148230 IIIIIIIIIIIIIIIIIIIIIIIII 80 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
'1st Fr:: Sq. Ft.@ NO. NO.
i 2nd FI. Sq. Ft.
Por. Sq.Ft.(i
Gar. Sql Ft.@ POLES
Car P Sq.F. SIGNS DRAINAGE PIPING
fjyJ 1 �~ TRANS. AND/
Wal .F OR T. CLK. DRINKING FOUNTAIN
)FJ)F JJ Sq. t• / MOTOR H.P. URINAL
_ MOTOR H.P. WATER PIPING
STIMA 0 VALU N $ MOTOR H.P. FLOOR DRAIN
No. 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. CEILING MAT. SUB-PANEL KITCHEN SINK
APPLIANCE VENT WATER CLOSET
GAS PIPE RANGE AND/OR OVEN LAVATORY
I REPAIR OR ALTER WATER HEATER SHOWER
VENT SYSTEM ❑HOOD O EVAP. COOL O SPACE HEATER BATH TUB
COMPRESSOR CONSTRUCTION POLE WATER HEATER
E
COMPRESSOR SERVICE ENTRANCE SEWAGE DISPOSAL
G COMPRESSOR RESID. IQ SO. FT. HOUSE SEWER
GARAGE ;Q SO. FT. GAS PIPING
PERMIT FEE I PERMIT FEE PERMIT FEE
M ER 0 REN DBL. PLN CHK FEE C.NSTR. FEE HEAT& VENT ELECT. FEE PLUMB. FEE TO A F PLA CHtnR
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r
J F M A M J ._ .J A 5, q.," ,•„-_ .a
I� F M - _ 'I A'_.` __._ A•1 ..J. .. J __ .A.. .S O N D
BUILDING INFORMATION JOB ADDRESS OWNER
WOOD CONCRETE , FIREPLACE r
CONCRETE PIERS MEMBRANE USE OF BUILDI op �r' DATE /' '''/)
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER t J6/. r �f_ 6i f
CO U ITY �dl)i STRIC F.C. UNITS VA UATION �J OFFICE
f G� �
PLASTER DRY WALL ROOF COVERING IBD. RMS.
LEGAL DE RIPTION / PER I N R
ONE ZONING CHECKED BY PERMIT USE NO. 1' = (' o t l �� 1 �- [� 30
,, a„ LM /J/ ) _ SUPPLEMENT TO PERMIT
SET FRONT SIIE REAR LOT SIZE v(/ S !y
BACK FINALED DATE INSPECTOR GROUP TYPE BOND BOND CASH
$ 7� ;z/� S
PLAN CHECK FEE ON OR RELEASE BOND
$ LICE SE-TYPE •••ffYtt""'���
DATE
MECHANICAL FEE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
g expire if work is not commenced within 60 days. If work is suspended or obon-
doned for a period of 120 days, this permit shall automatically become null
r. CONSTRUCTION FEE and Void,
$ This permit is issued, and shall continue in effect, pursuant to the terms and
ELECTRICAL FEE conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the following certificate is executed.
S
OWNER-BUILDER CONTRACTOR
PLUMBING FEE golhereby certify that in performance I hereby certify that in performance
oT
f he work for which this permit is of the work for which this permit is
TOTAL FEE I $
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 CHECK M.0. N.C. Come subject to the Workmen's Com- Code, and a certificate or certified
ItECEI 'E PLAN FILE pensation Laws of the State of copy is on file with thy.Rjverside
California. County Build' ��a•rt t.
Owner Contractor
VATrR VOLUME PTIC TANK LEACH LINES EEPAGE PIT 1 4 1.��t„� i�•�
Address Address f 1 r�
GAL. SO. FT. GAL. TelPene, Tel. Z&3i•4:�7 ')Lic.N Z2 2
GETTER ❑ FILE ❑
t / i rr T c,i:l F �''c'^fT ,Cl/'� 1. i.f �,f+.J�C' ,