143007 (AR)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
in COUNTY OF RIVERSIDE AN ft�
`'-CONSTRUCTION ESTIMN-TE40F
ELECTRICAL FEES
PLUMBING FEES
�-1st FI.
Sq. Ft. @
NO.
NO.
!' 2nd FI.
Sq. Ft.
w Por.
Sq. Ft.
Gar.
Sql Ft. @
POLES
Car P.
Ft
y SIGNS
DRAINAGE PIPING
-.Sq.
);
Wall
_
Sq. Ft. - - -
TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
k
L ,`,
Sq. Ft. 0
MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $ O
MOTOR H. P.
FLOOR DRAIN
"No. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
i HEAT APPLIANCE -
MOTOR H. P.
WASHER (AUTO) (DISH)
6
INLETS - OUTLETS `S1
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
V M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK '
APPLIANCE VENT
WATER CLOSET
r GAS PIPE
RANGE AND/OR OVEN
LAVATORY
�. REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
z
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
r COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
1 COMPRESSOR
RESID. 11 SO. FT.
HOUSE SEWER
_
GARAGE z Q SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
IE MI N M E
REN
DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL_ F ESS
PLAN CHECKER
J
ot
qhs J F - M A
- J F M I A
M. J
M
- J _. A
S
I S
-- 0.. N
10 N D
• BUILDING INFORMATION
JOB ADOR S V -
�_V
OW R _
WOOD
CONCRETE FIREPLACE
� ! V
!�
L"„ fv r ¢/
CONCRETE
PIERS MEMBRANE
U OF BUILDING -�q)
DATE
BLOCK FRAME STUCCO 'BRICK CONC. METAL
OTHER
O �� �� �Lf�
/
` �p
i=
COMMUN TY
F.C.
VAT
'
PLASTER
DRY WALL
RO COVERING-.
BD. RMS.
IDCT
7'
JUNIT
�N
I.OFFICE
�
LEGAL DE CRIPTION ll {`�
G(� / �c `
`
PE
IT N
R
"ZONE ZONING;t EDB PERMIT
USE NO.
�•
/` v\
/"-• 1t"" �'E�Z��LGr�'i�+'"�Aeqt*JZ_
SUPPLEMENT TO PERMIT
SET
FRONT SIDE REA LOT
S.I ZE
BACK
D
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
$
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
I, $
LICENSE -TYPE
DATE
MECHANICAL FEE
In accordance with Sec. 302-D of the
Uniform Building Code, this permit shall
' $
expire if work is not commenced within
60 days. If work is suspended or aban.
I,
Q o
doned for a period of 120 days, this
permit shall automatically become null
CONSTRUCTION FEE
and Void.
' $
This permit is issued, and shall continue
in effect, pursuant to the terms and
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
ELECTRICAL FEE
tion of the issuance hereof the following
certificate is executed.
$
OWNER -BUILDER
CONTRACTOR
:-"PLUMBING FEE
I hereby certify that in performance
I hereby certify that in performance
00
of the work for which this permit is
of the work for which this permit is
TOTAL FEE
$
issued I shall not employ any person
issued I have complied with Title 8,
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
CASH 1101 CHECK, M. 0. N.C.
come subject to the Workmen;,,s Com-
Code, and a certificate or certified
pensotioI a s of the Stgt�e of
copy is on file with the Riverside
RECEI ED BY
!.
PLAN FILE
i
California.
County Building Department.
#
Owner
ontractor
(NATER VOLUME- SEPTIC TANK
LEACH LINE
SEEPAGE PIT
Address r'Addres`s
_ GAL.
S0. FT.
GAL.
Telephone /; /3i �� -` •
Tel. Lic. #
LETTER FILE - "