RPL (156928)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
F�Aj D DATE�JINSPECTORGROUP
CONSTRUCTION ESTIMAT
ELECTRICAL FEES
PLUMBING FEES
11st FI.
2nd Fl.
Por.
Gar.
Car P.
Wall
_
Sq. Ft. p NO. NO.
Sq. Ft.
Sq. Ft.
Sq] Ft. @ POLES
Sq. Ft. SIGNS DRAINAGE PIPING
Sq. Ft. 0, QB_T CL K. DRINKING FOUNTAIN
�y
Sq, Ft. MOTOR H.P. URINAL
CONTRACTOR
LICENSE -TYPE
C r J ala MOTOR H.P. WATER PIPING
ESTIMATED VALUATION $ 6
MOTOR H.P.
FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR M.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
and void.
This permit is issued, and shall continue in effect, pursuant to the terms and
INLETS - OUTLETS
FIXTURES ?iO
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
tion of the issuance hereof the following certificate is executed.
- M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
I hereby certify that in performance I hereby certify that in performance
of the work for which this permit is of the work for which this permit is
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
in any ,manner whatsoever as to be- Article 3, Sec. 3800 of the Laoor
come subject to the Workmen's Com- Code, and a certificate or certified
pensation Laws of the State of copy is on file with the Riverside
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
California. County Buildin Department.
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
3„r.
- COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SO. FT.
HOUSE S&V95e'R
7V754 -
GARAGE 'z0 SO. FT.
GAS PIPING
PERMIT FEEPERMIT
FEE ..,rte
PERMIT FEE
:PE
I
M5 6MqR
REN
JDBL.
PLN CHFEE
1CONSTR. FEEp
I HEAT & VENT
JELECT. FQ�
PLUMB. Fy
a
I TOT�L FE E�
PLAN CHECKER
J _ F
M
I A
IM 1i
J
A
S , O
N
D
BUILDING INFORMATION
WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE
BLOCK I FRAME STUCCO BRICK I CONC. METAL OTHER
PLASTER DRY WALL ROOF COVERING
ZONE ZONING CHECKED BY
-/ 4
SET FRONT SIDE RE R
BACK
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PLUMBING FEE
BD. RMS
PERMIT USE NO.
LOT SIZE
TOTAL FEE
I1 $
CASH CHECK M. 0.
' REC NED BY / +�.� PLAN FILE
WATER VOLUME SEPTIC' ANK LEACH LINE
GAL. SO. FT
LETTER F-1 FILE ❑
V
JOB ADDRESS OWNER
USE OF BUILDING
COMMUNITY DISTRICT F.C. UNITS
qv. ryT.� 7
LEGAL DESCRIPTION
L./,,T y 7'1V 3 ,elyP
DATE
W !3 -!6,f
VALUATION OFFICE
PERM IX -
NUMBER -
SUPPLEMENT TO PERMIT
F�Aj D DATE�JINSPECTORGROUP
TYPE.
BOND
CASH
$BOND
CONTRACTOR
LICENSE -TYPE
RELEASE BOND
DATE
-
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-
doned for a period of 120 days, this permit shall automatically become null
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-
tion of the issuance hereof the following certificate is executed.
OWNER -BUILDER CONTRACTOR
I hereby certify that in performance I hereby certify that in performance
of the work for which this permit is of the work for which this permit is
IAO
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 Laoor
come subject to the Workmen's Com- Code, and a certificate or certified
pensation Laws of the State of copy is on file with the Riverside
N. c.
California. County Buildin Department.
Owner Contractor y
- k. `!
Address Address ''f_'"
SEEPAGE PIT
GAL.
Telephone Tel. :z, jrt af:) Lic`N `<ti