148470 (RPL)DEPARTMENT OF BUILDING & SAFETY
is COUNTY OF RIVERSIDE AMIRL
FIELD OFFICE
INSPECTOR
J
CONSTRUCTION ESTIMAT 'sirELECTRICAL
FEES
PLUMBING FEES
BOND
1st FI.
2nd FI.
Por.
Gar.
Car P.
Sq. Ft. p
NO. NO.
Sq. Ft.
Sq. Ft. p.
RELEASE BOND
Sq] Ft. POLES
LICENSE -TYPE
Sq. Ft. SIGNS��nJuJ���� DRAINAGE PIPING
T.Wall Sq. Ft. ORR T.CLIC�"� J,i DRINKING FOUNTAIN
Building Code, this permit shall
Sq. Ft. g MOTOR 3Q,.P. A O URINAL
expire if work is not commenced within
MOTOR H.P. WATER PIPING
Qd
ESTIMATED VALUATION
MOTOR H.P.
FLOOR DRAIN,,
fo. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
f INLETS —OUTLETS
FIXTURES
GARBAGE DISPOSAL
I hereby certify that in performance
M. SO. FT. — UNIT HEATER
OUTLETS
LAUNDRY TRAY
of the work for which this permit is
M. SO. FT. — PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
F-•✓
{
f APPLIANCE VENT
Article 3, Sec. 3800 of the Labor
WATER CLOSET
come subject to the Workmen's Com-
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
copy is on file with the Riverside
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
Address
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
Tel. Lic. #
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
I: COMPRESSOR
RESID. 10 SQ. FT.
HOUSE SEWER
GARAGE i Q SO. FT.
GAS PIPING
' PERMIT FEE
PERMIT FEE rte.
PERMIT FEE
PtE M4
N
M
0
REN
DBL
LN CHK FEE
®
CONSTR. FEE
HEAT & VENT
ELECT. FEE
Q
PLU MB.��FFssEE--E
TOTAL FEES
PLAN CHECKER
JF I M A
A
Im Ii
IM Ii
J I A
J I A
S lo
S O
N D
N D
t BUILDING INFORMATION
JOB ADDRESS 1���E�'*i
'��
OWNER
WOOD
CONCRETE • FIREPLACE
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
TE
BLOCK FRAME STUCCO BRICK CONC. METAL
OTHER
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
,-
�01ICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.!1
I!ZONE
{F�A'-
S E T
-SET FRONT
P BACK
IF PLAN CHECK FEE
If MECHANICAL FEE
Ii CONSTRUCTION FEE
It ELECTRICAL FEE
SI
LEGAL DE CRIPTION j(t PER IT N B R
NG[(,C�H EC KIED BY PERMIT USE N0. t• r- i't �� �.5 �~ lLnc't
�/� CI: ,t,/fq t SUPPLEMENT TO PERMIT
c e _ LOT SIZE j1,14.� 0 2/
i $
PLUMBING FEE
TOTAL FEE §
CASH I I CHECK M. 0.
RECEIVED BY PLAN FILE
FWATER VOLUME SEPTIC NK LEACH LINE
1
!• GAL. SQ. FT
FETTER ❑ FILE ,t `
FINALED DATE
INSPECTOR
J
GROUP
TYPE
BOND
BOND
CASH
CONTRACTOR
RELEASE BOND
LICENSE -TYPE
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-
Qd
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
6
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
/D
of the work for which this permit is
of the work for which this permit is
?�
• sued I shall not employ any person
issued I have complied with Title 8,
F-•✓
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
N. C.
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
California.
County Build'ng Department.
Owner
Contractor �Ty"M' 8 kf
SEEPAGE PIT
Address
Address - yd'wxx
GAL•
Telephone
Tel. Lic. #