193413 (SATT)DEPARTMENT OF BUILDING & SAFETY
•
COUNTY OF RIVERSIDE •
ELECTRICAL FEES
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
UN
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
T—) ,
VENT SYSTEM I FAN ❑ EVAP. COOL ❑'HOOD . �' SIGN WASHER (ALIT : (DISH) go
CONSTRUCTION ESTIMA
1 ST FL.
2
SQ. FT.
@#,`
2ND FL.
CONST. SERV. ENTRANCE WATER CLOSET
SQ. FT.
@_
POR.
-'LL ^T
SO. FT.
@
GAR.
5C3 C1
SQ.FT.
@
CAR P.
i�''x:� BALANCE OF MIN. FEE GAS PIPING 6 i
SQ. FT.
@_
WALL
3
SQ.FT.
@_
TOTAL FEES
`
REN. TRAILER FEE HEAT & VENT. FEE
SQ. FT.
@_
ESTIMATED VALUATION
$
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
•
COUNTY OF RIVERSIDE •
ELECTRICAL FEES
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
UN
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
T—) ,
VENT SYSTEM I FAN ❑ EVAP. COOL ❑'HOOD . �' SIGN WASHER (ALIT : (DISH) go
APPLIANCE
FORMER K.W. j GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK ; -•4�
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR - :-�;r'/„ P}'',':��
POLE LAVATORY r Gj C3
APPLIANCE VENT -
~ AMPERES SERV. ENT. f SHOW%
i
ABSORPTION SYSTEM 0 B.T.U. SQ. FT. @ Q `t BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
HEATING SYSTEM'2g FORCED ❑ GRAVITY
143, SQ. FT. RESID. @I ¢ SEWAGE DISPOSAL 1r; Vic.
BOILER B.T.U.
�-a SQ. FT. GARAGE @ �yQ
I 'rc' HOUSE SEWER t
PERMIT FEE
i�''x:� BALANCE OF MIN. FEE GAS PIPING 6 i
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT FEE h 'rA PERMIT FEE , 7� =' C.,)'
PER T
i
3
413
TOTAL FEES
`
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE
CONST. FEE
DBL.
ELEC. FEE DBL.
SPEC. INSP. FEE
PLUMBING FEE
DBL. i
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USE OFF BUILDING
ATE
PLAN CHECK FEE
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CHECKED BY
COMMUNITY
UNITS
VALTXTION
OFFICE
MECHANICAL FEE
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DBL
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GROUP
TYPE
LEGAL DESCRIPTION
ERMIT NUMBER
193413
CONSTRUCTION FEE
, t„- �- �`` ,A
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
S %"
li;_ 0
DBL
_
BOND $
BOND
CASH
FILE #
FINAL DATE
INSPECTOR
<a
JPLAN
PLUMBING FEE
TRAILER PERMIT
NAME OF,CONSTRUCTION LENDER BRANCH OFFICE LENDER
voLveD
ISSUANCE FEE
$
'
j" 1
ADDRESS " - "'FE
FEE
s
TOTAL FEES-
J
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
WORK
OF 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- A
CASH IV CHECK M.O. N.C.
'-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T,KE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY SEWAGE SYSTEM
},
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
/+"✓�°�' T7 LL P��
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DOJJE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
QF IIF RNI t
(INFORMATION
Ow NER
CONTRACT 0
ADDRESS
ADDRESS
TEL. NO.
TEL. N .1
1
UCENS
A-1 22S36R a
ORM 284-208 1 E - O) S