191574 (SPIN)DEPARTMENT OF BUILDING & SAFETY 'F'IIELD
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES PLUMBING FEES
NO. NO. T
MOTOR 1 OR LESS H.P.
CONSTRUCTION ESTI
I ST FL.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
SQ. FT.
Cal_
2ND FL.
DRINKING FOUNTAIN
SQ. FT.
Cal_
POR.
WATER PIPING
SQ. FT.
Cal_
GAR.
WATER SOFTENER
SQ.FT.
Cal_
CAR P.
' BALANCE OF MIN. FEE GAS PIPING
SQ. FT.
Cla,
WALL
9 1 5Y 4
SQ.FT.
REN. TRAILER FEE HEAT 8 VENT. FEE
PL.•CK. FEE CONST.
FEE
SQ. FT.
Cai_
DBL.
SPEC.-INSP. FEE PLUMBING FEE
DBL. ;
M A
J F _ .A
IFI
ESTIMATED VALUATION
$
MECHANICAL FEE
DEPARTMENT OF BUILDING & SAFETY 'F'IIELD
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES PLUMBING FEES
NO. NO. T
MOTOR 1 OR LESS H.P.
APPLIANCE
MOTOR 5 OR LESS H.P.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL I
DRINKING FOUNTAIN
COMPRESSOR 0 HP
URINAL
OK W. UNITS
WATER PIPING
ABSORPTION SYSTEM O B.T.U. SO. FT. @ Q BATH TUB
FLOOR DRAIN
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- FORMER K.W. GARBAGE DISPOSAL
D
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL I
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM O B.T.U. SO. FT. @ Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. Call d SEWAGE DISPOSAL
BOILER � B.T.U.
SQ.'FT. GARAGE @1124 HOUSE SEWER'
PERMIT FEE
' BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE. FEE -'PERMIT FEE
PERMIT FEE PERMIT FEE
PER
9 1 5Y 4
TOTAL FEES
r>
REN. TRAILER FEE HEAT 8 VENT. FEE
PL.•CK. FEE CONST.
FEE
DBL.
ELEC. FEE'
DBL.
SPEC.-INSP. FEE PLUMBING FEE
DBL. ;
M A
J F _ .A
IFI
M J J - A 5 O
j M��• J .J A S ..� O
N D
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SET RA
LOT SIZE
USE #
JOB ADDRESS f OWNER
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8
ZONE .� '`'
U$ BUILDING_
DATE j
PLAN CHECK FEE
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CHECKED BY
M NITV DISTRI
.C.
UNITS
VALUATION OFFICE
MECHANICAL FEE
DBL
-
GROUP
-TYPE
LEGAL DESCRIPTION
ER IT UIL�BiR
$4
CONSTRUCTION FEE
DBL
PLAN CHECKER
-
SUPP. TO PERMIT
ELECTRICAL FEE '
DBL
BOND $
BOND
CASH
FILE .# FINAL
DATE
INSPECTOR
8. _
]PLAN
I
�( � 71✓l
�� (fin f
PLUMBING'FEE
NAME OF. CONSTRUCTION LENDER
BRANCH OFFICE
LENDER
TRAILER PERMIT
$
IND
INVOLVED i
ISSUANCE FEE
�t
ADDRESS
CITY
STATE 5
FEE
$ -
no
_
THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 60 DAYS. CESSATION
T TAL FEES
$.
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. }
1 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 Q CHECK M.O. N.C.
RECEIVED BY SEWAGE SYSTEM
77
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HAS DONE
r T LL P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA
INFORMATION
OWNER
CONTRACTOR
.
ADORES
ADDRESS
10
TkT. NO-.
TEL. NO.
+
y
LICENSE 'N0.
208 IREV. I.70) OS