204291 (ELEC)VENT SYSTEM ❑ FAN . ❑ EVAP. COOL' ❑HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER �-
FURNACE ❑ UNIT''❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS. LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR,SOCKET KITCHEN SINK
DEPARTMENT OF BUILDING & SAFETY
• C-OUNTY.OF RIVERSIDE
FIELD OFFICE
`
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1ST FL.
INCINERATOR D DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
so. FT. @ NO.
NO
SQ. FT. @
SQ. FT. GARAGE @1241 HOUSE SEWER
PERMIT FEE
2ND FL
TRAILER ISSUANCE FEE _ PERMIT FEE ..
SQ. FT. @
MOTOR I OR LESS H.P:
- A �1 P�.�
POR.
-
@
MOTOR 5 OR LESS H.P.
`
GAR.SQ.FT.
SQ. FT. l
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAP. t
R
WALL
ITOTAIEi
4n
SOFT. @
DRINKING FOUNTAIN .
SO FT
jDBL.jSPEC.,.INSP'
URINAL
JDBL.
-
_. J _- —.A - Si O
OK w. UNITS
WATER PIPING
ESTIMATED - VALUATION '. $: `
ID____
` .. ... N D
FLOOR DRAIN
MECHANICAL FEES
i>fpt,."AI q 4"p
WATER SOFTENER
VENT SYSTEM ❑ FAN . ❑ EVAP. COOL' ❑HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER �-
FURNACE ❑ UNIT''❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS. LAUNDRY TRAY
AIR HANDLING UNIT
CFM FIXTURE OR,SOCKET KITCHEN SINK
GAS PIPE Cl NATURAL Cl L.P.G. ❑ OIL
+ CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR•, 0 -HP.
POLE , LAVATORY
APPLIANCE VENT '
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM 0 B.T.U. SQ. FT. @ ♦ BATH TUB
INCINERATOR D DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER
HEATING SYSTEM ❑ FORCED-❑ GRAVITY
SQ. FT. RESID. @ j ¢ SEWAGE DISPOSAL
BOILER B.T U.
SQ. FT. GARAGE @1241 HOUSE SEWER
PERMIT FEE
r BALANCE OF MIN. FEE GAS PIPING-
TRAILER ISSUANCE FEE _ PERMIT FEE ..
PERMIT FEE t3 r PERMIT FEE
PER M+{
- A �1 P�.�
REN..• TRAILER
FEE HEAT &`VENT. FEE
PL'.�CK. FEE CONST.
FEE .
- DBL: ELEC.
FEE
PLUMBING FEE
G
4 L/. 9
ITOTAIEi
jDBL.jSPEC.,.INSP'
JDBL.
-
_. J _- —.A - Si O
N
.. F M A
J
M . J .J A S O
ID____
` .. ... N D
LOT SIZE' •
USE #
:.
1101 AD
��D,r`RESS ,. j',,. ` /�,f - OWNER
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r �/,✓�'�
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F
S
R.
Iw_ /,41,'5 .I.J
e� 0...•sF.-^"Ilfif
ZONE - -
USE OF BUILDING
DATE
PLAN CHECK FEE.
!_ ��f
'•
.-
CHECKED BY -'
COMMUNITY _ DISTRICT
•
F.C..
UNITS
VALUATION' '
OFFICE ,
j"�
MECHANICAL FEE' . '
$
.�' •
�/ P/i'srFd
/ . :.
Jam. ."�"
ie�•
'^ •- DBL
GROUP
TYPE
LEGAL DESCRIPTION .,
.�
OERMIT NUMBER*
CONSTRUCTION FEE'
• '
`
r «•: r'
'
08L
PLAN CHECKER
SUPP. T,Of PERMIT ",
ELECTRICAL FEE
$ ;
-� ',``f`s� C �� gid.-- -1
// I
' -
DBL
-
-
BOND $
BOND
C,ASH'x
PLAN FILE# FINAL
DATE ..
INSP CTOR
I
PLUMBING FEE
NAME OF, CONSTRUCTION -.LENDER. -
BRANCH OFFICE _
TRAILER' PERMIT'
'
I&VLENDER
OLVED
ISSUANCE FEE
- -
.'A
ADDRESS
CITY
STATE'
FEE
g
. -
THIS PERMIT'SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
TOTAL FEES
$ �" ...^
OF WORK FOR 120,DAYS-SHALL ALSO CAUSE PERMIT TO BECOME VOID,
HEREBY AGREE THAT ALL. WORK IN CONNECTION WITH THIS PERMIT -WILL BE DONE, IWACCOR �I
DANCE "WITH THE LAWS•OF RIVERSIDE.000NTY AND T.H,E STATE OF CALIFORNIA. I ALSO'AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH -CHECK M.O. N.C.
RECEIVED BYSEWAGE SYSTEM
OF CALIFORNIA'COVERING CONTRACTORS IS ALSO GUARANTEED,' .
I HEREBY CERTIFY THAT THE'INDIVIDUALWHOPREPARED THE PLANS.AND SPECIFICATIONS HAS DONE '
/s`,-, T LL P
50 IN ACCORDANCE WITH SECTION 5541 OF THE -BUSINESS AND PROFESSIONS CODE OF THE STATE
OFIF NIA
-- INFORMATION -
OWNER -
CONTRACTOR ••r..u.•.
-
' ` -
•.
ADDRESS - Y -
ADDRESS. -
7TEL. NO. . .-
TEL. ,NO. - ;I
`
LICENSE NO. - - -
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