201889 (SATT)VENT SYSTEM ❑ FAN ❑ EVAP. COON❑ HOOD
+�
, SIGN
DEPARTMENT OF BUILDING & SAFElb
� FIELD OFFICE'
USE # JOB ADDRESS- M 0, NEE1
J
e."'V/ At /0
APPLIANCE / y
fl f3,.TRANS-MR
. O K.W.
.
GARBAGE DISPOSAL
R:.
FURNACE ❑ UNIT O WALL ❑ F.L OR Cl SUSPENDED
COUNTY OF RIVERSIDE
OUTLETS
CONSTRUCTION ESTIMATE ELECTRICAL FEES
PLUMBING FEES
.AIR HANDLING UNIT CFM
DATE
SO. FT.
iu
✓ 9 NO.
NO.
1STFL.
SQ. FT.
.@
y WATER CLOSET
6 cT
2ND FL.
7 b,•
50+FT.@
- MOTOR I OR LESS H.P.
LAVATORY
POR.
APPLIANCE VENT _
SQ.FT.
AMPERES SERV. E•NT.-
v� MOTOR 5 OR LESS H.P:
SHOWER
GAR.
�`" /I
SQ. FT.
@
MOTOR 20 OR LESS H.P.,t
DRAINAGE PIPING
CAR P.
WALL
SO.FT.
@
WATER HEATER
DRINKING FOUNTAIN
SQ. FT.
@
SO. FT. RESID. @ I,$ '
URINAL
SEWAGE DISPOSAL
iU ;
BOILER I B.T.U.
ELECTRICAL'FEE
ge IK W. UNITS
WATER PIPING
HOUSE SEWER
ESTIMATED VALUATION--Ts--7
>,v 73 Y
'FLOOR DRAIN
.✓`�'
MECHANICAL FEES
l G1:«�3" e,S...s
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COON❑ HOOD
+�
, SIGN
�'
WASHER (AUTt6 (DISH)
USE # JOB ADDRESS- M 0, NEE1
J
e."'V/ At /0
APPLIANCE / y
fl f3,.TRANS-MR
. O K.W.
GARBAGE DISPOSAL
R:.
FURNACE ❑ UNIT O WALL ❑ F.L OR Cl SUSPENDED
OUTLETS
LAUNDRY TRAY
.AIR HANDLING UNIT CFM
DATE
FIXTURE OR. SOCKET
I
KITCHEN SINK
', 7)
GAS PIPE O NATURAL O L.P.G. ❑ OIL
'
CONST. SERV. ENTRANCE
y WATER CLOSET
6 cT
COMPRESSOR HP
7 b,•
POLE
S e^/ a
LAVATORY
(J
APPLIANCE VENT _
AMPERES SERV. E•NT.-
PJ'
SHOWER
f4J
ABSORPTION SYSTEM 0 B.T.U.
G'gOUP.
SQ. FT. @ d
aRMIT
2188
BATH TUB
FEE
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ d
!
WATER HEATER
HEATING SYSTEM Y-❑ .FORCED ❑ GRAVITY
p
SO. FT. RESID. @ I,$ '
j
SEWAGE DISPOSAL
iU ;
BOILER I B.T.U.
ELECTRICAL'FEE
SQ. FT. GARAGE @1�2Q, `•.
t `
HOUSE SEWER
.y
d> °"
PERMIT FEE
BALANCE OF MIN, FEE
.✓`�'
GAS PIPING
l G1:«�3" e,S...s
TRAILER ISSUANCE FEE - -PERMIT FEE
PERMIT FEE r.
!a'
PERMIT FEE
G%
ERIp� tjBs
/�
�a,�
T FEESe -
REN. TRAILER FEE,
HEAT & V�J1- FEE
PL. FEE„
CO ��
oeL.
E F �.
Del.
SPEC. INSP. FEf
PL MBJN. jFEE
P
J
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' FORM 284-208 (REV. 1.70) OP s
- .. _ ". ._ � _. _ ". _ _ -._ •.. a.- •.tea 4^._.1...x.:
LOT SIZE'
USE # JOB ADDRESS- M 0, NEE1
J
e."'V/ At /0
R:.
Id�NV tt�.J' ko &7 / ! " i .i '=✓'c- t/' .- + Irr 4
ZONE - USE OFF BUILDING
DATE
PLAN CHECK FEE
••�y
$ !
. `U
spa
t f�'04" /It/
'
CHECKED BY COMMUNITY
.R 9n
UqI UFlION OFFICE .:1
MECHANICAL FEE
S e^/ a
�1 ,.yT.f<a^�
/
• -
DBL-
-
s'
G'gOUP.
.TYPE' LEGAL DESCRIPTION - _
aRMIT
2188
NUMBER(CONSTRUCTION
FEE
7- . -�°3' , ..1,� ?
J
•
DBL
•
PLAN CHECKER ,fir'
SUPP. TO PERMIT
ELECTRICAL'FEE
f 9
.y
d> °"
.✓`�'
l G1:«�3" e,S...s
DBL
BOND $ •
-BOND
FILE p,
FINAL DATE
INSPECTOR -
PLUMBING FEE.
$
1,7LAN
TRAILER PERMIT'
ISSUANCE.FEE
$
NAME OF, CONSTRUCTION LENDER -. -
i
BRANCH OFFICE
IN LENDER
I 0LVED
0c/94i •_.3`"3- (.ri a°` -' ? Ie
,
ADDRESS -
CITY•
STATE .
FEE
TOTAL FEES.,.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION ".
OF WORK FOR 120 DAYS SHALL AL50 CAUSE PERMIT TO BECOME VOID.
'•- °I HEREBY AGREE THAT�ALL WORK IN CONNECTION WITH THIS -PERMIT WILL BE DONE IN ACCOR
CASH Q CHECKM.O.
N.C.
Q
�
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
-It
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.'
HAS DONE
LL�'G4
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS
SO IN �gl1AN ION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
" p"D
INFORMATION
�.
B.WN .> ,Cy`/� /•' CONTRACTOR - 'I
ADORE
ADDRESS -
;yet, �f 1 A
y
x
L
-
TEL N0. .
TEL. -NO.
LICENSE NO.
f/(/pfd
' FORM 284-208 (REV. 1.70) OP s
- .. _ ". ._ � _. _ ". _ _ -._ •.. a.- •.tea 4^._.1...x.: