201868 (SFD)VENT SYSTEMXO FAN ❑ EVAP. COO HOOD
SET RACK
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
APPLIANCE ,
CONSTRUCTION ESTI,
ELECTRICAL FEES
PLUMBING FEES `x
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
`f
sQ. Fr.
ad •--- NO.
NO.
SQ. FT.
FIXTURE OR SOCKET
SQ. FT. ti r �v MOTOR I OR LESS H.P.
GAS PIPE ❑ NATURAL ❑ L.P.G. Cl OIL
P �-- MOTOR 5 OR LESS H.P.
"
SQ.FT. C`I f7
CONST. SERV. ENTRANCE
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ.FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
K.W. UNITS
WATER PIPING
ESTIMATED VALUATION
ABSORPTION SYSTEM B.T.U.
FLOOR DRAIN
SQ. FT. @ Q
MECHANICAL FEES
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
WATFR SOFTFNFR
VENT SYSTEMXO FAN ❑ EVAP. COO HOOD
SET RACK
SIGN Of
WASHER (AUTK (DISH)
APPLIANCE ,
1
-
TRANS77
FORMER K.W.
D
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FL OR ❑ SUSPENDED
r y
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
$i
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. Cl OIL
NITS _ Y�-
f
CONST. SERV. ENTRANCE
WATER CLOSET 'd'
COMPRESSOR Aj HP
+/}✓//I/A%}
POLE
LAVATORY
APPLIANCE VENT
-AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM B.T.U.
GROUP
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ Q
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑GRAVITY
, SQ. FL-RESID. @ J
SEWAGE DISPOSAL
BOILER B.T.U.
PLAN CHECKER
SQ. FT. GARAGE @1�2¢ �w
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING -'
TRAILER. ISSUANCE FEE - PERMIT FEE
DBL
PERMIT FEE
PERMIT FEE
PER (off
4J 6
TOTAL
4.i v..w1
REN. TRAILER FEE
HEAT &, VENT. FEE
!,
PL. CFj£ CONST.�E
,..,�. ` ,�,..
DBL. ELECT/F E4� -
Jai"b•
IDBL.ISFIEC.
INSP. FEE PLUM BIfG•-fEE
6 G«.+e.v.�
DBL. .
r.
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ADDRESS AJ)ORE;S,
J
TEL. NO. TEL. NO.
LICENSE NO��
FORM 284-208 (REV. 1-70) ek
SET RACK
LOT SIZE
USE4JOB AD Sg/ - OWNER
y - evI
1
w'
PLAN CHECK 'FEE
r y
ZONE USE OF BUILDING }/
DATE or
$i
CHECKED BY COMMUNITY
>`
DISTRICT
F.C.
NITS _ Y�-
f
,.V.ALUATION 'g OFFICE '
�,%j✓��"
MECHANICAL FEE.
+/}✓//I/A%}
/j
DBL
GROUP
I /TYPE LEGAL DESCRIPTION 'f
4 0./_�-
"� YF�
GRJIT811CONSTRUCTION
2
FEE
.7
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
'— //
DBL
BOND $
BOND
CASH
PLAN FILEp
INSPECTOR
IFINALIDATE
'
PLUMBING FEE
TRAILER PERMIT
NAME OF. CONSTRUCTION LENDER
BRANCH OFFICE
OLV ED
ISSUANCE FEE
$
INOILENDER
CITY
STATE
FEE
$
JADDRESS
TOTAL FEES
THIS
TO TBE BECOME NCED WITHIN 60 DAYS. CESSATION
OF WORKPFOR1T SHALL
SHALLE VOID IF ALSOALSO CAUSE ORK IS
VOID,
120 DAYS PERM T
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH.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
LL
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS i;ND�PECIFICATIONS HAS DONE
'n III ArrnOnAKirF WITW UrTInKl SSA I nc THF RL74JPlfky' At�l➢f Jl� F 114 rnnF OF THd STATE
:/ Inrunmwllvn
ADDRESS AJ)ORE;S,
J
TEL. NO. TEL. NO.
LICENSE NO��
FORM 284-208 (REV. 1-70) ek