192086 (RPL)VENT SYSTEM 0 FAN O EVAP. COOL 0 HOOD
SIGN WASHER (AUTO) (DISH)
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE - •
FIELD OFFICE
FURNACE ❑ UNIT 0 WALL O FLOOR ❑ SUSPENDED
CONSTRUCTION ESTIMATE
` ` •
ELECTRICAL FEES'
GAS PIPE 0 NATURAL O L.P.G. O OIL
PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
POLE + LAVATORY
SQ. FT. @
AMPERES SERV. ENT. SHOWER
NO.
NO.
INCINERATOR O DOMESTIC Cl INDUS. OR COMM.
SQ. FT. @
HEATING SYSTEM O FORCED O GRAVITY
@ MOTOR I OR L SS H.P.
SQ. FT.
BOILER B.T.U.
SQ.FT. MOTOR 5 O L P.
PERMIT FEE
SQ. FT. @ MOTOR 20 OR LESS H.P. I
SQ.FT. @
DRAINAGE PIPING i < •
DRINKING FOUNTAIN
SQ. FT. @ -
URINAL .
- OK W. UNITS
WATER PIPING
ESTIMATED VALUATION $
REN. TRAILER FEE HEAT & VENT.•FEE
PL. CK. FEE.s
FLOOR DRAIN
oBL. ELEC.
•
MECHANICAL FEES
SPEC.iNSP. FEE
PLUMBING FEE BL.
WATER SOFTENER
VENT SYSTEM 0 FAN O EVAP. COOL 0 HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W.
FORMER GARBAGE DISPOSAL
� -
FURNACE ❑ UNIT 0 WALL O FLOOR ❑ SUSPENDED
OUTLETLAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE 0 NATURAL O L.P.G. O OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE + LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM . B.T.U.
SQ. FT. @ Q BATH TUB
INCINERATOR O DOMESTIC Cl INDUS. OR COMM.
SQ. FT. @ d WATER HEATER c.
HEATING SYSTEM O FORCED O GRAVITY
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE - PERMIT I cE
PERMIT FEE PERMIT FEE
PER
KOH
ITOTAL-FE
REN. TRAILER FEE HEAT & VENT.•FEE
PL. CK. FEE.s
CONST. FEE
oBL. ELEC.
•
oBL.
SPEC.iNSP. FEE
PLUMBING FEE BL.
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SET BACK
LOT SIZE
USE #
JOB ADDRESS —' OWNER
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
s
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s..+�
d
i 1� L J V s��1
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$
CHECKED BY,
Cp MUNITY, .�•S
STRICT
F. C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE
UANWk
�, ;(?
DBL
GROUP
I TYPE
'LEGAL DESC TIC ON _ERIg1T
j{U I.LQEft
FEE
CONSTRUCTION
DBL
PLAN CHECKER
�
SUPP. TO PERMIT
$
L7 E
ELECTRICAL FEE
S i t f{
DBL
BOND $ -
BOND CASH
PLAN FILE# FINAL
DATE
INSPECTOR
I
PLUMBING FEE
NAME OF, CONSTRUCTION
LENDER
!.RANCH OFFICE
TRAILER PERMIT
s
INDtENEER
INVLVD
ISSUANCE FEE
ADDRESS
CITY
STATE
FEE
$
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IWCONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H�= STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES.=OMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK .O.•Q N.G. D
RECEI �DBY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSQ G A "TEED.
IHEREBY CERTIFY THATTHEINDIVIDUALW THE PLA AXSPECIFICATIONS HAS DO
aT LL P
cn ati ArrnonAKirFwITW cFrTlnwl uAl n 0.I rE,, ell ac s¢annlc rnnF OF THF STa'Lr