166695 (SATT)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
e FLOOR DRAIN
WATER SOFTENER
WASHER (AUTOA3S;4IDISH)
GARBAGE DISPSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
'LAVATORY
SHOWER
BATH TUB
WATER HEATER
G� SEWAGE DISPOSAL
"f a HOUSE SEWER
GAS PIPING
} PERMIT FEE
E LEC. FEE PLUMB. FEE
Is I� :-, a
O N D
db
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COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI. If-
2nd FI.
Por.
Gar. .. t s
Car P.
WOII
Sq. Ft. @ L� d :. NO.
Sq. Ft. @
Sq. Ft. @ ? L L404
USE CIF BU"ILD hN ` •''- "'
Sq. Ft, @P F.I 7
POLES
Sq. Ft. @ -
SIGNS
Sq. Ft. CIA
AND/
OR T. TRANS,ELK.
Sq. Ftp @
MOTOR H. P.
CHEC, ED BY
MOTOR H. P.
ESTIMATED VALUATION $ f f" 0V .
'
MOTOR H. P.,
MECHANICAL FEES
OFFI E
MOTOR H. P.
VENT SYSTEM ❑O FAN ❑ EVAP. "COOL •'HOOD
/ R• -ib
MOTOR '• H. P.
APPLIANCE t
..�•
FIXTURES
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR(] SUSPENDED
OUTLETS
AIR HANDLING UNIT
GRO UPk
SUB-PAMEL
y GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
' 16
PERMIT NUMBE
5
.777333 COMPRESSOR �HP
1
RANGE AND/OR OVEN
APPLIANCE VENT
Y
WATER HEATER
ABSORPTION SYSTEM D B.T.U.
SPACE HEATER -
Y INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
HEATING SYSTEM ❑FORCED ❑ GRAVITY
all
SERVICE ENTRANCE
/
BOILER B.T.U.
t
r
RESID. IQ SQ. FT'. .
RES ID SQ. FT.� lm
.
GARAGE yQ S.O. FT. 12.
PERMIT FEE
T 1)'.� !
PERMIT FEE
IERMIT NU
ES6
95
REN.
DBL.
TOTAL ES
HEAT & ;VENT FEE
PLN.
CK. FEE
CONST. -FEE
F
J A S
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
e FLOOR DRAIN
WATER SOFTENER
WASHER (AUTOA3S;4IDISH)
GARBAGE DISPSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
'LAVATORY
SHOWER
BATH TUB
WATER HEATER
G� SEWAGE DISPOSAL
"f a HOUSE SEWER
GAS PIPING
} PERMIT FEE
E LEC. FEE PLUMB. FEE
Is I� :-, a
O N D
db
Ob
SET BACK
'LOT SIZE
USE 9
JOB ADDRESS!! O(W/HER d /j.
USE CIF BU"ILD hN ` •''- "'
DATE
PLAN CHECK FEE
f7.
CHEC, ED BY
'h M NI. 71 •'�" .I ""
DISTRICT
0ic.
Nm S
VALUATION
OFFI E
MECHANICAL FEE
.-.
•'
i,7
f
ff
y
GRO UPk
I YPE
LEGAL DES RIPTI ON's
...wYr�r'
�•.
' 16
PERMIT NUMBE
5
CONSTRUCTION FEE
1
- .•.. i 6 t�/•F /r•e•
' r I
6 6 9
SPEC, INSP..
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN•CHEC KER
BOND $
BOND
CA SH
PLAN FILE #
FINALDATE
INSPECTOR
PLUMBING FEE
:✓
J
i-,
LL
Lj - o� J -60 Ct
CV I.�I..• V:Y
TOTAL FEES
THIS 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 M.O. N.C.
IECEIVED BY
SEWAGE
SYSTEM
"*a
PERMIT'WILL' BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-_
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T I°a
P 4 /( 'r-
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORN)COVERING CON-
INFORMATION
TRACTORS IS ALSO GUARANTEE D.
,SAM OV ON
09
OWNER
CN C R
l Ai-1"A�
ADDYSSS
ADDRESS
ADDRESS
•
TEL. NO.
TEL. NO,
:84--O 11,/87
�w xN
LICENSE NO.