166687 (SATT)-SET. BACK - _ LOT SIZE
USE -4
JOB ADDRESS. - OWNER., n -
r DEPARTMENT OF BUILDING & SAFETY
•'
• -,
FIELD OFFICE
�,..
COUNTY OF.RIVER SIbE'
;
PLAN FEE
,.i
CONSTRUCTION'ESTIMATE.
ELECTRICAL FEES
PLUMBING FEES
lst FI.
Sq. .Ft. @'
�. No. _ s
I NO
2nd FI:
V
Sq.'Ft.
r Y
Por.
Sq.'Ft...@ '�
]'UNITS
- .
FEE �`
.x
-
401
fGa�.
Sq. Ft: @
POLES
• . .LL'«•. ^'
a
r
S.q. Ft.•@''
SIGNS - d
ORAINAGE PIPING.
Car; P:
.. it
WO.II• •. :' t' }.-,
$q. Ft. @ �' '
' _
AND/
- -
OR T..TRANS.AND/
j DRINKING FOUNTAIN
�w. 'F •
Sq. Ft. @ - - .� % 1� nn :.MOTOR H.P. F
URINAL. "
.{ •
- MOTOR". ,�{. •t H.P. '
WATER PIPING
---
ESTIMATED VALUATION$ MOTORH.P.
FLOOR DRAIN
" t MECHANICAL ES
MOTOR,• H. P.
•WATER SOFTENER
VENT SYSTQa F FAN ❑ EVAP..000 HOOD'
MOTOR - H.P.•`
•WASHER (AUTO) DISH)
•APPLfANCE
FIXTURES -
,GARBAGE DISPOSAL
J.
-FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑SUS.PENDED ".*
.•OUTLETS
LAUNDRY TRAY.
, AIR HANOLING UNIT'f^
+.�
SUB-PA�EL� eL
KITCHEN SINK "
GAS PIPE []_NATURAL ❑'L.P.G. ❑ OIL
'` V
- WATER CLOSET
COMPRESSOR '1; HP
RANGE AND/OR OVEN.
.LAVATORY
APPLIANCE VENT S.4
WATER HEATER r. r
SHOWER
ABSORPTION' SYSTEM - D.B. T. U.
`SPACE HEATER. -
BATH TUB
i e
THIS PERMIT SHALL
INCINERATOR DOMESTIC '❑ INDUS. ❑ COMM
I CONSTRUCTION POLE
WATER HEATER -
'HEATING SYSTE
. M ' '-FORCED �❑ GRAVITY
.! ;SERVICE�ENTRANCE !
,SEWAGE DISPOSAL, -
-BOILER ' /' _JB T.u'.' -
•RESID. 16 50. FT. '- J -;;K
HOUSE SEWER ..
SO.'FT. �@
GARAGE i ISO, FT.
GAS PIPING'. 4
PERMIT FEE.i
�PERMIT"FEE
PERMIT FEEy
PERMITMU
E
6 6 8 7
REN,.,
DBL'.
TOTAL FEES '
HEAT & VENT•FE
PLN. CK: FEE.'` --
CONST. FE
-
ELEC. FEE.
•t'y� �.....
PLUMB. FEE
OWNER « -
-
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, eg�
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V
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J F - M- M' J • J • A S
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-SET. BACK - _ LOT SIZE
USE -4
JOB ADDRESS. - OWNER., n -
/-
•
•'
• -,
q,'
SE -OF UI IN _ Sl _ w
1 I.
,CHECK
PLAN FEE
- .` +•
ECKED OIF4 '
C o1wau
CIS`4 C
.C.-
VALUATION OF B
-MECHANICAL
]'UNITS
FEE �`
-
r
• . .LL'«•. ^'
a
r
C
TYPE
LEGAL- 9L I TON - ., -
*'h
R T NUME .
87
CONSTRUCTION FEE
'•"d'a'
�
.'1666
+ r,
SPEC. IN5P.
•
_ -
y b '
SUPP. TO PERMIT
ELECTRICAL FEE
rBOND:!
..,
• _
PLAN CHECKER
BOND'$
CASH
FINAL DATE
INSPECTOR.' '
��y...�..II}}}
]PLAN'11LE'it
PLUMBING FEE -
_'�^��,�p
-
.
'JOT_AL FEES.
i e
THIS PERMIT SHALL
*�;
BECOME -VOID If WORK IS NOT .COMMENCED'
WITHIN 60 DAYS.- CESSATION .OF. WORK- FOR, 12.0 DAYS SHALL ALSO
CAUSE.'PERMIT TO BECOME VOID. , ,
'•^ :I HEREBY AGREE THAT ALL. WORK-IN. CONNECTION WITH THIS
-,CASH CHECK- .0. '4.,.4NiC.
ME EIVED BY
,It SEWAGE`SYSTEM-'. -
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
'AGREE
SIDE COUNTY AND THE STATE OF CALIFORNIA. 'I ALSO TO
w
T�
LL
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF'THE STATE OF.CALIFORNI).COVERING CON-
o INFORMATION •
,
TRACTORS IS'AL'SO GUARANTEE D.Qj
r�
if ({/D�Ay��/ty ♦♦� li- .,�•` ,S:
�
..ti
OWNER « -
C NT CT -R
,
.
FRE SS
ADDR
NO INVOLV.SD
-LENDER-
,�
•.
9 !'..�. - -
2
L'ICEN.SE NO. ..
?84-208 11/87 ., r~•r...• -._ - _._. _ ._...... ._..- I _._ __
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