201891 (SATT)r
VENT SYSTEM ❑ FAN ❑ EVAP. COOL*❑ HOOD
•DEPARTMENT OF BUILDING & SAFE
`. 6
COUNTY OF RIVERSIDE
FIELD OFFICE
LOT SIZE
CONSTRUCTION ESTIMATE uU ELECTRICAL FEES
PLUMBING FEES
1ST FL.
2ND FL.
POR. -
GAR.
CAR P.
WALL
�+�t"�
'_
SQ. FT. �` :, Y NO.
SQ. FT. @ -
NO.
SQ. FT. MOTOR I OR'LESS H.P.
GARBAGE DISPOSAL
s MOTOR 5 OR LESS H:P.
sQ:Fr.
FURNACE ❑ UNIT ❑ WALL ❑. LOOR Cl SUSPENDED
SQ. FT., l; n - MOTOR 20 OR LESS H.P.
SQ.FT. @
DRAINAGE PIPING
DRINKING FOUNTAIN_
SQ. FT. @
URINAL
lK W. UNITS
WATER PIPING
ESTIMATED VALUATION $
FLOOR DRAIN -
FIXTURE OR SOCKET
MECHANICAL FEES _
WATER SOFTENER
r
VENT SYSTEM ❑ FAN ❑ EVAP. COOL*❑ HOOD
6-+i''.
SIGN
LOT SIZE
WASHER (AUT (DISH)
/J JOB ADDRESS. OWNER _
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t, cy
APPLIANCE •t ^e .0
TRAFORMER .O K.W.
DATE -
GARBAGE DISPOSAL
j9- a?-
FURNACE ❑ UNIT ❑ WALL ❑. LOOR Cl SUSPENDED
., (4'
OUTLETS
LAUNDRY TRAY
CHECKED BY'. COMMUNITY' AWT
AIR HANDLING UNIT =CFM
A0:�
FIXTURE OR SOCKET
T
KITCHEN SINK
$^
GAS PIPE ❑NATURAL Cl L.P.G. ❑ OIL-
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
7!
POLE
44
LAVATORY
0
6 0
APPLIANCE VENT
$
AMPERES SERV. ENT.`
'ROUP
SHOWER
f
CONSTRUCTION FEE
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ 4
BATH TUB
•
'J
INCINERATOR ❑ DOMESTIC ❑ .INDUS. OR COMM.
$Q. FT. @ -4
- PLAN CHECKER -'
WATER HEATER
ELECTRICAL FEE
HEATING SYSTEM '440 FORCED ❑ GRAVITY
/
SQ. FT..RESID. @I
f> !
SEWAGE DISPOSAL
. o
�
BOILER B.T:U.
BOND $
SQ. FT. GARAGE
CASH'
HOUSE SEWER
FINAL DATE -
-
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE' FEE '-PERMIT FEE
PERMITFEE'
!
PERMIT FEE
6jNAMOF�CONSTRUCTION LENDER
J.BRANC N OFFICE
PER M�c A
Gl
ien A
I �oJ 1V71
I
TONAL FEE"'•'•"
rs'
REN.
TRAILER; FEE HEAT 84VE�+lfT•.FEE
'^� ..
PL. CK F. CONST. Ff
^• Cis
JOBL.1ELEC.
EE
oeL. ISPEC.INSP.
FEE
PLUM BWIG�FEE
DBL.
.. J F• M A
_ y
4-g
�
LOT SIZE
/J JOB ADDRESS. OWNER _
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'
ZONE - USE OF BUILDING.J< 7
DATE -
PLAN CHECK FEE
$ :7
fJ
., (4'
CHECKED BY'. COMMUNITY' AWT
W,,T.
A0:�
�IjS
�j- OFFICE'.
.• LUAV`I�LO',
itd
MECHANICAL FEE,
$^
¢'�«i'�
"
Crl
W {
DBL
$
'ROUP
". TYPE LEGAL DESCRIPTION
ERMIT NUMBER
i
CONSTRUCTION FEE
•'��
L.07Y .I.. % f
•
•
DBL
-
- PLAN CHECKER -'
SUPP., TO PERMIT
ELECTRICAL FEE
$
r ... f 7 —f
- -
DBL -
- -
BOND $
• BOND
CASH'
PLAN FILE�g
FINAL DATE -
INSPECTOR
PLUMBING FEE
$ 'cop
TRAILER PERMIT
ISSUANCE FEE,
$
6jNAMOF�CONSTRUCTION LENDER
J.BRANC N OFFICE
11401 LEN oER
INVOLV
•
ADDRESS - C} Y .:
STATE
FEE
$
TOTAL FEES, "
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
; • .
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TQ 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 T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO ;
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
R CEIVED BY.1 SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
T.aA{i . ILLq
a
dJ °tsl
I HEREBY CERTIFY THATTEINDIVIDUALWHOPREPARED THE PLANS AND SPECIFICATIONS HAS DONE
"QO IN AC NC ION 5541 OF THE BUSINESS A -ND PROFESSIONS CODE .OF THE STATE
ti
y, INFORMATION
W E'R r' - ' CONTRACTOR ,
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AODRES
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ADDRESS
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