155629 (SPIN)F CONSTRUCTION ESTIMAT
1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Por. Sq. Ft. R.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES Im
NO.
FIELD OFFICE
PLUMBING FE
Gar.
Sq] Ft. @
POLES
Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
Wall
Sq. Ft.
TRANS. AND/
OR T. ELK.
DRINKING FOUNTAIN
-s Av�wl
Sq. Ft.
MOTOR H.P.
URINAL
MOTOR H. P.
WATER PIPING
ESTI ATED 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. 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. 14 SQ. FT.
HOUSE SEWER
GARAGE is SQ. FT.
GAS PIPING
- PERMIT FEE
PERMIT FEE
PERMIT FEE
>ERM M ER
REN
DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J
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M
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M J
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4
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N.
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J F M A
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J I A
S
0 N D
BUILDING INFORMATION
JOB ADDRESSOWNER
_
WOOD
CONCRETE
FIREPLACE
lire
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
QQAkE
BLOCK FRAME STUCCO
BRICK
CONC. METAL
OTHERct
CO MUNITY
DISTRICT
F.C.
UNITS
VALUATION OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS,
LEGAL DES11.11
PER I B R
ZONE ZONING CHECKED BY
PERMIT USE NO.
I ..
79-
SUPPLEMENT TO PERMIT
SET
FRONT S` E REAR
LOT SIZE
BACK
FINALED DATE
I
GROUP
TYPE
BOND
BOND
CASH
t l HCi oy�
$
2-/ J =�7
cG!/l
$
fHECK
PLAN FEED
CONTRACTOR 1°'/'
RELEASE BOND
$
LICENSE -TYPE - V
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 Oban-
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
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
$O(j
'51in
issued I shall not employ any person
issued I have complied with Title 8,
any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
CASH CHECK M.O.
N.C.
Come subject to the Workmen's Com-
Code, and a certificate or certified
:RECEIVE Y
PLAN FILE
pensation Laws of the State Of
copy is on file with the Riverside
Calif o
��OP
County Buil /I��r eparr�t�me2,t
Owner
I> T• / , +i ii
Contracts�'
M'A VOLUME SEPTIC TANK
EACH LINE
SEEPAGE PIT
�
Xt,
Addres �� Ga
Addres:ZOX_I - - -
GAL.
SQ. FT.
GAL-
Telephone
Tel. i
,-ETTER F-1 FILE F-�
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