201866 (SFD)VENT SYSTEM . ❑ FAN ❑ EVAP. COO... HOOD
^"
SIGN
DEPARTMENT OF BUILDING & SAFETY
SIZE
APPLIANCE
USE /( JOB ADDRESS
C, 17 v4fl, rA
TRANS- FORMER K.W.
D
• COUNTY •
FIELD OFFICE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED.
S
OUTLETS
OF RIVERSIDE
AIR HANDLING UNIT, CFM
CONSTRUCTION ESTIMATE. ELECTRICAL -FEES
PLUMBING FEES
KITCHEN SINK
GAS PIPE ❑ NAT RAL ❑ L.P.G. ❑ OILCONST.
I"
w" NO.
NO., n
I ST FL.
COMPRESSOR HP
SO. FT.
POLE
LAVATORY
'
2ND FL.
SQ. FT.
SHOWER
DISTRICT F.C.
ABSORPTION SYSTEM B.T.U.
SQ. FT.
_
MOTOR I OR LESS H.P.
POR.
.f
SOFT.
WATER HEATER'
MOTOR 5 OR LESS H.P.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
GAR.
� �
SQ. FT.
@D
MOTOR 20 -OR LESS H.P.
DRAINAGE PIPING
CAR P.-
WALL
CONSTRUCTION FEE
SQ.FT.
@a
BALANCE OF MIN. FEE
DRINKING FOUNTAIN
SQ. FL
@
ItJ
URINAL
"" PERMIT FEE
✓
PERTOTALL
o OK W. UNITS
WATER PIPING � ,v -
HEAT fk FEE
ESTIMATED VALUATION
$
DBL.
FLOOR DRAIN
DBL.
MECHANICAL FEES
�EE
WATER SOFTENER
VENT SYSTEM . ❑ FAN ❑ EVAP. COO... HOOD
^"
SIGN
WASHER (AU DISH)
SIZE
APPLIANCE
USE /( JOB ADDRESS
C, 17 v4fl, rA
TRANS- FORMER K.W.
D
GARBAGE DISPOSAL
b
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED.
S
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT, CFM
.41-.e -
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NAT RAL ❑ L.P.G. ❑ OILCONST.
ZONEa USE OF BUILDING -
�
SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
LAVATORY
'
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
DISTRICT F.C.
ABSORPTION SYSTEM B.T.U.
VALUATION OFU[.E
SQ. FT. @ ¢
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q
WATER HEATER'
'.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
DBL
SQ. FT. RESID. @ I
SEWAGE DISPOSAL
jJ
BOILER "' ' I B.T.U.
TYPE LEGAL ESC RIPTION Lf
k S- 70? 31/ Y el
SQ. FT. GARAGE @O 1/24
--'` HOUSE SEWER
CONSTRUCTION FEE
PERMIT FEE
d
BALANCE OF MIN. FEE
GAS PIPING
---
TRAILER ISSUANCE FEE.- PERMIT FEE
ItJ
PERMIT FEE
"" PERMIT FEE
✓
PERTOTALL
FE�Be
REN. TRAILER FEE
HEAT fk FEE
PL. CK.) F/
CONST. F
DBL.
ELEC. E`, _
DBL.
SPEC. INSP. FEEJ�LMBING
�EE
DBL.
FORM 284-208 {RE . 1. O)
SET RACK
LOT
SIZE
USE /( JOB ADDRESS
C, 17 v4fl, rA
b
S
.41-.e -
$
ZONEa USE OF BUILDING -
�
DATE
PLAN CHECK FEE
- �.1 /: t L /w 7 {� i � �'
�-•
'q
'
$
v
CHECKED BY COMMUNITY
DISTRICT F.C.
UNITS -
r
VALUATION OFU[.E
MECHANICAL FEE
'
`
DBL
$
91
GROUP
TYPE LEGAL ESC RIPTION Lf
k S- 70? 31/ Y el
�jER IT8M
6
CONSTRUCTION FEE
P 7~
ItJ
6J
DBL�}
$
�^
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
BOND $
BOND
CASH
PLAN FILES
FINAL DATE
.INSP CTOR
PLUMBING FEE
$
��
`
q,
TRAILER PERMIT /b
$
NAME OF• CO NSTRUCTION' LENDER
BRANCH OFFICE
0 LENDER
NVOLVED
ISSUANCE FEE
ADDRESS -
CITY
STATE
FEE
g,
TOTAL FEESf
s-
.� 0
THIS PERMIT SHALL -BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
WORK
OF FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WQRK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR- ,=
CASH Q CHECK O=
N.C.
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
RECEIVED BY ' SEWAGE SYSTEM
T.
LL
fY
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED,
I HEREBY CERTIFY THAT THE I NDIVIDUA LWHO PREPARED THE PLANS D SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE B ZE$.S- NCODE OF THE STATE r
INFORMATION
OF CA FORNI ''-��, w
4014TRACTOR
OWNER
'
•
ADDRESS
A4D� S$. • « -
•
-
TEL. NO.
- -
TEL. NO. -dT'
o 'y
N Nps
LI t CySSE r+^�,,..
FORM 284-208 {RE . 1. O)