153545 (RPL)` CONSTRUCTION ESTIMA
1st FI. Sq. Ft. A
2nd FI. Sq. Ft. @
Por. Sq. Ft. @
Gar. Sq] Ft. @
Car P. Sq. Ft. @
Wall Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION $
IO. MECHANICAL FEE
HEAT APPLIANCE
INLETS - OUTLETS
M. SO. FT. - UNIT HEATER
M. SO. FT. - PERF. CEILING MAT.
APPLIANCE VENT
DEPARTMENT OF BUILDING & SAFETY
. COUNTY OF RIVERSIDE
ELECTRICAL FEES'
POLES
SIGNS
T RANe7'WI&W&
OR T. CLK.
MOTOR
MOTOR
MOTOR
MOTOR
MOTOR
FIXTURES
OUTLETS
SUB -PANEL
H. P.
H.P.
H.P.
H. P.
GAS PIPE RANGE AND/OR OVEN
REPAIR OR ALTER WATER HEATER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATER
COMPRESSOR CONSTRUCTION POLE
COMPRESSOR SERVICE ENTRANCE
COMPRESSOR RESID. 16 SO. FT.
GARAGE i R SQ. FT.
PERMIT FEE PERMIT FEE
E M N R REN DBL. PLN CHK CONSTR. FEE I HEAT& VENT ELECT.& I PLUMB. I
J F M j A M J J A s
BUILDING INFORMATION JOB ADDRESS Q
WOOD CONCRETE FIREPLACE
CONCRETE PIERS - MEMBRANE UCSF%SOF BUILDING f,
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER ,¢//[ �� }%y_. ■i
I PLASTER IDRY WALLI ROOF COVERING
'ONE A ZON G 4,CKED,4Y
r;
SET FRONT SIDE,,✓ REQ
BACK *. 4
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH I I CHECK
ECEIVED BY
'ATER VOLUME SEPTIC T
GAL
TTER F-1 FILE ❑
BD. RMS.
PERMIT USE NO.
LOT SIZE
M. 0.
PLAN FILE
LEACH LINE
SQ. FT
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE 9'M9P03'AL I
f
HOUSE SEWER
GAS PIPING
PERMIT FEE
TOTAL FE P.,A§LCHECKER
d
DATE
UNITY '�`4, ]DISTRICT IF.C. IUNITS I VAL
0q,3_ A --)
ION OFFICE
1�4
ION
L2ADf CRIT^� ! A4 I PEn_ 1 A
SUPPLEMENT TO PERMIT
FINALED DATE JINSPECTOR GROUP TYPE BONDBOND CASH
SZ $
CONTRACTOR RELEASE BOND
LICENSE-TYPEMA
y
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-
f, doned for a period of 120 days, this permit shall automatically become null
/.J 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-
tion of the issuance hereof the following certificate is executed.
1 OWNER -BUILDER CONTRACTOR
I hereby certify that in performance I herebycertify that in performance
Si of the work for which this permit is of the w0rk for which this permit is
(� 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
N. c. come subject to the Workmen's Com- Code, and a certificate or certified
pensotion Laws of the State of copy is on file with the .iverside
California. County Buil ing NaDepartmen
Owner Contractor ` ��.
SEEPAGE PIT
Address Address
GAL• Telephone T l LiC.#-