200293 (PLBG)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K W GARBAGE DISPOSAL
D
EPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
FIELD OFFICE
CONSTRUCTION ESTIMATE
,' ELECTRICAL• FEES
CONST. SERV. ENTRANCE WATER CLOSET
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
APPLIANCE VENT
SQ. FT.
@
NO.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
NO.
SQ. FT. @
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
SQ. FT. @ MOTOR I OR LESS H.P.
BALANCE OF MIN. FEE GAS PIPING
SQ.FT. .@ - MOTOR 5 OR LESS H.P.
PERMIT•FEE ! PERMIT FEE �.�
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPIN
SQ.FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK w' UNITS
WATER PIPING
ESTIMATED VALUATION
$
PLU SING FEE DBL.
GJ
FLOOR DRAIN
MECHANICAL FEES
`S 'e ��, {'�,,g��.,
�'"
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K W GARBAGE DISPOSAL
D
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
' AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM O B.T.U. SQ. FT. @ Q BATH TUB
INCINERATOR D DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1.4 SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT•FEE ! PERMIT FEE �.�
PER IIR
O t1 f1 3
ITOTAL
REN. TRAILER FEE NEAT 8 VENT. FEE
PL. CK. FEE CONST.
FEE
oeL.
C�FEE
oBL.
SPEC. INSP. FEE
PLU SING FEE DBL.
GJ
GJ JU
_ - _ _ .-..�..� A .
J F` _. M �-.. A
' - . M , J �. - J - A a _ 5....� �. _ �. O
M J� .J A 5 O
_ . N,,.., D
•-.. 'NSET
D -
BA
LOT SIZE
�USE #
G'/} ., `j�
JOB ADDRESS j OWNER
/ t
F
S
R
f
tei l�F'
$
ZJNE��
✓�����lfiyiyff�JJ
USE OF BUILDING y, -
ry' , ' j �/.
tt�
J/
DATE
PLAN CHECK FEE
t
�IfW/ i.ldaf Jl_f=l `i %�%
Il --7/
$
-CHECKED BY
COMMUNITY' DISTRICT'
F.C.
U ITS
VALVA 1OFF
✓�{Ti(
ICE '
MECHANICAL FEE
/v�✓¢
fllRt7�14
j!'l't�i
=rte
,
DBL
$
GRODP
TYPE -
LEGAL DESCRIPTION
ERMIT NUMBER
2 0293
CONSTRUCTION FEE
L' p'
DBL
'
.�
PLAN CHECKER
-
SUPP. TO PERMIT -
ELECTRICAL FEE
DBIL
BOND $
BOND
CASH
PLAN FILE # FI
�L TU. ..- 11
C]J
INSPECTOR
PLUMBING FEE'
$
(� - I >• ' � �'
✓y ,
TRAILER PERMIT
NAME OF. CONSTRUCTION LENDER -
RRANCN OFFICE
LEND"
INVOLv D
ISSUANCE FEE
$
INO
ADDRESS
CITY
STATE '
FEE
$
TOTAJaFEES -
da
$ o""�'
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-
CA5 HECK M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E 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 ALSO GUARANTEED. 4� 2`
RECEIVED BY SEWAGE SYSTEM
. Nla
I HEREBY CERTIFY THAT THE INDIVIDUALWHOPREPARED TH�� A,S,D SID bfCA S HAS DONE
T LL P
SO,INACCORDANCE WITH SECTION 5541 OF THE BUSINESROF,ES OF THE STATE
OF CALIFORNIA,- -•r 11..'r ! 3
INFORMATION
!k
va"r Z �M
OWNER
T
-16-l!5.clr
codBfiatT
' 40. tT 0 /
ADORE
-
TEL. NO.
TEL. NO.
!�
LICENSE N0.
FORM 284.208 (REV. IJO) �5