191576 (SPIN)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES, PLUMBING FEES
NO. I NO.
MOTOR I OR LESS H.P.
CONSTRUCTION ESTIMA
1 ST FL.
TRANS-
FORMER K.W. GARBAGE DISPOSAL
D
SQ. FT.
@-
2ND FL.
DRINKING FOUNTAIN
SQ. FT.
@_
POR.
WATER PIPING
SQ. FT.
@_
GAR.
WATER SOFTENER
SQ.FT.
(al_
CAR P.
SQ. FT. RESID: @ 14 SEWAGE DISPOSAL
SQ. FT.
@_
WALL
BALANCE OF MIN. FEE GAS PIPING
SQ.FT.
@_
PER'TOTAL
SQ. FT.
@_
ESTIMATED VALUATION
$
DBL.
MECHANICAL FEES '
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES, PLUMBING FEES
NO. I NO.
MOTOR I OR LESS H.P.
SIGN WASHER (AUTO) (DISH)
MOTOR 5 OR LESS H.P.
TRANS-
FORMER K.W. GARBAGE DISPOSAL
D
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
AIR HANDLING UNIT CFM
DRINKING FOUNTAIN
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL .
URINAL
OK W. UNITS
WATER PIPING
APPLIANCE VENT
FLOOR DRAIN
ABSORPTION SYSTEM O B.T.U.
WATER SOFTENER
VENT SYSTEM ❑ FAN, ❑ EVAP. COOL' ❑ HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K.W. GARBAGE DISPOSAL
D
FURNACE ❑ UNIT 0 WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET 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. @ Q BATH TUB
INCINERATOR ❑ DOMESTIC - ❑ INDUS. OR COMM.
SQ. FT: @ Q WATER HEATER
HEATING SYSTEM Cl FORCED ❑-GRAVITY
SQ. FT. RESID: @ 14 SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. "GARAGE @/24 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE PERMIT FEE
PER'TOTAL
FEE REN.'. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
DBL.
ELEC. FEE
DBL.
SPEC. INSP. FSE
PLUM BINE FEE
DBL. '
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N • D
BA
LOT SIZE
USE #
JOB ADDRESS OWNER
15ET
F
S R
,
ZONE
US OF BUILDING -
DATE
PLAN CHECK FEE
$
w'NITY
CHECKED BY
C
STRICT
F.
UNITS
VALUATION OFFICE
MECHANICAL FEE/'!
••r.� .`"'"�-" --77
DBL
TYPE
GAL DE IPTION -
E11TgV7116 `
,CONSTRUCTION FEE
L f
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND $
BOND
CASH
PLAN FILE,# .. FINAL
DATE
INSPECTOR
PLUMBING FEE
I
NAME OF, CONSTRUCTION
LENDER
BRANCH OFFICE -
NO LENDER
TRAILER PERMIT$
INVOLVED
ISSUANCE FEE
ADDRESS
CITY
STATE - -
��Y•/ FEE
w
$
..
t
!►
THIS PERMIT SHALL BECOMEVOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
TOTAL FEES
$.
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I 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
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
i HEREBY CERTIFY THAT THE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE ;
T LL P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF T]HE STATE
OF CALIFORNIA
INFORMATION
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•
OwuE,
CONTRACTOR
-
41f�^ Zoe
ADORES $_,_
/'..ems' �
ADDRESS -
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•.
TEL. NO.
TEL. NO.
SLS •.
LICENSE KO.
FORM 284-208 (REV. I-70) ps