BLCK (204299) + SFD (200299)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD. SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER O K.W. GARBAGE DISPOSAL
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
CFM FIXTURE OR SOCKET KITCHEN SINK
tCONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
w f
SO. FT.
@
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ 4 WATER HEATER
NO.
NO.
SQ. FT. @
SQ. FT. GARAGE @1 2Q HOUSE SEWER
SO. FT. @ MOTOR I OR LESS H.P.
BALANCE OF MIN. FEE GAS PIPING
@ MOTOR 5 OR LESS H.P.
SQ.FT.
PERMIT FEE PERMIT FEE
ppS Q. FT. @ MOTOR 20 OR LESS H.P.
Q.FT. @ I
DRAINAGE PIPING '
DRINKING FOUNTAIN
SQ. FT. @
URINAL
E: D W. UNITS
WATER PIPING,
ESTIMATED VALUATION
$
,
FLOOR DRAIN'
L/
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD. SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER O K.W. GARBAGE DISPOSAL
FURNACE O UNIT O WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP •
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM B.T.U. SQ. FT. @ ¢ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ 4 WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SO. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @1 2Q HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE PERMIT FEE
PER rM A ^
-G) 2 l` J)1/
ITOTALREN.
TRAILER FEE HEAT 8 VENT.. F
L/
J .«. AI .... .A
0.
M J J A S 0
N ... D _
SET BA
LOT SIZE
USE #
JOB ADDRESS I OWNER NER
PLAN CHECK FEE
$
ZONE
— /
US jOF BUILDING
"1-5
DATE t•••
~_
;?
r o r # % / c ✓,f ^-'
/'
CHECKED BY
COMMUNITY IDISTRICT
F.C.
UNITS
VALUATION OFFICE
MECHANICAL FEE
DBL
GROUP
- TYPE
LEGAL DESCRIPT,ION
ER MIT NUMBER
CONSTRUCTION FEE
$
"°""
` - ^'
204299
2 0
4 2 9 9
f .
DBL
-
PLAN CHECKER
•
SUPP. TO PERMIT
ELECTRICAL FEE` `
S
s a '" 7 3 3 o
DBL
BOND $
BOND
CASH
PLAN FILE'p FINAL
DATE
INSPEC OR
I
cl .7
PLUMBING FEE
TRAILER PERMIT
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE
NO lEED DER
INVo
ISSUANCE FEE
Y
ADDRESS
CITY
STATE '
FEE
$
TOTAL FEES.
$ :T
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 PERMIT WILL BE DONE IN ACCOR-
CASH,Y CHECK
M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY
SEWAGE SYSTEM
f
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
r T
LL
P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CAudmAiA_ 1-n
INFORMATION
ER
CONTRACTOR
7
1
ADDRE S
ADDRESS
•
TEL. NO. .+€
TEL. NO.
•
y Y
LICENSE NO.
VENT SYSTE - FAN •❑ EVAP. COOL HOOD _
=
APPLIANCE
EL:k
EPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE, • .
FIELD OFFICE '
OUTLETS LAUNDRY TRAY
CONSTRUCTION ESTIMATE
FIXTURE OR SOCKET KITCHEN SINK "f?
ELECTRICAL FEES
PLUMBING FEES
1ST FL.
2ND FL.
POR.SO.
GAR.
CAR P.
WALLSQ.FT.
'
SQ. FT.
3'!l AMPERES SERV. ENT. j SHOWER
ABSORPTION SYSTEM O B.T.U.
NO.1.
INO.
SQ. FT. Cal
HEATING SYSTEM -FORCED ❑ GRAVITY
FT. @1 -- MOTOR I OR LESS H.P.
BOILER r B.T.U.
SQ.FT. MOTOR 5 OR LESS H.P.
PERMIT FEE
SQ. FT. g- J V6 GI MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
@
DRINKING FOUNTAIN
SQ. FT. Cal
URINAL
Km. UNITS
- WATER PIPING
ESTIMATED VALUATION
$
%
6^"`
FLOOR DRAIN
FEE
=-
MECHANICAL FEES
WATFR SOFTFNFR
VENT SYSTE - FAN •❑ EVAP. COOL HOOD _
/ ' SIGN WASHER (AUT*DISH) !J '
APPLIANCE
EL:k
TRANS- K.W.r GARBAGE DISPOSAL j
FORMER D E' / fi
FURNACE ❑ UNIT ❑ WALL'❑ FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK "f?
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE: WATER CLOSET .pf3
COMPRESSOR HP
>' .tid POLE Iq LAVATORY a'8
APPLIANCE VENT
3'!l AMPERES SERV. ENT. j SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS.•OR,COMM.
SQ. FT. @ Q WATER HEATER _ f3
HEATING SYSTEM -FORCED ❑ GRAVITY
'"1 1171771, SQ. FT. RESID. @ 1 Q f ere r SEWAGE DISPOSAL ✓o lae-
BOILER r B.T.U.
Z/47.04 SQ. FT. GARAGE_@1 2¢ HOUSE SEWER
PERMIT FEE
3 BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE : PERMIT FEE 7_
I PERMIT FEE ' :...-- PERMIT FEE Rs^
PER
0 2 9 9ITOTIL
FEES.r„"
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
DBL.
ELEC.-FEE
DBL.SPEC.
INSP: FEEPLUMBING
FEE
=-
JDBL.
17
. d
.
J -ILMF M - ..A.— . M
li—J v.J . A 5j JA O•
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LOT SIZE
USE #
JOB ADDRESS '+ OW NE
'.3 ev? i. fi Lia / }1
J7j1 it R'1r0 1
j AxGPq
F r
S
j-'
l
R j
/
$ 'fes
LONE
USE OF BUILDING .gyp.
DATE
ig
PLAN CHECK -FEE
( t.T ! l R .Q ji il "r'"`e
11-. 7 .
$
Y
'S
CHECKED BY
COMMUNITY/DISTRICT
F -C,
UNITS
VALUATION OFFICE
`6
MECHANICAL FEE
: j7
- DBL
S
GROUP
TYPE
LEGAL DESCRIPTION
1,4.
.."T UMBER
MBER -
2V0299
FEE.
V.,
DBL
-
PLAN CHECKER.
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
•,
-
BOND $ •-
BOND
CASH-.
PLAN FILE # .. FINAL
DATE
INSPECTOR
PLUMBING FEE.J.
TRAILER PERMIT
ISSUANCE FEE
$
NAME OFCONSTRUCTION
LENDER
/ r #
BRANCH OFFICE
IND NDER
INV NED
.4C"lt LX.ii tif iL' Sfi ls- 46.tgh/
ADDRESS
CITY
STATE
FEE
$
TOTAL FEES$
'
THIS PERMIT SHALL BECOME VOID IF WOPK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
., I HEREBY AGREE THATALLWORK IN CONNECTION WITH .THIS PERMIT WILL BE DONE IN ACCOR-
CASH ❑ CHECK M.O. N.C. ❑
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO
CAR RY.COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.'
T LL P
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPREP DTHE PLANS AND SPECIFICATIONS HAS D
SO INACCORDANCEWITHSECTION5541OFTH ESSA F SSION, QbE OF ATE
OF CALIFORN {r .
INFORMATION
OWNER J q f
7l 19p-
'
ADDRESS
ADDRESS
F-
'
TEL. NO.
- y
TEL. NO. ,rte. /♦ /q/j
V r ✓ .A v'..'ri
EV '/
LICENSE NO.
1 ov
M 284-208 (R I-70) 0