204349 (RPL)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
s�2- OUTLETS c,t�J' LAUNDRY TRAY
• COUNTY OF RIVERSIDE
FIXTURE OR SOCKET-4—KITCHEN SINK 940
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1 ST Fl.
SQ. FT. @ d J WATER HEATER
SQ. FT. �Tp
NO.
NO.
SQ. FT. @D
4rlo
BALANCE OF MIN. FEE !' GAS PIPING
2ND FL.
PERMIT FEE 00 PERMIT FEE
SQ. FT. @p
MOTOR I OR LESS H.P.
TAL FE
POR.
C�.
SQ.FT.
MOTOR 5 OR LESS H.P.
INSP. FEE
GAR.
DBL.
SQ. FT.
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.
SQ.FT. Cip
DRINKING FOUNTAIN
SO. FT. @_URINAL
M A- M
J F M A M
�W�LL
ON
OK W. UNITS
WATER PIPING
LOT SIZE
ESTIMATED VALUATION $
FLOOR DRAIN
OW ER L/
Gl�'Jr R! ' •Y vfi
MECHANICAL FEES
�j
St7 iFi
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K.W. GARBAGE DISPOSAL
O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
s�2- OUTLETS c,t�J' LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET-4—KITCHEN SINK 940
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. @ 4 BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d J WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @O I Q SEWAGE DISPOSAL
BOILER U B.T.U.
SQ. FT. GARAGE @ 1124 H&6M'1LCNER jq
PERMIT FEE
BALANCE OF MIN. FEE !' GAS PIPING
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE 00 PERMIT FEE
PER t/>Z
�GJ
4 3 4 9
TAL FE
REN. TRAILER FEE HEAT & VENT. FEE
C�.
�U
oBL. ELFEE oeL. SPEC.
INSP. FEE
PLUMBIN�EEE
DBL.
M A- M
J F M A M
J J _ _A S+��)•O
J .J _ A 5
ON
LOT SIZE
USE #
JOB ADDRESS �t JAI
"" A - /1 �• .l fa
OW ER L/
Gl�'Jr R! ' •Y vfi
�j
St7 iFi
p�
R1,4 L/
ZONE
USEUSE OF BUILDING f'
DATE
PLAN CHECK FEE
$ l �
/ -?-
%
_ j i ty3
j '.;I 7_7
$
CHECKED BY
COMMUNITY DISTRICT
F, C, UWTS
I
VALUATION
OFFICE
MECHANICAL FEE
'
t ��•
!,�,y'� �
DBL
:-
GROUPYPE
LEGAL DESCRIPTION `
qRMIT NUMBER
2434
CONSTRUCTION FEE
- �% -^�� j/, „,�
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
$
-r
®u
DBL
BOND $
BOND
CASH
PLAN FILE#
FINAL DATE
INSPECTOR
PLUMBING FEE
$
J
o
I
- • 7>
TRAILER PERMIT
NAME OF, CONSTRUCTION
LENDER
BRANCH OFFICE-.
N LENDER
vOLV ED
ISSUANCE FEE
$
t
ADDRESS
CITY
STATE -
FEE
g
..
!
TOTAL FEES
$
THSNCED WITHIN 60 DAYS. CESSATION
NO
TBE
OF OIRKpFORI120HDAYS SHAALL ALSO CAU EOPERM T OMEE VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK
M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY
SEWAGE SYSTEM
fj
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED
11f1 T
ILL
I P
1HEREBY CERTIFY THATTHEINDIVIDUALWHOPf DTH 5 WNNS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE E S N R OF THE STATE
INFORMATION'
OF CALIFORNIA,
OWNER _y.....
Cp Rp
ADDREA�y '
A%� ) J
TEL. NO.
TEL [{y
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LICENSE NO.
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