197086 (SFD)EPARTMENT OF BUILDING B SAFETY
COUNTY OF RIVERSIDE '•
s, ELECTRICAL FEES
1.2_i`evw NO.T
MOTOR I OR LESS H.P.
j MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K W. UNITS
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
PAP
VENT SYSTEM -X9 FAN Cl EVAP. COOLA HOOD
CONSTRUCTION ESTIMA
I ST FL.
% t✓!j
SQ. FT.
@f
2ND FL.
FIXTURE OR SOCKET f KITCHEN SINK D
SQ. FT.�,
CONST. SERV. ENTRANCE WATER CLOSET
POR.
7 6v POLE LAVATORY t
SQ. FT.
AMPERES SERV. ENT. j SHOWER
GAR.
G
SQ.FT.
@
CAR P.
( SQ. F.T. RESID. @ 14 ! f SEWAGE DISPOSAL
SQ. FT.
@_
WALL
f1 BALANCE OF MIN. FEE GAS PIPING
SQ.FT.
@_
PER
SQ. FT.
@_
ESTIMATED VALUATION
$
MECHANICAL FEES
EPARTMENT OF BUILDING B SAFETY
COUNTY OF RIVERSIDE '•
s, ELECTRICAL FEES
1.2_i`evw NO.T
MOTOR I OR LESS H.P.
j MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K W. UNITS
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
PAP
VENT SYSTEM -X9 FAN Cl EVAP. COOLA HOOD
. SIGN I WASHER (AUTO (DISH) �ir 0 U
APPLIANCE re .�'
- FORMER TRANS- K.W. d GARBAGE DISPOSAL `
+s►� O
FURNACE ❑ UNIT ❑ WALL FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET f KITCHEN SINK D
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR ® HP
7 6v POLE LAVATORY t
APPLIANCE VENT
AMPERES SERV. ENT. j SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ 4 i BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d # WATER HEATER
HEATING SYSTEM ;9. FORCED ❑ GRAVITY
( SQ. F.T. RESID. @ 14 ! f SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2It HOUSE SEWER
PERMIT FEE
f1 BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FE RMIt
r% PERMIT FEE (% PERMIT FEE
PER
T L FEE
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USE #
JOB ADDRESS OWNER
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USE OF BUILDING DATE
PLAN CHECK FEE
$
CITECK D BY
COMMUNITY DI
RIOT
F.C.
UNITS
VALUATION OFFICE
MECHANICAL FEE
s 2 q
A w
T I "'P
fj
� p-
DBL
-G P
TYPE
LEGAL DESCRIPTION
EToMqR
6
CONSTRUCTION FEE
�';
5Vx
,"
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND f
BOND
CASH
PLAN FILE 11
FINAL DATE
INSPECTOR
PLUMBING FEE.f`
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE
LENDER
TRAILER PERMIT
f
v�LV ED
r
ISSUANCE FEE
.
ADOR
CITY STATE k
FEE $
I
3q
A.9101
Q Santa ,lm Calif.
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.
077-
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK M.b. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
RECEIVED BY SEWAGE SYSTEM
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
Jf ILL tj�fj
I HEREBY CERTIFY THATTHEINDIVIDUALWHOPREP D E PLA AND SPECIFICATIONS HAS DONE
�/
'
SO IN ACCORDANCE WITH SECTION 5541 OF THEBI�S1 S P FE S CODE OF THE STATE
INFORMATIO-N
OF CALIFORNIA,
OWNER CONTRACTOR
S
ADD
' • �"'' • • ADD � � �"" • i
4023 w �n
c+ >f Rw
TEL. NO. G
546-4011
5&f. 82
LICENSE NO.