195820 (BLCK)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER D
DEPARTMENT OF BUILDING & SAFETY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL Cl L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
FIND OFFICE
.
ABSORPTION SYSTEM O B.T.U. SQ. FT. @ Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. Ca Q WATER HEATER
•
COUNTY OF RIVERSIDE •
BOILER B.T.U.
SQ. FT. GARAGE @1/24 HOUSE SEWER
CONSTRUCTION ESTIMATE——ELECTRICAL
BALANCE OF MIN. FEE GAS PIPING !!
FEES
PLUMBING FEES
1 ST Fl.
SO. FT.
@
REN. TRAILER FEE HEAT $ VENT. FEE
NO.
NO.
SQ. FT.
@
INSP. FEE
PLUMB/IIN�G FEE
2ND FL.
8 2
SQ. FT.
@
MOTOR I OR LESS H.P.
POR.
SQ.FT.
@
MOTOR 5 OR LESS H.P.
M A
J F M A
GAR.
O N D
—�
N 0
SQ. FT.
@
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.,
WALL
SQ.FT.
@ �..
F
�%
DRINKING FOUNTAIN
SQ. FT.
@
-
URINAL
ZONE
USE OF BUILDING
,/ K �G,ai3 IMCr
DATE
DK W. UNITS
WATER PIPING
ESTIMATED VALUATION
is
�j-
,,_
FLOOR DRAIN
MECHANICAL FEES
_5 ids
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER D
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL Cl 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 ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. Ca Q WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SO. FT. RESID. @) ¢ SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @1/24 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING !!
TRAILER ISSUANCE FEE-- PERMIT FEE
PERMIT FEE 11 PERMIT FEEOJ
PER�J
TOTAL FEE
REN. TRAILER FEE HEAT $ VENT. FEE
PL. CK. FEE CONST.
FEE
DBL.
ELEC, FEE
INSP. FEE
PLUMB/IIN�G FEE
8 2
�LT50
IllL.ISPEC.
IDOL.
M A
J F M A
M J J A S
4 M J .J A S O
O N D
—�
N 0
SET
LOT SIZE 1
USE #
JOB ADDRE f OWNER
O _
�+x
%L%42
.RA
F
S R
y
s
ZONE
USE OF BUILDING
,/ K �G,ai3 IMCr
DATE
$
1# .P�t
�j-
PLAN CHECK FEE
+�
_5 ids
CHECKED BY
COMMUNITY
F�:C. NITS
VALUATION OFFICE
MECHANICAL FEE
f
,5
IDISTRICTr
/3
;
DBL
ell
G UP
I TYPE
LEGAL DES RIPTI N
E T UM ER
CONSTRUCTION FEE6A
42
.!, L.4 S, citT c4plaO
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
$
d, —
DBL
BO D $
BOND
CASH
PLAN FIL #
FINAL DATE
IN
$
v
`.ci.�.�
PLUMBING FEE
NAME OF CONSTRUCTION LENDER
BRANCH OFFICE
LENDER ,I
TRAILER PERMIT
$
IND
INVOLVED J
ISSUANCE FEE
a
ADDRESS
CITY
STATE
FEE
$
1
7
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.
I 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
CASH El CHECK M.O. Q N.C.
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I
I HERE BY CERTIFY THAT THE I ND IVI D UA LW HO PRE PA R ED THE PLANS AND SPECIFICATIONS HAS DONE
T LL P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA
INFORMATION
OWNER
.� -��. �� l -� ` '
CONTRACTOR
ADDRESS •• i.
ADDRESS
1,4 !
TEL. NO.
J
TEL. NO.
�'"
LICENSE NO.