193415 (SATT)VENT SYSTEM EkFAN ❑ EVAP. COOL J6 HOOD
�O SIGN WASHE /(AUT ISH) :? a
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
CONSTRUCTION ESTIMATE
ELECTRICAL FEES-
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.-
CAR P.
WALL
-
SQ. FT.
@+ -
i ! NO.
NO.
SQ. FT.
SQ. FT. @ ¢ BATH TUB E'Z
SQ. FT. @ MOTOR I OR LESS H.P.
SQ. FT. @ ¢ WATER HEATER f C)
a'-'5� r < MOTOR 5 OR LESS H.P.
SQ.FT. @ , .L
t
f_.., 11} try
@ MOTOR 20 OR LESS H.P.
SO. FT.
SQ.FT. @
DRAINAGE PIPING
{
DRINKING FOUNTAIN
SO. FT. @ IT I
URINAL
OK.W. UNITS
WATER PIPING
ESTIMATED VALUATION
$ 3
FLOOR DRAIN
FEE
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM EkFAN ❑ EVAP. COOL J6 HOOD
�O SIGN WASHE /(AUT ISH) :? a
APPLIANCE
FORMER O K W- GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FD(TURE OR SOCKET KITCHEN SINK Ci
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR HP
j` y POLE LAVATORY O
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ ¢ BATH TUB E'Z
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ ¢ WATER HEATER f C)
HEATING SYSTEM ' ❑ FORCED ❑ GRAVITY?
SQ. FT. RESID. @ 1 ¢ �• jZ SEWAGE DISPOSAL
BOILER B.T.U.
qZU SQ. FT. GARAGE @/2¢ �' ; HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT FEE" PERMIT FEE
PE3RT 4
TOTAL FEES EN. TRAILER FEE HEAT 8 VENT. FEE
r7��r frJ3
PL. CK. FEE CONST.
FEE
DBL. ELEC. FEE DBL.
SPEC�INSP. FEE
PLUMBING FEE
DBL.
11 IF M AM
J F M A M
J J A S O
J .J A S 0
N D
N D --
SET BA
LOT SIZE
USE #
�'JT
JOB ADDRESS ,} OWNER
,. C'L��' 'S -•� /*..Sa-.+ �} P! 1,
�.•
4 t� ."
F/
S�
J
Rf �i3'!
PLAN CHECK FEE .
�t
$ �> <..,
ZONE
I,� -
USE OF BUILDING IDATE
2 : u f ./ C / * f _._ t� I
-
1
MECHANICAL FEE
JJ
�Sr7
CHECKED BY
f
CO2M MUNITYs DISTRICT
! �F3�!?�t�/%*OW4
F.C.
��
UNITS
ALUATION
V�j�� •' f .Uf>
OF ICE
DBL
FEE
$
Crs
GROUP
I
TYPE
1✓
F34CONSTRUCTION
LEGAL DESCRIPTION
,t ra7
ERMIT NUM E
DBL
ELECTRICAL FEE
$
�•y
PLAN CHECKER
SUPP. TO PERMIT
PLUMBING FEE
DBL
BOND $
BOND
CASH
PLAN FILE
FINAL DATE
7/
INSPECTOR
TRAILER PERMIT
ISSUANCE FEE
$
NAME OF CONSTRUCTION LENDER
Uniftd California Unk
BRANCH OFFICE
Iain Dr. U
0 LENDER
INVOLVED
FEE
$
ADDRESS
-
I
CITY I STATE
TOTAL FEES
-7
/ / �lf ,
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-
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
OF CALIFORNIA COVERING CONTRACTORS IS AL50 GUARANTEED,
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,
CASH ❑ CHECK
M.O. N.C. ❑
RECEIVED BY
�j
y ,$k
SEWAGE SYSTEM
l%
LL a`
P'�'j°%
INFORMATION
�tf
OWNER
CONTR 6TOji 1
ADDRESS
ADDRESS
Palm sort
TEL. NO.
TEL. NO.
LIC EN,4 0.
D—L 225MA