204681 (SATT)VENT SYSTEM ItFA•N ❑ EVAP. COOL It HOOD -SIGN
-DEPARTMENT OF BUILDING & SAFETY
FI!EW OFFICE
LOT.SIZE ..
' •
COUNTY OF RIVERSIDE' •
APPLIANCE.,
TRANS-
FORMER O K.W.
GARBAGE DISPOSALR
CONSTRUCTION ESTIMATE..' '
=ELECTRICAL FEES
PLUMBING FEES '
1 ST FL.
;e ---
SO. FT:, @/ sn
� . N O.`
N O.
2ND FL.
'USE OF BUILDING •' t
SO. FT.
• -
GAS PIPE Cl NATURAL ❑ L.P.G.. ❑ OIL +
POR.,
ei�
l G
SQ. FT.`
MOTOR I OR LESS H.P. •,
SOFT: @L
- ' MOTOR S OR LESS H.P. ;
POLE `
GAR. .,• ,�
CAR P.'
DISTRICT
'
SQ. FT.` @
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
WALL
5 -' SHOWER
SOFT. @ �'
�'
DRINKING FOUNTAIN
SQ. FT." @ .
, ,
URINAL'
.
INCINERATOR. ❑ DOMESTIC Cl INDUS. OR COMM.
SQ. FT. @ Q
OK.W,. UNITS .
WATER PIPING j.
• ESTIMATED VALUATION . $
HEATING SYSTEM "❑ FORCED ❑ ,GRAVITY'
FLOOR DRAIN' -
RAIN'-
SQ: FT..RESID. @ ) ¢
MECHANICAL
MECHANICALFEES
WATER SOFTENER •
VENT SYSTEM ItFA•N ❑ EVAP. COOL It HOOD -SIGN
SET R6C4.y
LOT.SIZE ..
WASHER (AUTOIADISH)
Q s
APPLIANCE.,
TRANS-
FORMER O K.W.
GARBAGE DISPOSALR
FURNACE UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
' -
AIR'HANDLING'UNIT CFM.
FIXTURE OR SOCKET
'USE OF BUILDING •' t
/ KITCHEN SINK
9 o -a
GAS PIPE Cl NATURAL ❑ L.P.G.. ❑ OIL +
$
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR .. HP
jj r
POLE `
-CHECKED BY
Y� LAVATORY.
DISTRICT
APPLIANCE VENT
UNITS'
AMPERES SERV. ENT.'
0&
5 -' SHOWER
y
$Ti+
" ABSORPTION SYSTEM O B.T.U.
r '
.af.•�-b�' _
- SQ. FT. @ ,p/
, ,
,BATH TUB
.
INCINERATOR. ❑ DOMESTIC Cl INDUS. OR COMM.
SQ. FT. @ Q
,..
WATER HEATER
q
HEATING SYSTEM "❑ FORCED ❑ ,GRAVITY'
9 P TYPE- -
_
SQ: FT..RESID. @ ) ¢
SEWAGE DISPOSAL
BOILER B.T.U.
.. : "
SQ FT. GARAGE @I124y'
HOUSE SEWER
PERMIT FEE
901
BALANCE OF MIN. FEE f
' -
GAS PIPING
TRAILER ISSUANCE, FEE PERMIT FEE
I
PERMIT FEE
001,
PERMIT FEE
,
reRM1R A'
"/L1 4
(�,/1. �1
4u` SUI
,
I
TOTAL -FEES
REN.. TRAILER FEEfE�T
8'i'E� ..FEE
7 �'W
PL-'F+6E _
1?,' 4�0
CONST.. FE
.ig
DBL.
fLEC'. FEE _.DBL.
s�
SPEC. INSP. FEE PLUM BINGE
'
DBt. .�
. -..I; .. I `IM �I> 1..•rt-r_+�.++-.�.; �i.^�I,.'�••.I..w•.--- :�^.+.ur•-••-,+rt++.i,� - '-^ ��w. .., ri���+.�w- 'i:-•vir.
SET R6C4.y
LOT.SIZE ..
USE R
JOB ADDRESS OWNER' .. -
' -
-
ZONE - -
'USE OF BUILDING •' t
DATE ,
PLAN CHECK FEE
$
- - - -
-CHECKED BY
COMMUNITY'
DISTRICT
-F. C.
UNITS'
VALUATION -
OFFICE
MECHANICAL FEE • '
y
$Ti+
r '
.af.•�-b�' _
. •.
, ,
G
S
.'
J.
-
DBLG
9 P TYPE- -
_
LEGAL D.ESC IPTION -
PERMIT NUMBER
CONSTRUCTION FEE '
.. : "
$ /i
dd
y #. w�' e a' ..f 3i
204681
' -
DBL
PLAN CHECKER-
-
SUPP. TO PERMIT
ELECTRICAL FEE
° "'iil'�
e'
DBL
BOND $ -
009D
CA H
PLAN FILE,#
F9 E'
INSPECTOR
�.
(�kKJ
a
PLUMBING FEE
'
NAME OF,CONSTRUCTION LENDER ..
BRANCH OFFICE .
NO LENDER';
TRAILER- PERMIT
ISSUANCE FEE
$
p ##
INVOLVED
?,
'.
ADDRESS: .. - _. ., -
CITY_. -
STATE
' FEE
$ Y
r
�C r
TOTAL FEES ' `•-;
$'
THIS PERMIT SHALL BECOME VOID IF, WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION
-VOID.
' .�
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME '
I 'HEREBYrAGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ALCOR -
CASH CHECK
Q
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
RECEIVED BY SEWAGE. SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS -ALSO GUARANTEED. -
{
EREBY CERTIFY THATTHE I %IVI UALWHOPREPARED THE PIANS AND SPECIFICATIONS HAS DONE a
T
LL P
Sdi _ O D T SECTtO�'; Sal OF HE USINESS;AND PROFESSIONS CODE OF THE -STATE
F I EEfE
i
INFDRMAnoN
OWN ` •
NTRACTOR'
-
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AD ESS ,'�,��+ :/ j'
ADDRESS
TEL. NO.
TEL:,NO.
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