
Gar.
Sq. Ft. @ '1
COT. 'FEE
Car P.
Sq.. Ft. @
Wall
Sq. Ft. @
TRANS. AND/ -
OR T. CLK.
S,q. Ft. @
b�J
ESTIMATED VALUATION $r`
DRINKING FOUNTAIN
MECHANICAL FEES
MOTOR
VENT SYST -ILAFAN ❑ EVAP. COO
APPLIANCE
FURNACE❑UNIT❑WALL❑_FLOOR❑ SUSPENDED
J
'F�ES
Z AIR HANDLING UNIT
0
H. P.
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
U COMPRESSOR �Z HP
A
0
W APPLIANCE VENT
MOTOR
F
2 ABSORPTION SYSTEM' B.T.U.
0
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEA,_TING SYSTEM (FORCED ❑ GRAVITY
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r�
BOILER B.T.U.
.
RESIDENTAL FEE SO. FT. �@
PERMIT FEE
WATER SOFTENER
POLES
256
REN. DBL.
HEAT & VEN FEE
SIGNS
COT. 'FEE
ELEC. FEE
1/92--
PLUMB. FEE
ORAINAGE PIPING
TRANS. AND/ -
OR T. CLK.
-
b�J
-
DRINKING FOUNTAIN
MOTOR
H. P.-
' URINAL
'F�ES
MOTOR
H. P.
WATER PIPING
0 N �'� D
MOTOR
H.P.
SET BrA�,CK
FLOOR,DRAIN
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r�
MOTOR
H. P.
JJR
WATER SOFTENER
MOTOR
H. P.
y
}r
WASHER (AUTO) •`DISH)
FIXTURES
C HEC
COMMUNITY f DISTkICT
•..�+"
F -.C.
GARBAGE DISPOSAL
VALUATION OF F I'CrE
OUTLETS
� � �.� 1o; -/j {
•
P.
LAUNDRY TRAY
•
�.
SUB-PAMEL
TY
LEGAL DESPRIPT ION `
-
16226
PERMIT NUM R
KITCHEN SINK
`..�.
ii
WATER CLOSET
�✓
�F
RANGE AND/OR OVEN
ELECTRICAL FEET
_
LAVATORY
!%{✓
WATER HEATER
' BOND
CASH
PLAN FILE 0
FINAL DATE .
SHOWER
PLUMBING FEE
SPACE HEATER
BATH TUB
!
�* CONSTRUCTION POLE
^d
THIS
{
WATER HEATER
CASH CHECK fe M. 0. N, C.
SERVICE ENTRANCE -%✓
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
SEWAGE DISPOSAL
Fy RESID. IQ SO. FT.
-
_ f�
r `
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
HOUSE SEWER
T
jy- GARAGE zC SO. FT.
P J Ji/
'�
j,s
f
GAS PIPING
} PERMIT FEE
OWNER
CONTRACTOR
PERMIT FEE
�q
PERMIT �I"I��
256
REN. DBL.
HEAT & VEN FEE
PLN,C�E
COT. 'FEE
ELEC. FEE
1/92--
PLUMB. FEE
IITOTAL
b�J
'F�ES
d/jj
J F M A M J J A S i
0 N �'� D
J _ F M A M- J J A S
O N D '
SET BrA�,CK
LOT SIZE
U#SEJ�`it
JOB ADDRESS ESS
JJR
y`�
ZONE
LfrSEYOF BUILDING., 4 DATE "
y
}r
PLAN CHECK FEE
C HEC
COMMUNITY f DISTkICT
•..�+"
F -.C.
"UNITS
VALUATION OF F I'CrE
T
MECHANICAL FEE � _ ��-^^"t
� � �.� 1o; -/j {
•
I
•
�.
GROUP
TY
LEGAL DESPRIPT ION `
-
16226
PERMIT NUM R
CONSTRUCTION FEE
ii
SPEC. IN
SUPP. TO PERMIT
ELECTRICAL FEET
_
-
PLAN CHECKER
BOND $
' BOND
CASH
PLAN FILE 0
FINAL DATE .
INSPECTOR
PLUMBING FEE
TOTAL FEES
^d
THIS
`"'"'J
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 fe M. 0. N, C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
r `
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
P J Ji/
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
_
ANCE WITH LAWS OF THE STATE CALIFO NIA COVERING CON-
INFORMATION
TRACTORS IS ALSO GUARANTEED.;
i
OWNER
CONTRACTOR
-
ADDRESS
ADDRESS
r
TEL,. NO.
TEL. NO.
.•
•
LICENSE*NO.
tB4_208 11/67
t1. c. ..
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el-'
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