201888 (SFD)VENT SYSTEM 0 FAN ❑ EVAP. COOe4O HOOD
PER
'
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE
FIELD OFFICE
WASHER (AUl%) (DISH)
CONSTRUCTION ESTIMAZf,
ELECTRICAL FEES*"
PLUMBING FEES
1 ST FL.
SQ. FT.
`' NO.
NO.
2ND FL.
OUTLETS
SO. FT. Cia
LAUNDRY TRAY
PLAN CHECK FEE
SQ. FT. @
^� . MOTOR I 'OR LESS H.P.'
FIXTURE OR SOCKET
POR.
' GAR.'�`�
_
SQ -.FT. @i MOTOR 5 OR LESS H.P.
GAS PIPE O NATURAL O L.P.G. O OIL
SQ. FT.
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.
WALL
COMPRESSOR HP
SQ.FT. @
POLE
DRINKING FOUNTAIN
SQ. FT. @
,.
URINAL
J-
M A
AMPERES SERV. ENT. %
J A
OKw. UNITS
¢ WATER PIPING • 4j _
ABSORPTION SYSTEM .- 0 B.T.U.
ESTIMATED VALUATION Is/
or 0
FLOOR DRAIN
BATH TUB
MECHANICAL FEES
INCINERATOR ❑. DOMESTIC O INDUS. OR COMM.
WATER SOFTENER
VENT SYSTEM 0 FAN ❑ EVAP. COOe4O HOOD
PER
'
{ SIGN
��
WASHER (AUl%) (DISH)
- OWNER �q/� /�-�, �
APPLIANCE �, _� �. �, :
f •
*0
TRANS- O K.VJ.
FORMER .. .
GARBAGE DISPOSAL '
7-)
FURNACE D UNIT.❑ WALL O FL R O SUSPENDED
OUTLETS
ZONE '. USE OF BUILDING '•
LAUNDRY TRAY
PLAN CHECK FEE
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
^ ZZ
- .KITCHEN SINK
GAS PIPE O NATURAL O L.P.G. O OIL
CHECKED BY COMMUNITY
CONST. SERV. ENTRANCE
.Ci'.�'Y.•
WATER CLOSET
•�S •t
COMPRESSOR HP
-
POLE
S .�_
LAVATORY
,.
APPLIANCE VENT
J-
M A
AMPERES SERV. ENT. %
J A
SHOWER !
`w r
ABSORPTION SYSTEM .- 0 B.T.U.
]:� �
SQ. FT. @ - ¢
LOT SIZE
BATH TUB
USE # -
INCINERATOR ❑. DOMESTIC O INDUS. OR COMM.
' •1
SQ. FT. @ d
WATER HEATER
rt
HEATING SYSTEM •P`O FORCED O GRAVITY
DBL
`. SQ: FT. RESID. QD l<
SEWAGE DISPOSAL (y
CT
BOILER B.T.U.
. SQ. FT. GARAGE @1�A ?
�":
HOUSE SEWER
PERMIT FEE'
J'
BALANCE OF MIN. FEE
GAS PIPING r
�;, zG -'
TRAILER ISSUANCE FEE - PERMIT FEE
%
PERMIT FEE
%
PERMIT FEE
TOTAL FEES.<"'
.REN. TRAILER FEE
HEAT 8 VEf�,. ..FEE
PL:CK. �F
CONST. FEE
DBL.
ELEC. �E ..,
IDOL.ISPEC.
INSP.- FEE PLUMBIN EE
DBL. j
P
- OWNER �q/� /�-�, �
�l�
ZONE '. USE OF BUILDING '•
DATE ..
PLAN CHECK FEE
$ cs` % <
_
F'€ '• � f »_ G .y+
V'�,
^ ZZ
CHECKED BY COMMUNITY
.Ci'.�'Y.•
�pL (j+{;j
•�S •t
-F -
-
.-...... --..—.._I,SI
S .�_
•;
r•
♦ -.e
J-
M A
s M .. J
J A
O N...
D
,1,7FO
]:� �
�4�' 7
LOT SIZE
IT U ER
GRI
USE # -
JOB ADDRESS
' •1
�!
FORM 284.208 (REV. 1-70)
- OWNER �q/� /�-�, �
�l�
ZONE '. USE OF BUILDING '•
DATE ..
PLAN CHECK FEE
$ cs` % <
_
F'€ '• � f »_ G .y+
V'�,
^ ZZ
CHECKED BY COMMUNITY
.Ci'.�'Y.•
�pL (j+{;j
•�S •t
OFFICE }
MECHANICAL FEE
•;
�ALI�q•T+yiGN
-
DBL
$
-GROUP
3
�. TYPE..,- LEGAL DESCRIPTION
IT U ER
GRI
CONSTRUCTION FEE
' •1
�!
G - j
rt
DBL
PLAN CHECKER - '�_
SUPP: TO PERMIT
ELECTRICAL FEE
� �
�":
j +'^Y�, �.,,. fi� _`� q,,. �•Y t� 'i •
/'
`PLAN
-
DBL
-
$�
BOND $
BOND
CA CA SHtr'.'
FILE•#.. s
FINAL DATE r'
INSPECTOR -
PLUMBING FEE
TRAILER PERMIT
ISSUANCE FEE
$
�ME OF, CONSTRUCTION LENDER ' ' _
,I"^`
BRANCH OFFICE'
NO LENDER
INVOLVED
� .�
'
ADDRESS
CITl
$
FTATEFEE
TOTAL FEES
g =r"�
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
L
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
' 1' HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT .WILL BE DONE IN ACCOR- .r
CASH Q 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
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
' y
t�C �0u LL
i�-
I HEREBY CERT IFYTHAT HE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO INA C CE 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE;,
'.
INFORMATION
OF a
'ti
JkADDRES�
W RP •• +
CONTRACTOR
'
e'- /3' _
"- r fc'
ADDRESS
_
TFC NO d
TEL. NO. •.
LICENSE NO.
FORM 284.208 (REV. 1-70)