193421 (SATT)VENT SYSTEM ,;G FAN ❑ EVAP. COOQD HOOD l"9 SIGN WASHER (AUT(-, DISH)
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
._Q. 2k 4 l...
%3 k3
..>
SQ. FT.
@try: +
/ f r/�% NO.
NO.
SQ. FT. @
SQ. FT. RESID. @ 1 (t,2 3 SEWAGE DISPOSAL e
SQ. FT. @ "� E MOTOR I OR LESS H.P.
SO. FT. GARAGE @I�24 c+ � HOUSE SEWER 1
SQ.FT. @ «� J� +! w- MOTOR 5 OR LESS H.P.
jit`L I Y y •• f"�,• i
SQ. FT. @ MOTOR 20 OR LESS H.P,
SQ.FT. @
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK W. UNITS
WATER PIPING ')
ESTIMATED VALUATION
$
.a f�i'C�f ''
FLOOR DRAIN
SPEC IN~S P. FEE
MECHANICAL FEES
DBL.
WATER SOFTENER
VENT SYSTEM ,;G FAN ❑ EVAP. COOQD HOOD l"9 SIGN WASHER (AUT(-, DISH)
APPLIANCE
TRANS-
FORMER D K.W. GARBAGE DISPOSAL f j'
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK 7!.7
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST, SERV. ENTRANCEWATER CLOSET j}tt
COMPRESSOR ! HP:
�; POLE LAVATORY J6 :c -i
APPLIANCE VENT r
j�,5 AMPERES SERV. ENT. j SHOWER �v
ABSORPTION SYSTEM B.T.U. SQ. FT. @ ¢ BATH TUB si r•
INCINERATOR ❑ DOMESTIC Cl INDUS. OR COMM. SQ. FT. @ Q +% WATER HEATER S'G
HEATING SYSTEM 111 FORCED ❑GRAVITY
SQ. FT. RESID. @ 1 (t,2 3 SEWAGE DISPOSAL e
BOILER I B.T.U.
SO. FT. GARAGE @I�24 c+ � HOUSE SEWER 1
PERMIT FEEBALANCE
OF MIN. FEE L GAS PIPING
TRAILER ISSUANCE FEE - PERMIT FEE
" J PERMIT FEE ' PERMIT FEE
PER
TOTAL � REN. TRAILER FEE HE EE
P
NS FE
oeL. E FE
oBL.
SPEC IN~S P. FEE
PL�j BSI N/6
DBL.
I4
J
JJJJ���
�
'E
1
M A
M A
M J J A 5 O
J J .._ A O.
N D
N U
SET QAFK
LOT SIZE
USE #
JOB ADDRESS OWNER
l
1
F if
S 0 R
f !✓`)
i „•s
02
'DATE
ZONE
USE OF BUILDING
PLAN CHECK FEE
$ ''�
f T —1
1 � i �r",a f� I l _ f l i� .�E fir/ �i �
f ;/ n.-141-21 i
CHECKED BY
CCIA MUNITY DISTRICT
F.C. UNITS
j
MECHANICAL FEE
$ f�.
�J %
.Z*{iIA�
r�
[VALUATION
y A(yf+�CFFICE
DBL
$
GROUP
TYPE
LEGAL DESCR PTION
EIT NUMBER
I
CONSTRUCTION FEE
l
/ l
�y , d3 G
191491
;
DBL
$.�
la6ELECTRICAL
PLAN CHECKER
SUPP. TO PERMIT
FEE
DBL
BOND $ -
BOND
CASH
PLAN FILE t♦
FINAL DATE
INSPECTOR -y
PLUMBING FEE!'-�^2-
TRAILER PERMIT
$
NAME OF,CONSTRUCTION LENDER OFFICE NO LEN ER
INVOLV1 D
ISSUANCE FEE
JBRANCH
1 s
ADO i°' a - - CITY TE
FEE
$
7
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. 1 ALSO AGREE TO
CARRY.COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY SEWAGE SYSTEM
t
OF CALIFORNIA COVERING CONTRACTORS 1S ALSO GUARANTEED.
1
f-- %wa. �• T„d SCS LL
HEREBY CERTIFY THAT THE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE,�TATE
i x .t i INFORMATION
0
J� f C)
OF CALIFORNIA.
OWNER
CONTRA ,C�R
ADDRESS
ADDRESS 1
TEL. NO.
TEL. NO.
LICENSE NO.
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