158880 (RPL)1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
Gar.. Sq: Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL RAO
VENT SYSTEM ❑ FAN ❑ EVAP: COOL. ❑ HOOD
APPLIANCE .
} FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
Z AIR HANDLING UNIT
O
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
U COMPRESSOR OHP
W APPLIANCE VENT
� ABSORPTION SYSTEM
O
U INCINERATOR DOMESTIC ❑ INDUS. ❑COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER B.T.U..
RESIDENTAL FEE SQ.FT.E__
PERMIT FEE
PERMIT �OJ 11,55 /� 8 O REN, DBL. TOTAL FEE
J �0�IFFF M A
1 F
DEPARTMENT. OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES
POLES
S16NS
AOR T. CLK.
MOTOR' H.
2 MOTOR H.
MOTOR H.
MOTOR H.
MOTOR H.
. FIXTURES
OUTLETS
SUB-PAMEL
• RANGE AND/OR OVEN
WATER HEATER
3.T.U. SPACEHEATER
CONSTRUCTIONPOLE
SERVICE- ENTRANCE
RESID. IC SQ. FT.
1@ GARAGE iQ SQ. FT_
PERMIT FEE
S ]HEAT & VENT FEE' PLN. CK. FEE CONST,
y .�• F 1
M I J
FIELD OFFICE
PLUMBING FEES
SET BACK
DRAINAGE PIPING
y�q
DRINKING FOUNTAIN
JOB ADDRESSOWN{ER
1/ � � � / � �
-NN
URINAL
'-,� �
WATER PIPING
r.
R
FLOOR CRAIN
.,
WATER -SOFTENER
ZONE
WASHER .(AUTO) (DISH)
GARBAGE DISPOSAL
t wr►,
LAUNDRY TRAY
./_�' f? 2 t; '( �.F` .1 �'. F'h=_..
,f iz •i, 4"
KITCHEN SINK
'
WATER CLOSET
•OJSTRY'CT
F.C. °
LAVATORY
VALUATION
OFFICE
SHOWER
BATH TUB
-i
WATER HEATER
i
1
A•GE DISPOSAL
GROUPTYPE
i
HOUSE SEWER S
LEGAL DESZ RIPTION " -�
vPER
GAS PIPING
w
„x5
PERMIT FEE
EE
S
ELEC,
O
FEEPLUMB.
N
FEE
D6
SET BACK
LOT SIZE
USE 7E -
�fUv �
JOB ADDRESSOWN{ER
1/ � � � / � �
a
1
'-,� �
rr
r.
R
.,
ZONE
IUS OFBUILDING
PLAN CHECK FEE
t wr►,
sh�
P,!
./_�' f? 2 t; '( �.F` .1 �'. F'h=_..
,f iz •i, 4"
CHECKED BY
COMMUNITY as
•OJSTRY'CT
F.C. °
VALUATION
OFFICE
M•
MECHANICAL FEE
>{ 1 4�
,>
JUNITS
1
-
GROUPTYPE
LEGAL DESZ RIPTION " -�
vPER
IIT NUMBE
CONSTRUCTION. FEE
'
10TI..IF
1V
8.V
_
SPEC. INSP.'
- ' ..9'
�1*
SU PP. 'TO PERMIT
ELECTRICAL FEE"'"'S
-
..,.
PLAN'CHECKER
BOND $.
BOND
CASH
PLAN FILE 0
FINAL DATE
INSPECTOR
PLUM BIN G. F.EE
Iw
I
J.
RC-If�Q
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 -
CASH CHECK M.0. N.C.
DECEIVED BY
SEWAGE SYSTEM
-
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
SIDE 'COUNTY 'AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
�....
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COWERING CON-
INFORM'ATION
TRACTORS IS ALSO GUARANTEED_
OWNER
COVTRA TOIR w.
ADDRtTS
-ADORE S
F
TEL. NO. -
TE'L. NU.
-
LICENSE NO.
284-208 11/87