190447 (MECH)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
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DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF'RIVERSIDE •
FIELD OFFICE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES *014
1 STFL.
2ND FL.
POR.
GAR.
CAR P.
WALL
CONST. SERV. ENTRANCE WATER CLOSET
SQ. FT. @
NO• _
NO.
SQ. FT. Cia
ABSORPTION SYSTEM O B.T.U.
SQ. FT. Cai MOTOR I OR LESS H.P.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
MOTOR 5 OR LESS H.P.
SQ.FT.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. @MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ.FT.DRINKING
�o
FOUNTAIN
SQ. FT.
URINAL
OK w. UNITS
WATER PIPING
ESTIMATED VALUATION $ j
z>
FLOOR DRAIN ;
PL. CK. FEE CONST.
MECHANICAL FEES
DBL.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
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APPLIANCE
TRANSFORM-ER K W GARBAGE DISPOSAL
O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED.
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FDCTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ ¢ BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ ¢ WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @I ¢ SEWAGE DISPOSAL
BOILER 0 B.T.U.
SQ. FT. GARAGE @/24 HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE F,EE. -PERMIT FEE
PERMIT FEE PERMIT FEES
PERI.
0 4 4 7
TOTAL FEE
REN. TRAILER FEE HEAT 8 VENT. FEE
PL. CK. FEE CONST.
FEE
DBL.
ELEC. FEE
108L.11PEC,
INSP, FEE
PLUMBING FEE
J
DBL.
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LOT SIZE
USE #
JOB ADDRESS� OWNER
-
s
S
ZONE
USE OF -BUILDING
DATE
PLAN CHECK FEE
$IA,)
j
-
CHECKED BY
COMMUNITY
F.C.
UNITS
VALUATION
OFFICE
MECHANICAL FEE
JDISTRICT
���
DBL
f
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TYPE -
LEGAL DESCRIPTION
'
PERMIT NUMBER, 1
1904 4 7
CONSTRUCTION FEE
i
DBL
PLAN CHECKER
•
SUPP. TO PERMIT 9
II
ELECTRICAL FEE
f
DBL
s t
BOND i'
BOND
CASH
PLAN FILEjj FI
DATE
INSPECTOR
PLUMBING FEE
{�l '
'H )d
"I
TRAILER PERMIT
NAME OF CONSTRUCTION LENDER
BRANCH OFFICE
LE DER
ISSUANCE FEEJ
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IN.
INVOL ED
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ADDRESS
CITY
STATE
FEE
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,
TOTAL FEES
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 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH CHECK M.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
IRECE15M- BY SEWAGE SYSTEM'
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE I
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
NFDRMAnoN
OF CALIFORNIA-
ALIFO NIA
CONTRACTOR.
CONTRACTOR .�•'
ADDRESS
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ADDRESS ,
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TEL. NO. �.. p
TEL. NO.
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LICENSE NO,