174915, 200143 (SFD)FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM JEAN ❑ EVAP. COOL MOOD
MOTOR H.P.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE •
WASHER (AUTO) DISH)
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
1st FI.
2nd FI.
� Por.
Gar.
Car P.
Wall
61VIC2
Sq. Ft, @
)
No.
Sq. Ft. @
0 deo+�
Sq. Ft. @ �
��]"�
Sq, Ft, @ i
Sq. Ft. @
� ry POLES
SIGNS
Sq. Ft. @ .
OR AT.SC K.O/
Sq. Ft. @ Z�
MOTOR H. P.
•✓e2
PLAN CHECK FEE $
MOTOR M.P.
ESTIMATED VALUATION Is
3
^"l, �:- MOTOR H. P.
- RANGE AND/OR OVEN
MECHANICAL FEES
MOTOR M.P.
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER'SOFTENER
VENT SYSTEM JEAN ❑ EVAP. COOL MOOD
MOTOR H.P.
WASHER (AUTO) DISH)
r
-
APPLIANCE
FIXTURES
Z)
GARBAGE DISPOSAL
)
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
R
LAUNDRY TRAY
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
ZONE it
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
PLAN CHECK FEE $
44
WATER CLOSET
f
COMPRESSOR O HP
- RANGE AND/OR OVEN
CHECKED BY
LAVATORY
W+�
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM j B.T.U.
SPACE HEATER
GRO
'' BATH TUB
zv
rT .
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
NUMBER
WATER HEATER
1
f174915
HEATING SYSTEM FORCED ❑GRAVITY
SERVICE ENTRANCE �
Q
SEWAGE DISPOSAL
BOILER B.T.U.
RESID. 1Q SO. FT.
��
HOUSE SEWER
PERMIT FEE
GARAGE 12 SO. FT.
f %
GAS PIPING
•
PERMIT FEE
PERMIT FEE
}gyp
PE M T N MBER REN. COL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST.:FF7E_� C M AM1JA
ct PLUMb. r
-- W
SET BACK
LOT
SIZE
USE V
JOB ADDRESS OWNER L '-
J
Z)
)
S
R
ZONE it
tT5E OF BUILDINGE
Q144
PLAN CHECK FEE $
44
f
CHECKED BY
CO,
VAIrpiC
MECHANICAL FEE $
_++�
GRO
TYPE
LE GA L'D E St R rPTION
PERMIT
NUMBER
1
f174915
CONSTRUCTION FEE $
�
� r .�
SPEC. INSP.
SUPP. TO PERMIT
'may/IC
ELECTRICAL FEE $
"3
...�
/�
V
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE it l.F ���TE
INSPECTOR
PLUMBING FEE $
"""
.��
j
•a,6
(�
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMM NCED
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 j M. 0. 1 1 N. C. I
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
t rF
T
P y� Cf, (J
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
NAME OF CONSTRUCTION LENDER
'
OWNER
CONTRACTOR
BRANCH OFFICE
'$ v i +i`J/iC ' fj
11 r ri J V
ADDRESS (,�
�,jf
DRESS
ADDRESS
CITY
ATE
Y a7
��•Y
NO LENDER INVOLVED
I .,: -- L x v I/t
INFORMATION
'
TEL. NO.
TEL. NO..�,�/
/
LICENSE NO. �l
284-208 12/68Q
VENT SYSTEM Cl FAN ❑ EVAP. COOL 0 HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
DEPARTMENT OF BUILDING & SAFETY•
FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I I CFM
FIXTURE OR SOCKET KITCHEN SINK
•
FIELD OFFICE
COMPRESSOR 0 HP
POLE LAVATORY
f
COUNTY OF RIVERSIDE
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ Q BATH TUB
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
s 1 ST FL.
SQ. FT.
@
NO.
NO.
2ND FL..
SQ. FT.
@
014 3
TOTAL FEES
=
POR
SQ. FT.
@
MOTOR I OR LESS H.P.-
DBL.
' GAR.
SQ.FT.
@
MOTOR 5 OR LESS H.P.
CAR P.
SQ. FT.
@
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
I�
' WALL
SQ.FT.
@
M �. _ _ A. AI
-DRINKING FOUNTAIN
_ N
SQ. FT.
@
-
URINAL
USE #
>U1 -i
JOBB ADDRESS y� q.� � p /� OW
Y" 1 7
OK W. UNITS
WATER PIPING
ESTIMATED VALUATION.
I
$
F
FLOOR DRAIN
R
MFC'HANICAI
FFFS
WATFR I;nPTFNFR
VENT SYSTEM Cl FAN ❑ EVAP. COOL 0 HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W.GARBAGE DISPOSAL'
FORMER O
FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I I CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE O NATURAL 0 L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR 0 HP
POLE LAVATORY
APPLIANCE VENT
AMPERES SERV, ENT. SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ Q BATH TUB
INCINERATOR 0 DOMESTIC O INDUS. OR COMM.
SQ. FT. @ d WATER "HEATER
HEATING SYSTEM Cl FORCED O GRAVITY
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER I B.T.U.
SQ. FT. GARAGE @1�2¢ HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE-- PERMIT FEE
PERMIT FEE PERMIT FEE
PER
014 3
TOTAL FEES
=
REN. TRAILER FEE HEAT & VBLYT. FEE
=-
PL. CK. FEE CONST.
FEE;,,
081. ELEC�
DBL.
SPEC. INSP, FEE PLUMBING FEE
DBL.
&.
19
����
M �. _ _ A. AI
J_ • _ J w A�-- - ..� S•--�.r-- O.. -ter+
_ N
SET RACK
LOT SIZE
USE #
JOBB ADDRESS y� q.� � p /� OW
Y" 1 7
R�)
F
S
R
J �+[��T
dS. r:,c/w r,A
-
$
ZQNEE /
r
USE OF BUILDING - l �'�? DAT
'P4 ' f ! ��i"`/,1, 71
PLAN CHECK FEE
Is
N.E t. �:.J•-f9,4&S. f A j
f
CHECKED BY
COMMUNITY 5 D
t., >> Via' • •,
l STRICT, �.�
F. C.t`�
CC'•�i
/LIJgT101Jf�,•
VVIR'! h/
OE
MECHANICAL FEE
DBL
/�
GROUP
TYPE
LEGAL DE CRI PTION-•.. 1-.
`�,' ERMIT NUM ER
CONSTRUCTION FEE
�.' �' �'i �� �?�
20013
DBL
2.) 3
PLAN CHECKER
SUPP. TO PERMIT
ELE�RICALFEE
f !
/J DBL
f /i?,
BOND $
BOND
CASH
PLAN FILE It - FINAL
DATE
INSPECTOR
PPLUUUM_BING FEE
/—/� l
YGLj t -
TRAILER PERMIT
NAME OF, CONSTRUCTION
LENDER
BRANCH OFFICE
NO LENDER
INVOLVED
ISSUANCE FEE
$
ADDRESS
CITY
STATE
FEE
t
TOTAL FEES
$ ='
THIS IF IS NOTNCED WITHIN 60 DAYS. CESSATION
TBE
�J�
CAU EORK
OF WORK FOR1120HALL DAYSBSHAALL ALSODPERM T BECOME VOID,
''HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
CASH Q CHECK 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.
!Ri T LL I P
I HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATFt
OF C IF RN c
INFORMATION
OWN
CONCTO
R{P/i `/Z� OPZ P
ADDRESS
ht
AD �bf�—vL//I131)x J— ;i7—
TEL. NO.
TEL. NO.
—LICENSE
'
r
LI C E NS MO.
R