150265 (AR)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
r. CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
' 1st Fl. //ZSq.Ft.p
NO. NO.
' 2nd FI.
Sq. Ft.
Por.
Sq. Ft. P.
Gar.
Sq] Ft. @
POLES
Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
r; Wal ITRAN
Sq. Ft. '
OR T SCLK.D/
DRINKING FOUNTAIN
i
Sq. Ft. p
MOTOR H. P. URINAL
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H. P. FLOOR DRAIN
i 0. MECHANICAL FE S
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. CEILING MAT.
.SUB-PANEL KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
3'
GAS PIPE
RANGE AND/OR OVEN LAVATORY
L REPAIR OR ALTER
WATER HEATER SHOWER
Z VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER
.. COMPRESSOR
SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR
RESIDr IQ S0. FT. HOUSE SEWER
GARAGE iQ S0. FT. GAS PIPING
PERMITFEE
PERMIT FEE ^'Y PERMIT FEE
�E M
M E
REN
DBL.
PLN CHK fEE
CONSTR..FEE
VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEE
PLAN CHECKER
1HEAT&
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M��y --".,J
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J F'^T M A
M J
J A
S O N D
' BUILDING INFORMATION
JOB ADDRESS
O R
WOOD
CONCRETE
FIREPLACE
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING e,:-,
DATE
..
BLOCK
FRAME STUCCO
BRICK CONC. METAL
HER
- f .+ L 1
COMMUNITY
DISTRICT
Cr77']
ITS
>ALUATION
OiF7F I�CCE
PLASTER
DRY WALL
ROOF COVERING
-
RMS.
JF,
;2 ¢
_ `
'r' w
i-
/
i�`
JBD.
LEGAL DESCR'IQT ON
PER I B R
ZONE /— ZONI G CH KED BY,
.PERMIT USE NO.
_
F� 1 7z
SUPPLEMENT TO PERMIT
SET
FRONT SIDE' REAR
LOT SIZE
_
r'1 .BACK
I�
FINALED DATE
GROUP
TYPE
BOND
BOND
CASH
$
/l�/�
;�N�5C
$
'f PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$.
LICENSE-TYPE
DATE
1 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 Oban-
C).
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.
j
$
4r OWNER-BUILDER CONTRACTOR
PLUMBING FEE
I hereby certify. that in performance I hereby certify that in performance
' TOTAL FEE
$
}
of the work for which this permit is of the work for which this permit is
issued I shall not employ any person issued I hove complied with Title 8,
01n 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 the 'State of Copy IS On file with the Riverside
REC 'E•D'^BY
PLAN FILE.
Coliforn' County Building Department.
'
#
Owner "� X djg I J Contractor
NATER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
Addres' •r /�5 Address
GAL.
-So. 'FT.
GAL.
Telepe ` �� �Tel. Lic. N
FILE1
SETTER