191229 (SPIN)P
sem. - J F
VENT SYSTEM O FAN O EVAP. COOL ❑ HOOD
SIGN
DEPARTMENT OF BUILDING & SAFETY
APPLIANCE
TRANS. K.W.GARBAGE'DISPOSAL
FORMER D
USE #
• COUNTY OF RIVERSIDE •
FIELD OFFICE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL O L.P.G. ❑ OIL
CONSTRUCTION ESTIMATE`_`_
`` ELECTRICAL FEES ` ''`
PLUMBING FEES '
1 ST FL.
LAVATORY
SO. FT. .@
NO.
NO.
SQ. FT. @
SQ. FT. @
BATH TUB
2ND FL.
SQ. FT. @ Q
SO. FT. @
MOTOR I OR LESS H.P.
SQ. FT. RESID. @ 1 ¢
POR.
BOILER 0 B.T.U.
SQ.FT. @
MOTOR 5 OR LESS H.P.
PERMIT FEE
.GAR..
GAS PIPING
SQ. FT. @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.,
WALL
^ ^ ^
GJL/Jl lVJi
SQ.FT. @
1REN. TRAILER FEE
DRINKING FOUNTAIN -
SQ. FT. @
CONST. FEE
URINAL
ELEC. FEE
DBL.
SPEC. INSfP� FE►E
OK w. UNITS
WATER PIPING
UNITY
ESTIMATED VALUATION $
FLOOR DRAIN
VALUATION FICE
MECHANICAL FEES
WATER SOFTENER
P
sem. - J F
VENT SYSTEM O FAN O EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS. K.W.GARBAGE'DISPOSAL
FORMER D
USE #
FURNACE ❑ UNIT Cl WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL O L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR OHP
POLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @
BATH TUB
INCINERATOR O DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q
WATER HEATER'
HEATING SYSTEM Cl FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 ¢
SEWAGE DISPOSAL
BOILER 0 B.T.U.
SO. FT. GARAGE @1�2¢
HOUSE SEWER
PERMIT FEE
BAL'A'NCE OF MIN. FEE '
GAS PIPING
TRAILER ISSUANCE FEE-- PERMIT FEE
PERMIT FEE
PERMIT FEE
ERry(F
II
91229
^ ^ ^
GJL/Jl lVJi
TOTAL 113
1REN. TRAILER FEE
HEAT @ VENT. FEE
PL., CK. FEE
CONST. FEE
DBL.
ELEC. FEE
DBL.
SPEC. INSfP� FE►E
PLUMBIN75`7
FORM 284-208 (REV. I-70) ®s ,
LOT SIZE
USE #
JOB ADDRESS _ OWNER
ZONE
USE OF BUILDING - -
ATE
$
PLAN CHECK FEE
.—
CHECK D BY
UNITY
DISTRICT
NITS
VALUATION FICE
F
MECHANICAL FEE71
� -
DBL
GRQ
TYPE
LEGAL DESCRIPTION -
PERMIT
NUMBER'
$
191229
CONSTRUCTION FEE
'
DBL
-
PLAN CHECKER
-
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND $
BOND
CASH
PLAN FILE,H
L DATE
IN `ECTOR
PLUMBING FEE
17_'
17-_
elm
NAME OF, CONSTRUCTION.LENDER.
BRANCH OFFICE -
LENDER
TRAILER PERMIT
$
IND
INVOLVED
ISSUANCE FEE
+�`^
J" 1 r7'
ADDRESS
CITY
STATE
C FEE
$�•
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.
1 HEREBY AGREE THAT ALL WORK-IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH T4E LAWS OF RIVERSIDE COUNTY AND TH,E STATE OF CALIFORNIA. I ALSO.AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE -
CASH CHECK M.O. N.C.
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
ILL
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE
T
P
SO IN ACCORDANCE WITH SECTION 5541 OF_THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA
" INFORMAnoN
OWNER .,
CONTRACTOR '
A R
ADDRESS
TEL.
NO.
TEL. NO.
LICENSE NO.
FORM 284-208 (REV. I-70) ®s ,