144843 (BLCK)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE?WF
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. P
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. @
Gar.
Sql Ft. @
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
Wall O
Sq. Ft.
n
V U
TRAN
OR TS LK.O/
DRINKING FOUNTAIN
Sq. Ft. 0
MOTOR H. P.
URINAL
MOTOR M.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
uo. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
MEAT APPLIANCE
MOTOR H. P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. S0. 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 ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
GARAGE iC SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
ERMI N M ER
FEE
CONSTR.�Fff
HEAT& VENT
ELECT. FEE
PLUMB. FEE
TOTAL EES
PLAN CHECKER
43
JREN]DeL__�CHK
S�.FM
- J F M I A
IM 1i
J A
S
0 N D
BUILDING INFORMATION
JOB ADDRESS
OWNER
��
Goo
F, oL�
WOOD
CONCRETE
FIREPLACE
,,,, (•J \ �•' �.3
CONCRETE.
PIERS
MEMBRANE
USE OF BUILDING I
DATE
BLOCK I
FRAME STUCCO
BRICK CON,C. METAL
OTHER
`UNITS
COMMUNITY
17-
DISTRICT
F.C.
VALUATION G A,
OFFICE
PLASTER
DRY WALL
OF COVERING
1BD.RMS.
r�'
06
v
LEGAL DESCRIPTION
PER IT NU B R
ZONE -
ZONING E ED B
PERMIT USE NO.
®H ,
43
1 it
SUPPLEMENT TO PERMIT
LOT SIZEa
SET
FRONT
SIDE
REAR
BACK
FINALED DATE INSPECTOR _
GROUP
TYPE
BOND
BOND
CASH
PLAN CHECK FEE
CONTRACTOR G7
RELEASE BOND
$
- / /"?_1/7/5?
LICENSE -TYPE
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-
Boned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
O
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
$60
issued I shall not employ any person
issued I have complied with Title 8,
C
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
CASH CHECK ,CM.O.
N. C.
come subject to the Workmen's Com-
Code, and a certificate or certified
�RECEIV
pensation Laws of the State Of
Copy IS On file with the Riverside
PLAN FILE
California.
County Buildirl"Piepartm nt.
#
Owner
L ,..
Contractor
SOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
f ! ?'ij ._ � R
Address
Address
FATER
ra�Lic.4
GAL.
SQ.
FT.
GAL.
Telephone
Te I.�"Z
LLETTER r__1 FILE >s