14-5997 (ELEC)_ DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
- CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
1St Fl.
Sq. Ft. @
NO. NO. a•;a
2nd FI.
Sq. Ft.
Por.
Sq. Ft: @
Gar.
SqI Ft. P.
POLES
'Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
Wall
Sq. Ft.
OR ANS T._ELK.D/ DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P. FLOOR DRAIN
vo. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
- HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO) (DISH)
INLETS — OUTLETS
FIXTURES GARBAGE DISPOSAL
M. SO. FT. — UNIT HEATER
OUTLETS LAUNDRY TRAY
' M. SO. FT. — PERF. CEILINGMAT.
SUB-PANEL KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN LAVATORY
REPAIR OR ALTER
WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD Cl EVAP. COOL ❑
SPACE HEATER BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER
• COMPRESSOR
SERVICE ENTRANCE I SEWAGE DISPOSAL
COMPRESSOR
RESID. 14 S0. FT. HOUSE SEWER
GARAGE qQ SO. FT. GAS PIPING
PERMIT FEE ��
PERMIT FEE PERMIT FEE
E MI E
REN DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J
J
,
N'
D.�
J F M j A
M J J A
S 0.
' BUILDING INFORMATION
JOB ADDRESS �% OWNER
WOOD
CONCRETE FIREPLACE
CONCRETE yl.,'t"
PIERS MEMBRANE
`BRICK
USE F BUILDING ,. �G
DATE
BLOCK
FRAME- STUCCO
CONC. METAL
OTHER
•
r... r
TY �'
DISTRICT
F.C.
UNITS
VALUATION
OFFL
PLASTER DRY WALL
ROOF COVERING
BD. RMS.
`
;72N
/
�"""�^
LEGAL y
IP ON L, jJ7 G
PER ITN B R
ZONE ZONIN ,. KED BY
PERMIT USE NO.
/Jp,ESC
r
a••��
Sb7P_ ftgftWOWMPERMIT
F[__
LOT SIZE
if
/00V ��
SET
'
FRONT SIDE REAR
` >�
VVVV
BACK
FINAL DDD DATE
INSPE TOR
GROUP
TYPE
BOND
BOND
CASH
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE-TYPE
DATE
. MECHANICAL FEE
In accordance with Sec. 302•D of the Uniform Building Code, this permit shall
r�
$
expire if work is not commenced within 60 days. If work is susppended or abon-
doned for a of 120 days, this become
�/
.CONSTRUCTION FEE
period permit shall automatically null
and void.
$
his 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
jj
of the work for which this permit is of the work for which this permit is
' TOTAL FEE
$ / / J
issued I shall not employ any person issued I have complied with Title 8,
l! h+
in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
Come subject to the Workmen's Com- Code, and a certificate or certified
CASH CHECK
M. 0.
N.C.
pensation Laws of th. State of copy is on file with the Riverside
RECEIVeEDY
i
PLAN FILE
California. County Building Department.
Owner • Contractor
LUM SEPTIC TANK
LEACH LINE
SEEPAGE PIT
w�..
Address rr Address
GAL. So. FT.
�''�Q FILE �
GAL.Telephone Tel. Lic. H
~
r .. '�'•
.,
f 0 �
H
{ouid tE
y — o2ie,&S LC
e oa,nsxid oC L
eauo,lu3 salA,oS or
W0I,d.VS09 11VS06610 u2m29 — - ,lepr,e' LZ
S'1VAOZtdedH -lV*lWJ.g2-j8 1•
sit
zz
i �.` f ��- ' �.."'-- ,app• •4Z
�:.. ,--"--'r--.� _.— _ _„ ._ '_' -- . ' s •'� =ocadt�{s atoMoy_ ;•ait.:
arluaA"' :--S-v
.•. � ��� W �•.,��_ �' � - � � . rte. - .
OU
JIT
- - �. .. _wr �,`.. va,•Ni•lw' t.pyyy�+M1M���'i �� , `� a
...«�T.___._.._, �� - ��,� ,tea _ � "_`�;""" •. ' , ..,
77.
'i i9 - Sxa�H� iB�aiOO�ld Hto - _ , as r" .4
IDA
•i"tt:Yp����i:i'.•t�,;.�titi•!;:i,� i;,r;�r+,� :• - - .-�w.����. P. �` �' - .•%'• �•r:r.s' '�n
!a%�r,C•{�':!_i_,}-i:�;, a. ,:':>�; .i: ,Y{1�ItSf�j�'�Ldd .6F. =�
I;
.'�• „',S v!�
f�f',[,•r ^•Y •r '+`" _ •;.._ y `'� : !• _ .1041Qitl0', '�' ' ,� _ :r, -, •c':�; •�����,�(; "brL. •.
�'fi-ali:«�;• •.r�:i•. '.; _.- ':Vtodua�•Oaoulnd '�.
