204292 (ELEC)VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE '
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
�.
• - COUNTY OF RIVERSIDE
CONST. SERV. ENTRANCE WATER CLOSET `
COMPRESSOR - 0 HP
., - •-
APPLIANCE VENT
.•
ABSORPTION SYSTEM 0 B.T.U.
r
CONSTRUCTION ESTIMATE'
-'..ELECTRICAL FEES
PLUMBING FEES
I ST FL.
BOILER B.T.U.
SQ. FT.
@
NO.
NO.
SQ. FT.
•@
PERMIT FEE' .o PERMIT FEE 4
PER
2ND FL.
POR.'
TOTAL FEES
SQ. FT.
,
n
MOTOR I OR LESS H.P.
oeL.
SQ.FT.
l
' MOTOR 5 OR LESS H.P.
PLUMBING FEE
GAR.
CAR P.
SQ. FT.
@
• MOTOR'20 OR LESS H.P.
DRAINAGE PIPING
WALL
SQ.FT.
@
DRINKING FOUNTAIN ,
SQ. FT.
@
URINAL 3
J F M A M
J .J A 5 O ^.
.. .. U - - .+r
N
OK W. UNITS '•
WATER PIPING
LOT SIZE
ESTIMATED VALUATION
$
c
FLOOR,DRAIN m
MFCHANICAI
FFFS
.}!+/�..!2r= %.� -r7 �: sfrCt
WGTFR SnPTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE.DISPOSAL
FORMER O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Cl SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET -KITCHEN SINK
GAS PIPE ❑NATURAL ❑ L.P.G. El 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 i
INCINERATOR ❑ DOMESTIC O INDUS. OR COMM..
SQ. FT..@ d t WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER B.T.U.
SQ. FT. GARAGE @1124 HOUSE SEWER
• ,i
PERMITTEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE' .o PERMIT FEE 4
PER
TOTAL FEES
REN.• TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
oeL.
ELEC. F�E'iE
oBL.
SPEC. INSP.: TEE
PLUMBING FEE
DBL.
"1
111
-
J F M A M
J .J A 5 O ^.
.. .. U - - .+r
N
SET BA
LOT SIZE
USE #
JOB ADDRESS OWNER
Of
44
A
-
ZONE
USE OF BUILDING -
DATE
PLAN CHECK FEE
$
4
y�
/F 1 z�% %"�',�,
""" n� 41
-
CHECKED BY
'
COMMUNITY - DISTRICT
F.C'.
UNITS
VALUATION OFFICE
MECHANICAL FEE
J
DBL
-
$
GROUP
TYPE'
LEGAL' OESCRIP%TIN' -
�,`
ERT U ER
204
CONSTRUCTION FEE
c;j • f E/
-J
DBL
- -
PLAN CHECKER
SUPP. TO PERMIT -'
$
`
fjr.f
ELECTRICAL FEE
/ 7
DBL
-
BOND $
.BOND
CASH
PLAN FILE# FINAL
DATE
INSPEJCT R '-
4
PLUMBING FEE
/
NAME OF. CONSTRUCTION'
LENDER _
BRANCH OFFICE' _ -
LENDER +ry
TRAILER PERMIT$'
IND
INVOLVED .
ISSUANCE FEE
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 ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT -ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH•E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE r
CASH 0,i CHECK M.O. N.C.
REcerveo BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
i�
I HEREBY -CERTIFY THATTHE INDIVIDUALWHO PREPAREDTHE PLANS AND SPECIFICATIONS. HAS DONE
SO IN ACCORDANCEWITH SECTION 554LOFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,
INFORMATION
.
OWNER ',
CONTRACTOR �_.M•,
ADDRESS
ADDRESS f 7
• -
yi
"
TEL. NO.
TEL. NO. • 'i"7
LICENSE NO,
284-208 (REV. 1-70) ®S