200246 (SFD)VENT SYSTEM -jg FAN ❑ EVAP. COOL.'HOOD
SIGN WASHER (AUTOY(DI$H)
APPLIANCE f' , a,.
(� FORMER O K.W. GARBAGE DISPOSAL c
EPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE ..
FIELD OFFICE
AIR HANDLING UNIT CFM
CONSTRUCTION ESTIMATE
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
ELECTRICAL FEES
PLUMBING FEES
•, 1 ST FL.
"-16-7
SQ. FT.
ABSORPTION SYSTEM B.T.U.
—o
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
NO.
NO.
I 2ND FL.
BOILER _j B.T.U.
SQ. FT.
@
BALANCE OF MIN. FEEf GAS PIPING
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE jr PERMIT FEE e` ,
PER
SQ. FT.
(al
FEE
33
EN. TRAILER FEE
MOTOR I OR LESS H.P.
PL. CK. FEE . CONST.
i POR.
ELEC.
SQ,FT.
@
°�"
c�
MOTOR 5 OR LESS H.P.
i }
GAR. _q�
CAR P.
.'2 37
SQ. FT.
@MOTOR
]�DBL.JSPEC.
20 OR LESS H.P.
DRAINAGE PIPING
!I WALL
l �� J— q 5 p
SQ.FT.
@a
5FT/'yLOT
SIZE
USE #
DRINKING FOUNTAIN
SQ. FT.
@
URINAL
'
OK w. UNITS
t WATER PIPING
ZONE
ESTIMATED VALUATION
$
6
Z
�'°"
FLOOR DRAIN
MF(-HANICAI FFFS
0�. '?
WATFR SOFTENER
VENT SYSTEM -jg FAN ❑ EVAP. COOL.'HOOD
SIGN WASHER (AUTOY(DI$H)
APPLIANCE f' , a,.
(� FORMER O K.W. GARBAGE DISPOSAL c
FURNACE ❑ UNIT ❑ WALL FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR d HPPOLE
4/ LAVATORY C�
APPLIANCE VENT
AMPERES SERV. ENT. ,� SHOWER � r
ABSORPTION SYSTEM B.T.U.
`
SQ. FT. @ ¢ ( BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ ¢ l WATER HEATER
E
HEATING SYSTEM 49 FORCED ❑ GRAVITY
, SQ. FT. RESID. @) f SEWAGE DISPOSAL
BOILER _j B.T.U.
SQ. FT. GARAGE @I/2¢ .5 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEEf GAS PIPING
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE jr PERMIT FEE e` ,
PER
('�
FEE
33
EN. TRAILER FEE
HEAT &. VENN. F E
PL. CK. FEE . CONST.
DBL.
ELEC.
INSP. FEE
PLUMBB/IING FEE
'
GJJ`
]TOTAL
.'2 37
f
]�DBL.JSPEC.
I d
JDBL.
J F M A M
l �� J— q 5 p
N D
5FT/'yLOT
SIZE
USE #
JOB ADDRESS OWNER
ZONE
USE OF BUI DING
DATE
PLAN CHECK FEE$452,
0�. '?
CHECKED BY
COMMUNITY - jDISTR,$
UNI
VA UATION
OFFICE
MECHANICAL FEE
DBLG
$
P
`
TYPE
LEGAL D RIPTION'
ER IT2MfR�j
CONSTRUCTION FEE
�i'J
V
DBL
PLAN
CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND $
BOND
CASH
PLAN FILE p FINAL
DATE
INSPECTOR
PLUMBING FEE
$
rr
NAME OF,CONSTRUCTION LENDER
BRANCH OFFICE
NO fENDER
TRAILER PERMIT
$
INVOLVED
ISSUANCE FEE
R SS
CITY
STATE
FEE
$
U
/
CY
ca
a
TOTAL FEES
THIS PERMIT SHALL OME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
$ 7d/
OF WORK FOR 120 DAY ALL 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. 1 ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK M.O. N.C.
RECEIVED BY SEWAGE SYSTEM
1
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
T Ll P
I HEREBY CERTIFY THAT THE INDIVIDUAL WHOPP.• E P.AN AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE Cf4 FESS, yw�`fjC&D OF THE STATE
"INFORMATION
OF CA IF RNI�.`,.tr
OWNER
CONTRACTOR '
ADDRESS
ADDRESS y
TEL.
NO.
TEL. NO. „
LICEVO. �j