193414 (SATT)VENT SYSTEM] FAN ❑ EVAP. COOL PHOOD 15 SIGN WASHER (AUT#(DISH) tAC3
V
APPLIANCE
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
AIR HANDLING UNIT
CONSTRUCTION ESTIMATE ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
'��
7 -
_ G �
SQ. FT.
@ J'�€ NO.
NO.
SQ. FT. @
INCINERATOR ❑ DOMESTIC Cl INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
x MOTOR I OR LESS H.P.
SQ. FT. @ .� .-,'.�..a-
SQ. FT. RESID. @ 14 4 SEWAGE DISPOSAL
�} f
SQ.FT. @ �, f� MOTOR 5 OR LESS H.P.
.�*` �
,
@ MOTOR 20 OR LESS H.P.
SQ. FT.
SQ.FT. @
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @
URINAL S
OK W. UNITS
WATER PIPING 54c) ,
ESTIMATED VALUATION$
fr" % `� `a'p
FLOOR DRAIN
REN. TRAILER FEE HEAT 11 VENT. FEE
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM] FAN ❑ EVAP. COOL PHOOD 15 SIGN WASHER (AUT#(DISH) tAC3
V
APPLIANCE
FORMER O K.W. f GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL Cl FLOOR Cl SUSPENDED OUTLETS LAUNDRY TRAY j
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR h HP
POLE LAVATORY GT
APPLIANCE VENT
AMPERES SERV. ENT. i SHOWER
ABSORPTION SYSTEM O B.T.U. SQ. FT. @ Q BATH TUB f 61
INCINERATOR ❑ DOMESTIC Cl INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
HEATING SYSTEM leP FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14 4 SEWAGE DISPOSAL
; ,•
BOILER B.T.U.
SQ. FT. GARAGE @Ih¢ ry HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE J s PERMIT FEE %
PER
FEES
REN. TRAILER FEE HEAT 11 VENT. FEE
PL. CK. FEE CONST.
FEE
ELEC. FEE DBL.
SPEC. INSP. FEE
PLUMBING FEE
DBL.
9 3 4 14
]TOTAL
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USE OF BUILDING
PLAN CHECK FEE
$•-^"`�
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CHECKED BY
COMMUNITY DISTRICT
F.C.- S
UNITS
A UATION
OFFICE
MECHANICAL FEE
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C3
DBLGROUP
TYPE
LEGAL DESCRIPTION
ER IT M
ER
CONSTRUCTION FEE
C2 7- . ”" " f g,
a
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
v�
DBL
BOND $
BOND
CASH
FILE# FINAL
DATE
INSPECTOR
$ �/ .
D c'�
]PLAN
r,P
1
PLUMBING FEE
/
NAME OF. CONSTRUCTION LENDER
BRANCH OFFICE
LENDER i
TRAILER PERMIT
$
IND
INVOLVED
ISSUANCE FEE
I IThited CAlifornia Rank
gainSTATE
ADDRESS
CITY
FEE
$
JI
i
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 PERMIT WILL BE DONE IN ACCOR-
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 OF THE STATE
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHEINDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE1
LL
�{ f
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE -
OF CALIFORNIA, ,
INFORMATION
1 € "�
/
OWNER '
CONTR�A.CTO fI}/ J,: �
1'�w-Fr��/y�S � . �� Ii �+�rf.-.'•yam -.
ADDRESS
ADDRESS
DOI 1-64
1
^ d
•
TEL. NO.
TEL NO.
M -6002
UGENSE' O.
m
FORM 284-208 (RE . 1.701 ®S