201843 (SFD)VENT SYSTEM " FAN ❑ EVAP. COOL HOOD
N
SIGN
DEPARTMENT OF BUILDING & SAFETY
• -C'OUNTY.OF RIVERSIDE
FIE1D OFFICE
'
CONSTRUCTION ESTIMAT
_G
ELECTRICAL FEES"
PLUMBING FEES
IST FL.
2ND FL.
POR.
GAR. ..
CAR P.
WALL "
6'
�
SO.. FT.
SQ'. FT
FURNACE O UNIT ❑ WALL O LOOR ❑ SUSPENDED
l (fJrr
r,0.
2�
NO.
F MOTOR I OR LESS H:P.
SQ. FT..n��_
ZONE USE 71 BUILDINGt f,/�
SQ.FT. MOTOR 5 OR LESS H.P.' '•
`�
MOTOR 20 OR LESS H.P.
SQ. FT.
SQ.FT. dpi
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @l
URINAL
F� OK W. UNITS
! , - WATER PIPING. >r
ESTIMATED VALUATION
$
DISTRICT
WATER CLOSET
FLOOR DRAIN
U
MECHANICAL FEES
$ fa
POLE
WATER SOFTENER
VENT SYSTEM " FAN ❑ EVAP. COOL HOOD
N
SIGN
/"
WASHER (AUT6) (DISH)
0
APPLIANCE J►
f
FORMER (� K.W.
fd
GARBAGE DISPOSAL
c. i
FURNACE O UNIT ❑ WALL O LOOR ❑ SUSPENDED
l (fJrr
OUTLETS
LAUNDRY -TRAY
ZONE USE 71 BUILDINGt f,/�
DATE
AIR HANDLING UNIT` CFM
roc
1i FIXTURE OR SOCKET
f
KITCHEN SINK
-
GAS PIPE ❑ NATURAL D L.P.G. ❑ OIL '
CONST: SERV. ENTRANCE
DISTRICT
WATER CLOSET
UNITS VALUATION
U
COMPRESSOR 0 HP
$ fa
POLE
,
LAVATORY
1 �r�,11
APPLIANCE VENT
am & 4
AMPERES SERV. ENT.
SHOWER
f ROUP
TYPE' LEGAI DESCRIPTION ',
ABSORPTION SYSTEM - O B.T.U.
CONSTRUCTION FEE
SQ. FT. Cal Q
1
BATH TUB
A `"f 3 ,
INCINERATOR O DOMESTIC 0 INDUS. OR COMM.
SQ. FT. Cal Q
:C/S,?'
WATER HEATER
f
a
HEATING SYSTEM FORCED" O GRAVITY
'
SQ. F.T. RESID. @
5' {
SEWAGE DISPOSAL
- 'PLAN CHECKER
f.; '
BOILER B.T.U.
SQ. FT. GARAGE @112
Z:ia
SHOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE.
BOND '$
GAS PIPING
CASH
PLAN FILEpFINAL
TRAILER ISSUANCE FEE -.PERMIT FEE
.INSP CTOR
PERMIT FEE'
PERMIT FEE
-
PERIw�
LL/1J
1
^.� ^ T EE�_P';
8CIJl
REN. TRAILER FEE
, AT & VEIN, FEEPL. K. --F5 ONS . F -1
/WJ
JDBL.ELEC.J�k
IDBL.ISPEC.
INSINSP.,FEE
PLUMBI E
DBL. ..
.._.......I�,.-,_..,. s. .F .....lu I•e I, 41. I.. ""`"`t�"' I,."''•—.- I>— ;
FORM 284-208 (REV. 1-70) ®s
LOT SIZE ..
USE # JOB +DDR ESS
�iJ�
fd
Sj•,E'i
l (fJrr
ZONE USE 71 BUILDINGt f,/�
DATE
PLAN CHECK FEE
roc
,vim
1
-
CHECKED BY COMMUNITY , -_f
DISTRICT
aF: -
UNITS VALUATION
OFFICE
MECHANICAL FEE '
$ fa
1 �r�,11
•
DBL
f ROUP
TYPE' LEGAI DESCRIPTION ',
ERMIT NUMBER "
201843
CONSTRUCTION FEE
'
$!
',F .s. Ci
. .
:C/S,?'
:
+(J
'
DBL
- 'PLAN CHECKER
'SUPP. TO PERMIT
ELECTRICAL FEE
(�.
DBL
BOND '$
BOND
CASH
PLAN FILEpFINAL
DATE-
.INSP CTOR
PLUMBING FEE'
I
-
`
TRAILER PERMIT,
NAME OF, CONSTRUCTION LENDER. -.BRAN
CH OFFICE
N LENDER
I v0LVED
ISSUANCE FEE
$
ADDRESS -
CITY
STATE. -
`q
FEE
$
TOTAL FEES
IF IS WITHIN 60 DAYS. CESSATION
TIOTBECCOMMENCED
CAUSEORK
OF WORKPFORIIdOHALL DAYSBSHAOME LL ALSODPERM T VOID,
HEREBY ACREE .THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH CHECK ' N.C.
Q
M.O.
' E:]
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO .'.
CARRY.COMPENS-NTION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
AND SPECIFICATIONS HAS DONE
;a LL
PI
IHEREBYCERIFYTHATTHEINDIVIDUALWHOPREPA DTHE PLANS
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSUENS A PROFESSIONS CODE OF THE STATE
INFORMATION
OF CALIFORNIA,
OWNER -
CONTRACT ^.
fgy
` -
-
ADDRESS
_} -
AD /(Syl
-
•
-� w
J
• -
TEL. NO.
TEL. .
LICENSE ANO.;)
i.
FORM 284-208 (REV. 1-70) ®s