191374 (PLBG)VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
DEPARTMENT OF BUILDING & SAFETY
• COUNTY OF RIVERSIDE •
FIELD OFFICE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
I ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
CONST. SERV. ENTRANCE WATER CLOSET
SQ. FT. @
NO. I
NO.
SQ. FT. @
ABSORPTION SYSTEM O B.T.U.
@ MOTOR I OR LESS H.P.
SQ. FT.
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
@ MOTOR S OR LESS H.P.
SQ.FT.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. @ MOTOR 20 OR LESS H.P.
SQ.FT. @
DRAINAGE PIPING
DRINKING FOUNTAIN
SQ. FT. @
URINAL
DK w. UMTS
WATER PIPING
ESTIMATED VALUATION $
PER
FLOOR DRAIN
TOTAL FEES
MECHANICAL FEES
PL. CK. FEE CONST.
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS-
FORMER K.W. GARBAGE DISPOSAL
O
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FD(TURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ 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 ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. Cn Q WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL
BOILER I B.T.U.
SQ. FT. GARAGE @/24
PERMIT FEE
BALANCE OF MIN. FEE GAS PIPING
TRAILER ISSUANCE FEE-- PERMIT FEE
PERMITFEE PERMIT FEE aJ
PER
r�
TOTAL FEES
REN. TRAILER FEE HEAT B VENT. FEE
PL. CK. FEE CONST.
FEE
oeL.
ELEC. FEE
oBL.
SPEC. INSP. FEE
PLUMBING FEE
DBL.
J.(
r e
v
7 !
M- p M
! F M A M
JJ A S O
J .J A S O
N D
N D
BA
LOT SIZE
USE #
JOB ADDRESS OWNER
ZONE
USE OF BUILDING
DATE
PLAN CHECK FEE
J
CHECKED BY
COMMUNIT DISTRICT
F.C.
UNITS
VALUATION OFFICE
f.
MECHANICAL FEE
I
DBL
P
Gr
TYPE
LEGAL DESCRIPTION -
ER 1T U R
CONSTRUCTION FEE
$
�.
/-- i
4
DBL
PLAN CHECKER
SUPP. TO PERMIT
ELECTRICAL FEE
f
�- �', " #
DBL
BOND $
BOND
CASH
PLAN FILER FINAL
DATE
INSPECTOR
PLUMBING FEE
2
l6;
I
i1-0 ?i
NAME OFCONSTRUCTIONLENDER
BRANCH OFFICE
LENDER
TRAILER PERMIT
$
IND
INVOLVED
ISSUANCE FEE
ADDRESS
CITY
STATE
FEE
;
THIS PERMIT SALL COMNCED WITHIN 60 DAYS. CESSATION
VOID IF WRK IS NO
TBE
TOTAL FEES
$ ""� ✓
OF WORK FOR 120HDAYSBSHAALECOL ALSO CAU EOPERM T OME VOID,
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COURTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK M.O. N.C. Q
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
ILLI
CERTIFY PLANS SPECIFICATIONS DONE
TSECTIONI5541LOF
T i�4 /
SO INHEREBY
TOHE BUSINEDTHE
SO ACCO DANCE WITH SS AND PROFESOSIONS OF HE
OF CALIFORNIA,'
INFORMATION'
OWNER
TRACTOR p,'/
ADDRESS
ADDRESS '
TEL. NO.
TE NO. }
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LICENSE -NO. ;