193575 (SFD)DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES
r �I 141,1 NO. I F I I NO.
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM A FAN ❑ EVAP. COOL HOOD �j . SIGN WASHER (AUT DISH) �
CONSTRUCTION ESTIMAT
ST FL.
d
SO. FT.
CFM FIXTURE OR SOCKET j KITCHEN SINK �. +
?ND FL.
CONST. SERV, ENTRANCE WATER CLOSET
SQ. FT.
Cal
'OR.
AMPERES SERV. ENT. . SHOWER ?,,r
SQ. FT.
@
3AR.
FT. RESID. �IQ. , SEWAGE DISPOSAL
SQ.FT.
�a
=AR P.
BALANCE OF MIN. FEE GAS PIPING
SQ. FT.
�pl
WALL
ITOTAL/,lFtEF5 . e
SQ.FT.
(pi
F
v!��....C's'
oel. ELEC. F,E�E,/g
SO. FT.
C1a
ESTIMATED VALUATION
Is
JJ!Y
MECHANICAL FEES
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
ELECTRICAL FEES
r �I 141,1 NO. I F I I NO.
MOTOR 1 OR LESS H.P.
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W. UNITS
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM A FAN ❑ EVAP. COOL HOOD �j . SIGN WASHER (AUT DISH) �
APPLIANCE'Jy
FORMER O K.W. GARBAGE DISPOSAL `fir
FURNACE ❑ UNIT C17 WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY
e
AIR HANDLING UNIT
CFM FIXTURE OR SOCKET j KITCHEN SINK �. +
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV, ENTRANCE WATER CLOSET
COMPRESSOR HP
POLE LAVATORY !
APPLIANCE VENT
AMPERES SERV. ENT. . SHOWER ?,,r
ABSORPTION SYSTEM O B.T.U. SQ. FT. @ Q BATH TUB, y
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ d WATER HEATER_
HEATING SYSTEM FORCED ❑GRAVITY
FT. RESID. �IQ. , SEWAGE DISPOSAL
BOILER B.T.U.`
SQ. FT. GARAGE @a 1124 5 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE -PERMIT FEE
PERMIT FEE i PERMIT FEE c�
ER111(T /1
`I
ITOTAL/,lFtEF5 . e
REN. TRAILER FEE HEAT & FEE
PL. CK. FEE CONST.
y
F
v!��....C's'
oel. ELEC. F,E�E,/g
oBl.
SPEC. INSP. FEE
PLUMBING E
#
JJ!Y
�3..�
I!fVENT.
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USEOFBUILDING DATE
)LAN CHECK FEE
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+ZW44 L % IV6 J. 1?A
CHECKED BY
COMMUNITY DISTRICT
F.C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE
w
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DBL
GR P
TYPE
LEGAL DES IPTION -
ERMIT N 4
1 3
CONSTRUCTION FEE
--+
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I
DBL
PLAN CHECKEfl�I
SUPP. TO PERMIT
ELECTRICAL FEE
DBL
f
BOND §
BOND
CASH
PLAN FILE #FINAL
DATE
INSPECTOR
DLUMBING FEE
%
�..�
l/o
'1 it
(RAILER PERMIT
NAME OF, CONSTRUCTION LENDER
BRANCH OFFICE
0 LENDER
INVOLVED
,SSUANCE FEE
$
0
ADDRESS
CITY
STATE '`
FEE
$7
TOTAL FEES
��
; j
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION i
WORK
® ...—
OF FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK M.O. N.C.
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
RECEIVED BYSEWAGE SYSTEM
a
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
Ls a T LL P
I HEREBY CERTIFY THAT THE INDIVIDUA LWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE SJATE�3
INFORMATION
OF CALIFORNIA,
OWNER a
CONTRACTOR—
ONTRACTORADDRESS
ADDRESS
ADDRESS
TEL. NO.
TEL. NO.
LICENSE 'NO - i
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