204255 (CP)APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER D
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET / ICI KITCHEN SINK
•
COUNTY OF RIVERSIDE M •
COMPRESSOR 0 HP
POLE LAVATORY
CONSTRUCTION ESTIMATE
AMPERES SERV. ENT. SHOWER
ELECTRICAL FEES
PLUMBING FEES„
1 ST FL.
SQ. FT. @ Q WATER HEATER f 7
SQ. FT. @
SQ. FT. RESID. @) Q SEWAGE DISPOSAL
NO. I
NO.
SQ. FT. @
BALANCE OF MIN. FEE GAS PIPING Zi
yw f 449
PERMIT FEE !3U f I PERMIT FEE
2ND FL.
/E 2
55
SQ. FT. @
REN. TRAILER FEE
MOTOR I OR LESS H.P.
I PL. CK. FEE_.__ CONST.
POR.
oeL. ELEC. FEE
SQ.FT. @
INSP. FEE
MOTOR 5 OR LESS H.P. (j
DBL.
GAR.
CAR P.
SQ. FT. @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
�WALL
SQ.FT. @
DRINKING FOUNTAIN
SQ. FT. @
O - N D
_ J
F M A M
URINAL
- _ N ...-.-._. D
SET A
OK W. UNITS
WATER PIPING
JOB ADDRESS
HER
ESTIMATEt
VALUATION $
ti o
,% FLOOR DRAIN j
ATE
MECHANICAL FEES
$%.�
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 �% f�jj LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET / ICI KITCHEN SINK
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. @ BATH TUB
INCINERATOR ❑ DOMESTIC Cl INDUS. OR COMM..
SQ. FT. @ Q WATER HEATER f 7
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @) Q SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @1�2¢ , HL WJe-je 7ER ! -74' ,00
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING Zi
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE !3U f I PERMIT FEE
PERI/f{
/E 2
55
TOTAL FEES
REN. TRAILER FEE
HEAT & VENT. FEE
I PL. CK. FEE_.__ CONST.
FES U
oeL. ELEC. FEE
oBL. SPEC.
INSP. FEE
PLU MJBING .EEE
DBL.
JM A- M
_ _ _ _
... J J A 5
'A
O - N D
_ J
F M A M
_ _ S .D
_ ;.- - - __ '
- _ N ...-.-._. D
SET A
LOT SIZE
USE #
JOB ADDRESS
HER
ZONE
USE OF BUILDINGD
ATE
PLAN CHECK FEE
$%.�
l `
+�- ¢
CHECKED BY
COMMUNITY
.�5/
.fiA L`1A710 N„ OFFICE
MECHANICAL FEE
14
zu t,)
77 (} jj x
16"6 p fj � loc—
DBL
>j
TYPE
LEGAL D
ER MIT
NUM ER
CONSTRUCTION FEE
$ /
{�
c�(3
PC_RIPTION
`/-` ;-- 4/,2
2 4:2
3
DBL
.
PIAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
$
��
DBL'
BOND $
BOND
CASH
FILE#
FINAL DATE
INSPECTOR
PLUMBING FEE
$`
]PLAN
y 7J
NAME OF,CONSTRUCTION LENDER
BRANCH OFFICE
TRAILER PERMIT
$
INOAENDET
INVOLVED
ISSUANCE FEE
ADDRESS
CITY
STATE
FEE
$
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
;
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
cT
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
N.C.
CASH CHECK M.O.
❑ ❑ ❑
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
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
Aa
1 HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED 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 CA F NI
INFORMATION
OWNER
CONTRACTOR
'
A;�S
CI'%�ai JJ�lT Jif•i P`7C +1'f'�
ADDR
TEL. NOW
TEL. NO._/ f
`..%
LICENSE NO.
,.,3 f ,�`