193385 (RPL)VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD
,PJ
SIGN WASHER (AUTO) (DISH)
APPLIANCE
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
iZ OUTLETS _ . LAUNDRY TRAY
CONSTRUCTION ESTIMATE'_ ELECTRICAL FEES ` `
PLUMBING FEES It
1 ST FL.
2ND FL.
POR.
GAR.
CAR P. , j
WALLV
�j
CONST. SERV. ENTRANCE WATER CLOSET i
SQ. FT.
@
NO.
NO.
SQ. FT. @
SQ. FT. @ 4 BATH TUB
SQ. FT. @ oeMOTOR 1 OR LESS H.P. ...
SQ. FT. @ Q WATER HEATER
@ MOTOR 5 OR LESS H.P.
SQ.FT.
SQ. FT. RESID. @) ¢ 56Y✓A46EBIbP9SA 1 a_,�o ?j
SQ. FT. @ MOTOR 20 OR LESS H.P.
SQ.FT. @/t%.0 PJ�ts ..-
DRAINAGE PIPING iJ
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W. UNITS
WATER PIPING
ESTIMATED VALUATION
$
p `---
FLOOR DRAIN
PL. CK. FEE CONST.
MECHANICAL FEES
DBL. ELEC. FEE
WATER SOFTENER
VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD
,PJ
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER D
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
iZ OUTLETS _ . LAUNDRY TRAY
AIR HANDLING UNIT CFMFIXTURE
OR SOCKET per_ KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET i
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ 4 BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @) ¢ 56Y✓A46EBIbP9SA 1 a_,�o ?j
BOILER I B.T.U.
SQ. FT. GARAGE @1�2¢ HOUSE SEWER j
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
F TFPERMIT FEE PERMIT FEE
PERT
PER
3385
TOTAL FEES
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
DBL. ELEC. FEE
DBL.
SPEC. INSP. FEE
PLUMBI G FEE DBL. )a
r
�-���
��
M A IM
_ J F M A . ` - M.
J J A S
J J A _ S
O
SET BA
LOT SIZE
USE #
JOB ADDRESSOWNER
-
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
$13
a f,7tj
r
*�
CHECKED BY
COMMUNITY - DISTRICTF.C.
UNITS
VALUATION OFFICE
1
MECHANICAL FEE
f
J,%
, 0(j1
1A
,,0
DBL
GRO
TYPE
LEGAL DE RIPTION
Efl IT NUM E�j
CONSTRUCTION FEE
$
j
3 V
DBL
PLAN CHECKER
7-4
SUPP. TO PERMIT
ELECTRICAL FEE
$
I67 t
3.
DBL
BOND f
BOND
CASH
PLAN FILE# FINAL DATE
INSPECTOR
f
I
j
�CNVV
PLUMBING FEE
G I'
TRAILER PERMIT
NAME OF.CONSTRUCTION
LENDER
BRANCH OFFICE
NO LENDER
111voLveo x
ISSUANCE FEE
$
-
ADDRESS
CITY
STATE
FEE
f
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
TOTAL FEES
$
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
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
Y'
CASH Q CHECK M.O. N.C.
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
T LL p
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPRE Pq$EQTHEE6 A3yID $PECCIFIICAjI0_jjS HAS DONE
Cn W ArrnDnA A#rF WITH cFrTInM SSA 1 nF- THF Q ISI C A#.I DMC)FF oA Cr45,f .OF THE STATE
I N t UN MAI IUN
FORM 284-208 (REV. 1-70) @$if
r - - -