193422 (SATT)DEPARTMENT OF BUILDING & SAFETY
•
COUNTY OF RIVERSIDE •
ELECTRICAL FEES
NO.
MOTOR I OR LESS H.P.
s+ MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
UN
FIEND OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM p FAN ❑ EVAP. COOL 9HOOD SIGN -. WASHEg✓(AUTO)IDISH) 0.:=
CONSTRUCTION ESTIMA
_
I ST FL.
'�'
SQ. FT.
CFM FIXTURE OR SOCKET f KITCHEN SINK
2ND FL.
CONST. SERV. ENTRANCE 7 WATER CLOSET
SQ. FT.
POLE + LAVATORY
POR.
AMPERES SERV. ENT. 7 t . SHOWER .:
SQ. FT.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ d ♦ WATER HEATER s c>
GAR.
A � G
SQ.FT.
@-41
CARP.
BALANCE OF MIN. FEE GAS PIPING '"Ar>
SQ. FT.
; PERMIT FEE PERMIT FEE
WALL
f1 TOTAL FEES REN. TRAILER FEE HEAT & FEE
SQ.FT.
CONST. FEEq
oBL.
ELEC. FEET+/
SQ. FT.
�a _
ESTIMATED VALUATION
$
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
•
COUNTY OF RIVERSIDE •
ELECTRICAL FEES
NO.
MOTOR I OR LESS H.P.
s+ MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
UN
FIEND OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM p FAN ❑ EVAP. COOL 9HOOD SIGN -. WASHEg✓(AUTO)IDISH) 0.:=
APPLIANCE
TRANS-
FORMER O K.W. GARBAGE DISPOSAL `j r..'•
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I
CFM FIXTURE OR SOCKET f KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE 7 WATER CLOSET
COMPRESSOR � HPC
POLE + LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. 7 t . SHOWER .:
ABSORPTION SYSTEM O B.T.U. SQ. FT. @ Q r BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ d ♦ WATER HEATER s c>
HEATING SYSTEM ;a,.FORCED ❑ GRAVITY
; .. 3bS SQ. FT. RESID. @1 SEWAGE DISPOSAL *
BOILER I B.T.U.
ESQ. FT. GARAGE @1�yd 3 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING '"Ar>
TRAILER ISSUANCE FEE - PERMIT FEE
; PERMIT FEE PERMIT FEE
PER T
f1 TOTAL FEES REN. TRAILER FEE HEAT & FEE
PLL.. CCK. FEE �
CONST. FEEq
oBL.
ELEC. FEET+/
oel.
SPEC. INSP. FEE
PLUM BIN}G' FEE
DBL.
6/�J
�y�
IVaEENNNTT.
j, {
J F M A
M i• J' .J A S O
N- D
LOT SIZE
US #
J {moi tF �N^
JOB ADDRESS p OWNER
.."�'i —0 f
�..-
F !`.%
//'�
S (✓�
♦
Rif :
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
$ +
t
- .k r rte
� f 11-/ 1
CHECKED BY
O
COMMUNITY DISTRICT
F.
UNITS{
OFFICE
MECHANICAL FEE
$
'%'
;j:
[VALUATION
/f
DBL
f /
GROUP
�
TYPE
LEGAL DESCRIPTION
E `MIT ER
1 3 2
CONSTRUCTION FEE
/
v
/ t>.'' ,
-
DBL
PLAN CHECKER -
SUPP. TO PERMIT
ELECTRICAL FEE
$ 2
e-4
DBL
BOND $
BOND
CASH
PLAN FILE# FINAL
DATE
INS PECT'R
PLUMBING FEE�-
TRAILER PERMIT
NAME OF CONSTRUCTION LENDER
BRANCH OFFICE
LEDER
INVOL ED
ISSUANCE FEE
$
IND
ftl ted 3
T
ADDRESS CITY -
FEE
t
rATE
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
'
1,
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.
E
DANCE WITH THE LAWS OF RIVERSIDE COURTY AND T.H,E 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.
LL,
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE'STATE
OF CALIFORNIA
'I N F R M AT I ON
OWNER
CO
ADDRESS
ADDRESS IJ
r[
Palm sert
TEL. NO.
TEL. NO.
LICENSE NO.
B-1 225368