162265 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
SET BACK`
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES,
USE it;J,y,
Vd+[
PLUMBING FEES
.1st FI. ! `
2nd FL
Por._
4 /+
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F. Of: ,. .5
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Sq. Ft.
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NO.
Sq. -Ft.'@.
USE OF BO I LO I G
Sq. Ft.
l•'
ry..
POI ES
Sq. Ft.
Sq. Ft. @ SIGNS
- ORAINAGE PIPING
TRANSAND/
$q, Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ - MOTOR H. P.
URINAL -
_ - MOTOR - M.P.
WATER PIPING '
r ESTIMATED VALUATION$
MOTOR H. P.
CO• UN C F.0 VALUATION OFFICE
FLOOR DRAIN
MECHANICAL F ES
MOTOR H. P.
r0TR_I ]UNITS
WATER SOFTENER
VENT SYSTEM ED -FAN ❑EVAP. COOL (•(]'HOOD
MOTOR H. P.
` a
L E GA L. DE4CR I PTI Oh NUMBS
WASHER .(AUTO) DISH)
APPLIANCE.
1
FIXTURES
1PERMIT
'6226
GARBAGE DISPOSAL
' ] FURNACE ❑UNIT ❑ WAIL ❑ FLOOR O SUSPENDED.
{ J
'OUTLETS
LAUNDRY TRAY
e ZO AIR HANDLING UNIT
- -SUB-PAMEL
, 1
KITCHEN SINK
i J GAS PIPE 13 -NATURAL ❑ L.P.G.'.❑ OIL
SPEC.INSP.
-
-
WATER CLOSET
i Q .
V COMPRESSOR, HP
RANGE AND/OR OVEN
PLAN CHECKER
LAVATORY -
B
W APPLIANCE VENT
WATER HEATER
PLAN FILE it
SHOWER
ABSORPTION SYSTEM O B.T.U.-
SPACE HEATER
"Mr:!"'"
BATHTUB
O
U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
-CONSTRUCTION POLE
I
WATER.HEATER
t
HEATING SYSTEM Q FORCED ❑ GRAVITY
4 SERVICE ENTR AN.CIE -
,.
SEWAGE DISPOSAL
BOILER D B.T.U.
RESI.. 11 SO. FT.
'
HOUSE SEWER
RESIDEN'TAL FEE SQ. FT. @
GARAGE 50. FT.
IF GAS PIPING
PERMIT FEE';
PERMIT FEE
,
PERMIT FEE
PERMIT NV E REN. • DBL'. TOTAL FEES
HEAT IN VENT FEE PLN: CK. FE M CONST. FEE
JELEC.
FEE PLUMB. FEE
b 4b5 .
F J F M A 'M - J -. - J A 5 O N D
J F - ..
SET BACK`
LOT SIZE
USE it;J,y,
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JOB /ADDRESS OWNER
�w
IF
ZONE*
USE OF BO I LO I G
l•'
k PLAN CHECK FEE12
C,HEE'CKKED -BY
CO• UN C F.0 VALUATION OFFICE
r0TR_I ]UNITS
E
MCHANICAL FEE
G P'PE�
` a
L E GA L. DE4CR I PTI Oh NUMBS
II
F{
1PERMIT
'6226
'+'-""
CONSTRUCTION FEE.
'�""
, 1
F ELECTRICAL FEE
SPEC.INSP.
-
-
SUPP. TO PERMIT
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE it
FINAL DATE
INSPECTOR -�
"Mr:!"'"
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J
/--/6
PLUMBING FEE
_
-
-6,
TOTAL FEES
't
,
-
'
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED •
6
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID. y
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS,
CASH CHECK I a M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
F
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
�LL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
F sal
T.!
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE .STATE OF'CALIFORNIA OVERING CON-- -
INFORMATION
e
TRACTORS IS ALSO GUARANTEED.
OWNER
- -
CONTR'AC.TORfpl
f
i
i
116M
RESS
ADORE
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Oft L-RIC117
I
-
LICENSE NO. ..o/
'284-208" 11/87
_