. � qS"'tee;,"' :•:�"• '•{v( ".�...;r. i .Q 0 6♦te ��((..(�•�p-�.,y-'J,.�.:• ..�¢� k�6 -
t;4 ;� a , Sr"fV/10AlddY 'i lM9fN'3711�11 1 "Qvddv Duit9'1LA1A
![Fr`Z •�ia+�LWt; ''; Zi3Y4 AI
HIY
�_�;�•. �.,. �.., ;,•. • . N SL�ZfSdO 'sxr tlO�DDIdtPll Q seOlit83tu0t '��,
'may - .-... ' - +'.::"•�, ••
..r" ,� K7 �1G'•'�� �.•R-4M • r_• ... ..... _ 1 _._ - - __...r�r, ... ... ' rr.••-.��w•wr.r.ti�MYMblYlbl.fw�.e.rw.'
- .f'tia'A 5CT + -p:.rq-_ _-.:q;�,i"c:-i: .;..:,.... . ». .. ;.. n.•.y.. .: a.:.
Route
•:':::,_ -�a:. ;L.uid•lls�:•Div. NOTICE: TN1S L11".41Ut[,91NG PI:ltAA1T D st.O ct:.�.
:Road D6pt. AFFLICAtlOti 4O• C104MUCT Permit No
OVAi TMENT Of lUILDIHQ AND .S1!@lW
?�c 8ulldl t pt. COUN Y - QF RiVEkibt' Del: De
owmr A.ddress'.0 a 00T o e afire .,gyp +J►��'id
5�: a �lrcttitt Address Ptla»ti
'``r; ```aoritractor!''Y_ Address
!'tais6 tfn : C*M 'arw aekrwwt lfut 1. taei haws isad thf kation u.d :Nii:-if Curb •and .Cu ttve ani4 `
undea�jncd;.f h � •oo! +c�N.
af.,d li `0 Wi! 13'NgtgrQd fyr thi Coimty.of Rhr 9010, tiff f2lrfnlda C6Untv,v40*trwsAf , f9 uitdlna,.iiid.$afpty.
,. Jdw31 iiot :mss s Ftiy! irispeGtlan unH! acid trtgedraneenta I+fetia boon Heel. i sen olta awort tfest ie6 rioilc into b� d46h2 .Within j6 d6ta ty R/W
>,�"'r_ .n"•r 1:;� E;-^ ', .' .em>,iavtoPoiN to be «crwled .t tor.:fmit a•th aCeWy said will no.eaw.sw •
Ni the 5teto M Glirarn+69oven+t++O se
SIGNATURE OF OWNER.
i n,54twitwe sYm4 �7. Eros+ thePellowlTTs 111sPaTtutet+ie LISlai BiE�►
- = ;:1l Sit Elti deaaid .Mw to the Iss'uinq of a talistaul'iTittpl amb.
17atiailpitttis>t;:ia#' tty--� .
1c l sc 23
s APARTMENTS 0 DUPLEX ❑ SINGLE FAMILY 'AGRIC. ❑..
. SE PERMIT NO. Cl • COMMERCIAL ❑ INDUSTRIAL ❑ ALTERATIONS Q
OF NUTTED PE- 4S,-_- __w.___ ADDITIONAL PLOT PLANS
NO. 'OF .PARKING'.SPACE:S REQUIRED NO. OF BUILDINGS NOW EXISTING
ZONE SETBACKS____ FRONT.__ ____SIDE .REAR_
IF 1 - 10 GRADE OR MORE, TOPOGRAPHIC PLOT PLAN REQUIRED. RECEIVED: YES_____ NO_
j
' SETBACK ORDINANCE OF___ FEET REQUIRED ON w _.__STREET
CURB D_GvT�R MIRED: YES C3 NO ❑ _�_ STREET
DAY .�,JJ SIGNATURE OF LAND'USE OFFICIAL
DEDI:.ATIOW • kEQUIREU: YES 0 NO C. NO. OF FEET,_
iF YES, WILL Tl!F. DEED BE SECURED WITHIN 90 DAYS PRIOR TO COMPLETION OF
THE ABOVE CONSTRUCTION? YES Q NO Q
CAN CURB AND GUTTER FEASIBLY 8E INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN :MADE FOR ENROACHMENT PERMIT FOR DRIVEWAY AND
` A STREET IMPROVEMENT? YES ❑ NO ❑
i �y4
DATE..,_ SIGNATURE OF ROAD DEPT. OFFICIAL
RESIDENTIAL SEWAGE. DISPOSAL-- _�•
w
COMMERCIAL SEWAGE-
_ FOOD ESTABLISHMENT _.._SWIMMING POOLS PUBLIC_
GRADING PERMIT REQUIRED___.,..._
ea PLAN CHECK_
tr� FLOOD CONTROL
tg AIR POLLUTION I
PILE COPY
1