204515 (SFD)APPLIANCE
TRANS-
FORMER O K.W. GARBAGE DISPOSAL J �'
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
•
COUNTY OF RIVERSIDE •
COMPRESSOR HP
POLE LAVATORY
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
INCINERATOR O DOMESTIC O INDUS. OR COMM.
SQ. FT. @ d WATER HEATER
SQ. FT, • @
f/2 -
e14 '`' i2 ,NO.
NO.
1 ST FL-.
SQ. FT. @
PERMIT FEE PERMIT FEE t%
PER
4 515
2ND FL.
REN. TRAILER FEE HEA VENT. FEE
SO. FT. (a
DBL.
MOTOR I OR LESS H.P.
INSP. FEE
POR.
DBL.
SQ.FT. @
_, MOTOR 5 OR LESS H.P.
GAR.
CAR P.
Q. FT. @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING '
.WALL
M _ J - J_ - A S_
.-
SQ.FT. @
_ M A
J. A- S
M J
DRINKING FOUNTAIN
SO. FT.. @
SET SAC
-
URINAL
USE #
JOB ADDRESS
OWNER
,^a OK W. UNITS
WATER PIPING
ESTIMATED VALUATION Is
5 .j'
< "°,r
FLOOR DRAIN
MECHANICAL FEES
�/ �• /
/T ✓61 C. J�a6F
�^'ri /�
C' ! G .
WATER SOFTENER
VENT SYSTEM O FAN O EVAP. COOL MHOOD
SIGN I I
I WASHER (AUTOWDISH) q
APPLIANCE
TRANS-
FORMER O K.W. GARBAGE DISPOSAL J �'
FURNACE O UNIT O WALL O' FLOOR 6 SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE O NATURAL O L.P.G. O OIL
CONST. SERV. ENTRANCE. ° WATER CLOSET
COMPRESSOR HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ Q BATH TUB 1G'
INCINERATOR O DOMESTIC O INDUS. OR COMM.
SQ. FT. @ d WATER HEATER
HEATING SYSTEM FORCED O GRAVITY
,( „� SO. FT. RESID. @ 1 Q SEWAGE DISPOSAL P
BOILER 0 B.T.U.
SO. FT. GARAGE @124 " HOUSE SEWER
PERMIT FEE
` BALANCE OF MIN. FEE GAS PIPING D
TRAILER ISSUANCE FEE - PERMIT FEE . I
PERMIT FEE PERMIT FEE t%
PER
4 515
TOTAL FEES
REN. TRAILER FEE HEA VENT. FEE
P`� K. �� C�T. F�
DBL.
ELEC.�EE oeL. SPEC.
INSP. FEE
P�L�UM B��EE
DBL.
er
- Fes--- M .. A_ +
M _ J - J_ - A S_
.-
0 N D
r
_ M A
J. A- S
M J
N- 0 _
0
SET SAC
-
LOT SIZE
USE #
JOB ADDRESS
OWNER
♦)
F Ea
5 .j'
R �✓'VZ,-7./-y
�/ �• /
/T ✓61 C. J�a6F
�^'ri /�
C' ! G .
ZONE
USE OF BUILDING -
DATE
PLAN CHECK FEE
$ .
.la,
6 �.
•
CHECKED BY
COMMUNITY DISTRICT
F. C.UNITS
VALUATION
OFFCE
MECHANICAL FEE
$ J
% ~S
�f i
��/
�6- L
f
DBL
GR
P
TYPE
LEGAL DESCRIPTION
PERMIT NUMBER
204515.
CONSTRUCTION FEE
, l!
4 o r .—
DBL
$
PLAN CHECKER'
SUPP. TO PERMIT
ELECTRICAL FEE
DBL'
-
BOND $
BOND
CASH
PLAN FILE .#
FINAL DATE
INSPECTOR -
PLUMBING FEE
_
S �c
TRAILER PERMIT
NAME
OF, CONSTRUCTION LENDER'
BRANCH OFFICE
LENCER
INvow�o
ISSUANCE FEE
$
Je~
li YAC Ol �'.^—
IND
-
ADDRESS -
CITY
STATE
FEE
Is
fa 1 1.1 0
TOTAL FEES 1$.
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 ACCCR-
CASH Q CHECK M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OFTHESTATE
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I SPECIFICATIONS HAS DONE
LL
HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND
SO �IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
- I N'F R M ATION
OF CALIFORNIA.
•
OWNER ��y�'-'� �'� -+' /' -
CONTRACTOR
ADDRES w
ADDRESS
TEL. NO.
•
_..
LICENSE -NO. -
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