153639 (RPL)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
As COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE1p'
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
4,e
Sq. Ft.
OR T CLK. DRINKING FOUNTAIN
jJ[�li,
�f
Sq. Ft.
MOTOR .P. URINAL
MOTOR H.P. WATER PIPING
C
ESTIMATED VALUATION $
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. SQ. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. SQ. FT. - PERF. CEILINGMAT.
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 ❑ EVAP. COOL ❑
SPACE HEATER BATH TUB
COMPRESSOR
CONSTRUCTION POLEWATER HEATER
COMPRESSOR
SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SQ. FT. HOUSE SEWER
+}�
GARAGE i Q SQ. FT.rf GAS PIPING G/
PERMIT FEE
PERMIT FEE MQ PERMIT FEE QQ
-E M NJJMkLt
REN
DBL
PLN CHK FEE
CON FEE
v HEAT& VENT
ELECT. F�
PLUMB. FEE.__
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PLAN CHECKER
J
�R.
J. F M I A
M J
A
J A
N u
S 0 N D
' BUILDING INFORMATION
JOB ADDRESS
OWNER
•�
WOOD
CONCRETE
FIREPLACE
'
CONCRETE
PIERS
MEMBRANE
OF BUILDING
DATE
f
BLOCK
FRAME STUCCO BRICK CONC: METAL
OTHER
�UrS_-E
'
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
`
V
LEGAL DESCRIPTION
PER
1
R
;!.ONE ZONING CHECKED BY
PERMIT USE NO.
SUPPLEMENT TO PERMIT
rSET
SIFT- REAR
LOT SIZE
FRONT
BACK
/
FINAL ED DATE
INSP/ECTOR GROUP
TYPE
BOND
BOND
CASH
III
$
.� -//-,/
// .� Y,
*� n
$
PLAN CHECK FEE
n
CONTRACTOR 0 d r
RELEASE BOND
$
v
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-
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
and void.
$
This permit is issued, and shall continue in effect, pursuant to the terms and
ELECTRICAL
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
FEE
tion of the issuance hereof the following certificate is executed.
/
OWNER -BUILDER CONTRACTOR
PLUMBING FEE
Er,
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
$
r
!
issued I shall not employ anyperson issued I have complied with Title 8,
in any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
Come subject to the Workmen's Com- Code, and a certificate or certified
CASH CHECK M. 0.
N.C.
pensotion Laws of the State of copy is on file with the Riverside
ECEIVED B•Y
,.
'
PLAN FILE
� County Build'ng Depa�nt�
CalifornyLN�
#
�
Owner V! t i+E a Contract
ATER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
�y�
F— F P-0 � '�
GAL.
SQ. FT.
GAL.
Address Add re,,M
Telephone Al Tela?s s-ru
ETTER F__� FILE