204530 (SFD)VENT SYSTEM PLFAN. ❑ EVAP. COOL 0 HOODSIGN
WASHER (AUTOJIDISH) r
APPLIANCE ,F
l—
FURNACE ❑ UNIT ❑ WAIL ❑ FOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
DEPARTMENT OF BUILDING SAFETY
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET c;
COMPRESSOR s. HPy
POLE ,� LAVATORY U'
APPLIANCE VENT
FIELD OFFICE
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ 4 BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
COUNTY OF RIVERSIDE
HEATING SYSTEM ', FORCED ❑ GRAVITY
by SQ. FT. RESID. @a 14 j SEWAGE DISPOSAL
BOILER B.T.U.
FT. GARAGE @a 1�2¢ HOUSE SEWER
PERMIT FEE
E OF MIN. FEE GAS PIPING �„a
LL
TRAILER ISSUANCE FEE -PERMIT FEE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
TOTAL FEES -
SQ. FT.
@ i- .
NO.
NO. ti
BL.
SPEC. INSP. FEE
PLUMBING FJ5
40
DBL.
2ND FL.
SQ. FT.
@
SQ. FT.
MOTOR I OR LESS H.P.
3 1
POR.
- JJ 11- M AM
J F M A M
SQ.FT.
@af5Z" °'
MOTOR 5 OR LESS H.P.
SF R
GAR.
"�
SQ. FT.�TD
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
CAR P.
WALL
SQ.FT.
@DRINKING
FOUNTAIN
SO. FT.
USE OF BUILDING F
T
DATE
URINAL
$
OK W. UNITS
WATER PIPING
ESTIMATED VALUATION
$]
�'"�
FLOOR DRAIN
COMMUNITY
MECHANICAL FEES
F.C.
WATER SOFTENER
VENT SYSTEM PLFAN. ❑ EVAP. COOL 0 HOODSIGN
WASHER (AUTOJIDISH) r
APPLIANCE ,F
FORMER D K.W. GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WAIL ❑ FOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET c;
COMPRESSOR s. HPy
POLE ,� LAVATORY U'
APPLIANCE VENT
AMPERES SERV. ENT. SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ 4 BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q WATER HEATER
HEATING SYSTEM ', FORCED ❑ GRAVITY
by SQ. FT. RESID. @a 14 j SEWAGE DISPOSAL
BOILER B.T.U.
FT. GARAGE @a 1�2¢ HOUSE SEWER
PERMIT FEE
E OF MIN. FEE GAS PIPING �„a
LL
TRAILER ISSUANCE FEE -PERMIT FEE
EE U PERMIT FEE
PER
r1
B45
-
TOTAL FEES -
REN. TRAILER FEE HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
DBL. ELEC. FE
BL.
SPEC. INSP. FEE
PLUMBING FJ5
40
DBL.
17/7 1
3 1
- JJ 11- M AM
J F M A M
J J A S O
J J A S O
N D
N D
SF R
LOT SIZE
USE #
JOB ADDRESS OWNER
'' to v
t
�-g
ir1�` CJ
S } R
ZONE
USE OF BUILDING F
T
DATE
PLAN CHECK FEE
$
.{
CHECKED BY
COMMUNITY
F.C.
UNITS
VALUATION Q OFFICE
1
MECHANICAL FEE
S
J
t�fi
IDISWrCT
.�
o
�+
DBL
TYPE
LEGAL DESCC PTION
ER IT R
$
O
CONSTRUCTION FEE
dW
.�i ... 7 r
jM
�i �1
DBL
PLAN CHECKER
-
St TO PERMIT
f
C,
'"
ELECTRICAL FEE
- o
DBL
BOND $
MOND
CASH
PLAN FILE q FINAL
DATE
INSPECTOR
PLUMBING FEE
$
olln
I
R
TRAILER PERMIT
NAM}E� OF C7STRUCTIO.
��t„�¢/j
ENDER
� /,-
BRANCH OFFICE
NO LENDER
NVOLV ED
ISSUANCE FEE
f
-.ir-
ADDRESSCITY
STATE -tl
FEE
$
e
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.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.HE STATE OF CALIFORNIA. 1 ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH CHECK M.O. N.C.
Q
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUALW HO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
T LL P
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CA F RNIA-
INFORMATION
"i
OWNER
r`
CONTRACTOR
's
ADD R ES
ADDRESS
i.
L. NO.
TEL. NO.
LICENSE NO,
7_ �
i