162249 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
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CONSTRUCTION ESTIMATE
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ELECTRICAL FEES
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PLUMBING FEES
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1st FI. !'`j. fd
2nd FL
Por.
Gar.
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- Wall
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Sq. Ft. @
USE. -O' L ING "
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Sq. Ft. @
PLAN CHECK FEE•"^
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Sq. Ft. @
g
Sq, Ft, @ SIGNS DRAINAGE PIPING
Sq. Ft. @-ORAT SC,LK.D/ -DRINKING FOUNTAIN
Sq. Ft. @ MOTOR - H. P. URINAL
C
COMMUNITY- -
MOTOR H. P. WATER PIPING
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ESTIMATED VALUATION $ CjJ
MOTOR H. P.
O F16E.
_
FLOOR DRAIN
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- MECHANICAL FEES
MOTOR H. P.
WATER SOFTENER
"«.•YY"
VENT SYST+B`M 'FAN ❑ EVAP. COOL MOOD
'
CONSTRUCTION FEE
MOTOR H. P.
GROUP
WASHER (AUTO) DISH)
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APPLIANCE
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PERMIT NUMBER i
FIXTURES
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GARBAGE DISPOSAL
Y -
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
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ELECTRICAL FEE.
OUTLETS
LAUNDRY TRAY
- Z AIR HANDLING UNITSUB-PANEL
_ 0
PLAN CHECKER
BOND $
KITCHEN SINK
I CASH
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
FINAL DATE
INSPECTOR
PLUMBING FEE
WATER CLOSET
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U COMPRESSOR HP
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RANGE AND/OR OVEN
LAVATORY
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W APPLIANCE VENT
WATER HEATER
THIS PERMIT
, i SHOWER
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' ABSORPTION SYSTEM B.T.U.
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SPACE HEATER.
CASH CHECK M.O. N.C.
x BATH TUB
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U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
WATER HEATER/V``
HEATING SYSTEM ORCED ❑ GRAVITY
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SERVICE ENTRANCE
SEWAGE DISPOSAL
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BOILER B.T.U.
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RESID. IQ SO. FT.
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HOUSE SEWER
- RESIDEN TAL FEE SOFT. Is
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GARAGE zQ SO: FT,
INFORMATION
GAS PIPING
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PERMIT FEE'
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PERMIT FEE •.
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PERMIT FEE
;PERMIT NU
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ADDRESS - -
REN.
DBL:
TOL FEES
HEArVENT FEE
44T
pill. CK. FEE
CONST. 'FEE
ELEC.
FEE
PLUMB. FEE
J ` M AM J
J A S
O N D
SETBACK
LOT SIZE
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JOB ADDRESS " O -HER
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USE. -O' L ING "
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DA E
PLAN CHECK FEE•"^
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C E KED BY
COMMUNITY- -
'D ISTR FCT
F.C.
UNIT
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VALUATION
O F16E.
MECHANICAL FEE
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"«.•YY"
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CONSTRUCTION FEE
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2 7
GROUP
TYP i
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162249
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PERMIT NUMBER i
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SPEC. INSP.
Y -
SUPP. TO PERMIT 1
ELECTRICAL FEE.
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••
-
PLAN CHECKER
BOND $
BOND
I CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE
-
TOTAL FEES
THIS PERMIT
SHALL.SECOME 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.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON, MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIF O NIA COVERING CON -
TRACTORS IS ALSO GUARANTEEDi-
INFORMATION
OWNER
ONTRAC TOR -
~
fAl,
ADDRESS - -
A�D�aJD�eR ESS
.-
TEL. NO.
'TEL. NO. a
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LICENSE NO. `J
284-208 11/87