200254 (RPL)EPARTMENT OF BUILDING & SAFETY
SET BACK
LOT SIZE
•
FWW OFFICE
0
COUNTY OF RIVERSIDE
F
CONSTRUCTION ESTIMATE ''`
ELECTRICAL FEES
PLUMBING FEES
I ST FL. SQ. FT. @
NO.
$ sy
NO.
2ND FL. SQ. FT. @
USE OF BUILDING --r
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DATE
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PLAN CHECK FEE
POR. SQ. FT. @
MOTOR I OR LESS H.P.
1
+I+ JAZ sr F ut' � %i ' ' "S
GAR. SO FT. @
j MOTOR 5 OR LESS H.P(
>
CAR P. SQ. FT. @
MOTOR 20 OR LESS H.P.
DISTRICT
DRAINAGE PIPING
WALL SO.FTT.
`
MECHANICAL FEE
DRINKING FOUNTAIN
,IJJIF�`ltisdf f£�c� F>,'SCY.'FTY X�
PriS/I
pt
URINAL
OK W. UNITS
3 &/
7q
WATER PIPING
ESTIMATED VALUATION $ i5e3oo —r,-°
FLOOR DRAIN ^'"
MECHANICAL FEES
LEGAL DESCRIPTION 4. • ja"• -'
�f`
p IT R
2 4
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W.
FORMER
tj
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
4., v
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE 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 0 B.T.U.
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC Cl INDUS. OR COMM.
SQ. FT; @ 4
BOND
WATER HEATER '
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 ¢
INSP CTOR -
SEWAGE DISPOSAL
BOILER I B.T.U.
SQ. FT. GARAGE @/24
HOUSE Si WER, , . --
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
TRAILER ISSUANCE FEE PERMIT FEE
PERMIT FEE
'
TRAILER PERMIT
PERMIT FEE
PER
LJ.
o� 1�
TOTAL FEES,
REN. TRAILER FEE
HEAT 8 VENT. FEE
PL. CK. FEE
CONST. FEE
F€E
INSP. FEE
PLLU�MBING FEE
ADDRESS
CITY
GJ
FEE
g
--li
JDBL.j�EC.
/ t,)Lv
!
TOTAL FEES;
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d
IDOL.ISPEC.
-
JDBL.
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J J A
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84-208 (REV. 1-1
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER y� �•j
,�F/r'J•l
° `- 0Y.�r
0
*0
F
S
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,h $T�% fii� l+l:� J l L.
-
$ sy
ZONE
�
.v.
USE OF BUILDING --r
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DATE
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PLAN CHECK FEE
✓-
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s
CHECKED BY
`
COMMUNITY -
DISTRICT
F.C.?S®
IUN#T
p
gL11ATA011��y� �I, 1OFFICE
/YC/RYjyi7 fISR
MECHANICAL FEE
PriS/I
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f.✓
3 &/
7q
DBL
GROUP
TYPE
LEGAL DESCRIPTION 4. • ja"• -'
�f`
p IT R
2 4
CONSTRUCTION FEE��
_
f ,f
tj
DBL
PLAN CHECKER
SUPP. TO•PERMIT
ELECTRICAL FEE.
DBL
BOND i
BOND
CASH -
PLAN FILE 11
FINAL DATE
INSP CTOR -
PLUMBING FEE
=
f
1-// • )r
'
'
TRAILER PERMIT
$
NAME OF CONSTRUCTION LENDER
BRANCH OFFICE'
O LENDER
INVOLVED
ISSUANCE FEE
ADDRESS
CITY
STATE
FEE
g
TOTAL FEES;
J
d
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 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
T
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OFATE
RECEIVED BY SEWAGE SYSTEM
i
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
T LL p
IHEREBY CERTIFY THATTHEINDIVIDUAIWHOPREPAREDTHE PIANS AND SPECIFICATION 3�lam•
SO IN ACCORDANCE WITH SECTION 5541 OF THEBUSINE 'AND PRO FE CODE; -6F THE STATE •.
OF CALIFORNIA. / •`' ^' ( J
INFORMATION
OWNER )d; { '
z r.
CONTRAet.-R• j7j ,,C1
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047
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TEL. NO.
TEL. NO�3 /,Apy ,.
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LICENSE'NO.
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84-208 (REV. 1-1