201896 (SFD)I
VENT SYSTEM O FAN ❑ EVAP. COO HOOD rte/ o ` SIGN % WASHER (AU (DISH)
-
�F£�
APPLIANCE y«j a. k
a FORNMER D K.W. GARBAGE DISPOSAL
DEPARTMENT OF BUILDING 8 SAFETY
COUNTY OF RIVERSIDE •
l
FIELD OFFICE
CFM FIXTURE OR SOCKET KITCHEN SINK �O
CONSTRUCTION ESTIM T
Gti ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
`~'r
SQ. FT.:
SO. FT.
F
Cal
p
�` NO.
NO.
^
SQ. FT. MOTOR I OR LESS H.P.
BOILER B.T.U.
MOTOR 5 OR LESS H.P.
SQ.FT. @ y
PERMIT FEE
SQ. FT. @ MOTOR 20 OR LESS H.P.
SQ.FT. @
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. Cai
URINAL
_ OK W. UNITS
WATER PIPING •>✓'
ESTIMATED VALUATION
j,3
77
FLOOR DRAIN
MECHANICAL FEES
JBL.
WATER SOFTENER
I
VENT SYSTEM O FAN ❑ EVAP. COO HOOD rte/ o ` SIGN % WASHER (AU (DISH)
-
�F£�
APPLIANCE y«j a. k
a FORNMER D K.W. GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL O F OOR ❑ SUSPENDED OUTLETS_ LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK �O
GAS PIPE ❑ NATURAL Cl L.P:G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR HP
POLE LAVATORY 11
APPLIANCE VENT
AMPERES SERV. ENT. ' ti SHOWER
ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ ¢ - [ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q + -WATER HEATER '
HEATING SYSTEM FORCED ❑ GRAVITY
SQ. FT. RESID. @ ( SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE HOUSE SEWER
PERMIT FEE
'fs fs BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE .FEE . PERMIT FEE
PERMIT FEE l PERMIT FEE
PER
01
TOTAL�}F E
REN. TRAILER FEE HEAR!T 8 VEN *�gEE
PL. CCK. {ONST. FEE.
.«
oeL. ELEC. 6iE� DBL.
SPEC. INSP. FEE PLUMBIpI_GgE E
JBL.
F�
G�L
/
^�
f
MA
J F M A
M J J A S O
M J .J A S _ O
N O
N D
v�.
�/y
LOT SIZE
USE # JOB ADDRESS�t l ) OWNER
`�" * ,e
se y�
p�
_ d2,5 7
ZONE USE OF BUILDING
PLAN CHECK FEE[,DATE
g
�3
" �—
CHECKED BY COMMUNITY
r
I MCT
sc3fC
.SIN S
e. s?
YTION
A U OFFICE
b �t
MECHANICAL FEE
$�
_ �'
tom/
DBL
OUP
TYPE LEGAL DESCRIPTION
RI(��1CONSTRUCTION
FEE
% L9
`:6*
19�11ERJITSM
y U
DBL
PLAN,CHECKER,
SUPP. TO PEF.MIT
ELECTRICAL FEE
$ ✓c'
^�^
1 ER �^r 1
DBL
-
$
BOND $
BOND
CASH
PLAN FILE #
FINAL DATE
INSPECTOR
PLUMBING FEE
TRAILER PERMIT
ISSUANCE
$
NAME OF, CONSTRUCTION LENDER
,.�� f
BRANCH OFFICE
NLEI DER
vo0.Eo
-FEE -
-
ADDRESS
CITY
STATE
FEE
$
tI
TOTAL FEES
S'
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION '
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT. TO 13ECOME VOID.
1 HEREBY.AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE 1N ACCCR-
CASH Q CHECK M.O. E N.C.' Q
t
DANCE WITH THE (AWS OF RIVERSIDE COUNTY AND T.H,E STATE -OF CALIFORNIA. I ALSO AGREE 70
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE ST<TE '
ECEIveo Br SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
,4, LL ";Piyr��
I HEREBY CERTIFY THAT THE INDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HAS DONE
Q INC� RDANLE .,i.HSECTION,5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STA TE
-INFORMATION
14 '
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VER
CONTRACTOR _
ADDR E�9 -
ADDRESS
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TEL NO.
Ir
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LICENSE NO
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