146157 (RR)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE I
ELECTRICAL FEES PLUMBING FEES
1st FI.
Sq. Ft. @
NO. NO.
2nd FI.
Sq. Ft. @
Por.
Sq. Ft. @
,Gar.
SqI Ft. @
POLES
Car P.
Sq. Ft.@
SIGNS DRAINAGE PIPING
AN
Wall
Sq. Ft.
ORAT.SCLK D/ DRINKING FOUNTAIN
���
Sq. Ft.
MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
STIMATED VALUATION $
----^'"
MOTOR H.P. FLOOR DRAIN
O. 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
REPAIR OR ALTER
WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD Cl EVAP. COOL ❑
SPACE HEATER BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER
COMPRESSOR
SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR
RESID. 1; SO. FT. HOUSE SEWER
GARAGE =Q S0. FT. GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
E E
M4
REN
DBL
PLN CHK FEE
CONSTR..w FEE
HEAT IN VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
ri 7
J F M A
M J
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S - .� - -..- -.. .p D -
J F M I A
M J
J A
S O N D
BUILDING INFORMATION
JOB ADDRESS v4r
OWNER
WOOD
CONCRETE
FIREPLACE
-_s2-2W
t
,.,
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
Q
-,/'�
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
PLASTER
DRY WALL
OF COVERING
BD. RMS.
./--,
020--,
1/--
LEGALDE CRIPT/ION � c
��
/S `�
PE IT N
B R
ONE/�(/ 20NING C-" BY
PERMIT USE NO.
G(� • ,l (�
" 7
SUPPLEMENT
TO PERMIT
/
FRONT SIDE REAR
LOT SIZE
• SET
BACK
.�� ��+'
FINALED DATENSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
- 5-6
C r
S
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE-TYPE A
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-
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
y
4
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
of the work for which this permit is of the work for which this permit is
TOTAL FEE
$
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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
L
Come subject to the Workmen's Com- Code, and a certificate or certified
DECEIVED
M.O.
N. C.
pensation Laws Of the State of copy IS On file With the Riverside
BY
PLAN FILE
California? / .r County Building Department.
f
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Owner '�' �r f Contractor
�IA E VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
i
Address 4. :. - {%'fGI ��75 Address
I GAL.
S0.
FT.
GAL.
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Telephane.2�r/'���ew& 6, Tel• Lick
�ETTER ❑ FILE