195880 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
ELECTRICAL FEES
f 'i ti.?'! 4-- 1 NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
CONSTRUCTION EST
' jj+ SIGN WASHER (AUTO •(DISH) .
APPLIANCE
TRANS- FORmER K.W. ` GARBAGE DISPOSAL ,
1 ST FL.
FURNACE ❑ UNIT O WALL O FLOOR ❑ SUSPENDED'
SQ. FT.
@
2ND. FL.
FIXTURE OR SOCKET KITCHEN SINK
SQ. FT.
@
POR.
t
SO. FT.
@
GAR.-
APPLIANCE VENT
SQ.FT.
@
'ABSORPTION SYSTEM 0 B.T.U.
_
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
CAR P.tt
SQ. FT:.
@
WALOA_
BOILER 0 B.T.U.
SQ.FT.
@
PERMIT FEE�®
BALANCE OF MIN. FEE GAS PIPING
SQ. Fd.
@
PERMIT FEE 0 ¢ ! PERMIT FEE la0
PERM- I
TgOT•� LL FEE REN. REN..:. TRAILER FEE
HEAT & V�T¢FEE
'ESTIMATED VALUATION
L,
♦IC!'LJAAIIr Al
CC
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
ELECTRICAL FEES
f 'i ti.?'! 4-- 1 NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOLHOOD
' jj+ SIGN WASHER (AUTO •(DISH) .
APPLIANCE
TRANS- FORmER K.W. ` GARBAGE DISPOSAL ,
FURNACE ❑ UNIT O WALL O FLOOR ❑ SUSPENDED'
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCEWATER CLOSET
COMPRESSOR HP-
POLE ' LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
'ABSORPTION SYSTEM 0 B.T.U.
SQ. FT. @ ¢_ sG. BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ 4 WATER HEATER iiG7
HEATING SYSTEM FORCED ❑ GRAVITY
41 49 SQ. FT. RESID. @ 1 ¢ .,> -701 SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @1124 HOUSE SEWER
PERMIT FEE�®
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE`- PERMIT FEE
PERMIT FEE 0 ¢ ! PERMIT FEE la0
PERM- I
TgOT•� LL FEE REN. REN..:. TRAILER FEE
HEAT & V�T¢FEE
PL. CK. �E� CONST.
fE
DBL.
ELEiC'. F „�
DBL.
SPEC. INSP. FEE
PLUM BI�E
DBL. {
F/
C�'
- M A M
IF M
J J A
A
D
N
5ET BACK
LOT SIZE
USE //
JOB ADDRESS - OWNER
C
ZONE
USE OF BUILDING �'
USE
DAE -
PLAN CHECK FEE
$ !
Q!3
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f f �J'
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•
CHECKED BY
COMMUNITY DISTRICT
F.C. •
UNITS
VALUATION OFFICE -
T>Pj •.
MECHANICAL FEE'
$
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t ,
- F DBLG
P.
TYPE
LEGAL DES RIP. .ION -
E T UM ER
CONSTRUCTION FEE
$
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s�
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;
• DBL
PLAN
CHECKER
-
SUPP. TO PERMIT
ELECTRICAL FEE
$
s
DBL
BOND $ ' '
BOND
CASH,
PLAN FILE# FINAL
DATE
INSPECTOR'.
$
?
PLUMBING FEE
,
011
"
NAME OF CONSTRUCTION LENDER
BRANCH OFFICE
IIENDER' "+
TRAILER PERMIT
$
IND
IN LVED
ISSUANCE FEE
ADDRESSCITY
STATE
FEE,
$
TOTAL FEES
$� �-�
THIS PERMIT SHALL BECOME VOID IF WORK IS, NOT COMMENCED WITHIN 60 DAYS. CESSATION
OF WORK FOR
sy— ,a..
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] E)
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
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
�JGO ILL ^j}'j
IHEREBYCERTIFYTHATTHEINDIVIDUALWHOP THE PL B.SPECIFICALIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OFT t BU SS A'�}�j�'{ PIR ION C j�OF THE STAT
OF IFORN -
INFORMATION
• _
OWNER ..
RACTOR �t -- Y
fl C-7
'
ADDRESS
_
ADDRESS
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TEL.
NO. -
TEL. NO.
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