204570 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES
NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
-WATER SOFTENER
VENT SYSTEM CIFAN ❑ EVAP. COOLAHOOD
CONSTRUCTION ESTIMATE
1 ST FL.
FORMER D K.W. GARBAGE DISPOSAL vl�
SQ. FT.
@Lr
2ND FL.
FIXTURE OR SOCKET KITCHEN SINK !�
SQ. FT.
@
POR.
POLE LAVATORY
SQ• FT.
@
GAR.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ.FT.
@A'-�
CAR P.
BOILER I B.T.U.
SQ. FT.
@
WALL
TRAILER ISSUANCE FEE -PERMIT FEE
SQ.FT.
@
TOTAL FEES
tC�¢
REN. TRAILER FEE FEE
SQ. FT.
@
ESTIMATED VALUATION
$
INSP. FEE
MFCHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES
NO.
MOTOR I OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
NO.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
-WATER SOFTENER
VENT SYSTEM CIFAN ❑ EVAP. COOLAHOOD
.� SIGN WASHER (AUT s` (DISH) '
APPLIANCE•& x-«
FORMER D K.W. GARBAGE DISPOSAL vl�
FURNACE ❑ UNIT ❑ WALL ❑ FL OR ❑ 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 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. / SHOWER
ABSORPTION SYSTEM B.T.U. SQ. FT. @ ¢ / BATH TUB Ste.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d / WATER HEATER
HEATING SYSTEM W FORCED ❑ GRAVITY
SQ. FT. RESID. @I ¢ _ f SEWAGE DISPOSAL
BOILER I B.T.U.
SQ, FT. GARAGE @/2¢ 17 :L4 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE r GAS PIPING Ali
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE .,,. PERMIT FEE
PER
TOTAL FEES
tC�¢
REN. TRAILER FEE FEE
CK. FEE
FEE
oBL. EIEC.
DBL. SPEC.
INSP. FEE
PLUMBING FEE
IHEAT�yENJ,
PL.
01ST.
�FE�Er�'
�?
JDBL.
f - M - -A,_ _
M_ _. ._- J J A S
0 N D
J Fli M A
M J .J A S O
N 0
SET BAL;K
LOT SIZE
USE #
JOB ADDRESS OWNER/
�o6r >
l LC
i E
--}}
F2.PIS 6S R
a7'� .3rt/
le
C+V
ZONE
USE OF BUILDING -
DATE
PLAN CHECK FEE
:
-�
`^r
✓ti - //- 27
CHECKED BY
COMMUNITY DISTRICT
F. C.
VALUATION
OFFICE
MECHANICAL FEE
i
�
f
f
1-4 Of-'joy"yrj
]UNITS
%
� �, 3
DBL
GR
P
TYPE
LEGAL DES RIPTIONg -
CONSTRUCTION FEE
f 7f
`'—Y'
X UT` si 7 .� //7
2
fiT5711
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
/ (,, - � I 2 ^ o Ih.,-i o,p
DBL
f
BOND rt
BONDCASH
PLAN FILE Jj
FINAL DATE
INS PECTO
PLUMBING FEE
3
q
8 _ a 3 7
NAME
OF. CONSTRUCTION LENDER
BRANCH OFFICE
NOL DER
TRAILER PERMIT
$
1.1101.1NEO
ISSUANCE FEE
L Y,. .E
1 A, vim%
ADDRESS
C17V
STATE
FEE
$
C„i ,4
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
TOTAL FEES
; r�
4FC 6'S”
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1HEREBY 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.
IHEREBY CERTIFY THATTHEINDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HAS DONE
T Ll p
cn im A rrnonA Nlrc WIT. ccrTInNl AAAI nc TuC DI IC INIccc ANIn DDnGL:c cln Nlc rr1nF OF TNF STATE
V INFO RMAT I UN
FORM 284-208 (REV. I