201895 (SFD)VENT SYSTEM ❑ FAN ❑ EVAP. COOL40 HOOD
SIGN ` WASHER (AUfd) (DISH) o
APPLIANCE Y ac;
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
FIELD OFFICE
OUTLETS LAUNDRY TRAY
CONSTRUCTION ESTIMATE ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
' CARP.
WALL
!
p
c� ` f
SQ. FT
SQ. FT.
n
Cal
NO.
NO.
MOTOR I OR LESS H.P.
SQ. FT.Cia v '
INCINERATOR O DOMESTIC O INDUS. OR COMM.
Q
SQ.FT. Cal MOTOR 5 OR LESS H.P.
HEATING SYSTEM t4O FORCED O GRAVITY
MOTOR 20 OR LESS H.P.
SQ. FT.
SQ.FT. Cal
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. Cal
URINAL
3p5 E7-7-----lK W. UNITS
WATER PIPING / T%
ESTIMATED VALUATION
is
77ti
FLOOR DRAIN
PL. CK. FU CONST. FEE
G%
Y✓
MECHANICAL FEES
E C. QEF+
LTJ
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL40 HOOD
SIGN ` WASHER (AUfd) (DISH) o
APPLIANCE Y ac;
rA d/ U FORMER K.W. GARBAGE DISPOSAL f S
FURNACE 0 UNIT 0 WALL 0.1LOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET f KITCHEN SINK / �J
GAS PIPE O NATURAL 0 L.P G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET ei. D
COMPRESSOR HP
POLE LAVATORY G
APPLIANCE VENT
AMPERES SERV. ENT, SHOWER
ABSORPTION SYSTEM B.T.U. -SO. FT. @ BATH TUB J 4 Z
INCINERATOR O DOMESTIC O INDUS. OR COMM.
SQ. FT. @ Q WATER HEATER s: `t-
HEATING SYSTEM t4O FORCED O GRAVITY
SQ. FT. RESID. Cal) r3 SEWAGE DISPOSAL t i d
BOILER I B.T.U.
SQ. FT. GARAGE Cail�yQ„ �. HOUSE SEWER
PERMIT FEE
4^ } BALANCE OF MIN. FEE / GAS PIPING /
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE PERMIT FEE
PER t�P{
"-1-I
/ 9 5 OT E*
REN. TRAILER FEEHE & V�Nj. FEE
PL. CK. FU CONST. FEE
G%
Y✓
DBL.
E C. QEF+
LTJ
DBL.
SPEC. INSP. FEE
PL UMBI�I EE
DBL.
•
/
M A
J . - .F .i IF _ _�..��. .... v- A -- .- _-.�
M !f,•� J
A 5 0
v M � � J R __J A � 5 O
N D
N D .- - —
LOT SIZE
USE #
JOB ADDRESS OWNER
fi
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
CHECKED BY COMMUNITY} 'r•.. -
F ,y
ISS �.b
L�IIARLON OFFICE
MECHANICAL FEE
$�
+
w�,�,,_
41 ''S tri }!
d O !
ri
DBLO
OUP
TYPE LEGAL DESCRIPTION
ERMIT
� 0
NUMBE�
CONSTRUCTION FEE
k
, 4 � (,/ �`i` C+�` i �
V
DBL
PLAN CHECKER •
SUPP. TO PERMIT
ELECTRICAL FEE
-g
DBL
BOND
BOND
CASH
PLAN FILER FINAL
DATE
INSPLTOR
PLUMBING FEE
1
I
n'%i—`'
TRAILER PERMIT
ISSUANCE FEE
_
NAME OF,CONSTRUCTION.LENDER
.. d
BRANCH OFFICE
IKO LENDER
INVOLVED
0V�k
�l
�i'�?��p'dr
ADDRESS CI Y
STATE
FEE
s
TOTAL FEES
THIS IF IS 60 DAYS. CESSATION
PFOR1120HALL
PERMTITOTBECOMEENCED VOID.WITHIN
OF WORK CAU EORK
DAYSBSHAALLALSOD
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
"CHECK
CASH
M.O. N.C. ❑
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH,E STATE OF CALIFORNIA. i ALSO AGREE TO
DANCE
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BY
SEWAGE SYSTEM
?
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ,r�•ORDA - CTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
�1 •
�++-�y
INFORMATION
V.R - '�.,�•+���
Z
CONTRACTOR
i
[ADD � 7tr -
ADDRESS
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7,5 `•7 32 G7` _I
TEL. NO.
LICENSE NO.
FORM 284-208 IRE- I-70)