150455 (FSS)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT9W
ELECTRICAL FEES PLUMBING FEES
1sz FI.
Sq. Ft. p
NO. NO.
2nd FI.
Sq. Ft. @
Por.
Sq. Ft. @
Gar.
Sq] Ft. @
POLES 1 ��
Car P.
Sq. Ft. @
SIGNS D1fAINAGE PIPING
. Wall
Sq. Ft.
ORAT.SCLK.D/ DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION
j 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. 1¢ SQ. FT. HOUSE SEWER
GARAGE i Q SQ. FT. GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE Qr„�
^E M
M
REN
DBL.
'
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE,/
TOTAL FaE
PLAN CHECKER
p
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J F M A
J F M A
M J
M J
J A
J A
S IN 1 O
S 0 N D
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE
FIREPLACE
i�/'�-
1C e
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
D TE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
—1 —
6 07
Z04NWITY DISTRICT
F.C.
UNITS
VALUATION
OFFICE
P'_AS TER
DRY WALL
ROOF COVERING
BD. RMS.
77
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i
9S
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f/N
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LEGAL DESCRIP ION
PETVI B R
ZONE
ZON NG CHECKED BY
PERMIT USE
N0.
-�
17
• ��
SUPPLEMENT TO PERMIT
SET
FRONT SREAR
LOT SIZE
f
BACK
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
$
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE-TYPE V
DATE
MECHANICAL FEE
In OCCOrdance 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 120 days, this become
CONSTRUCTION FEE
a period of permit shall automatically null
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.
PLUMBING
.t�
OWNER-BUILDER CONTRACTOR
FEE
VV
hereby certify that in performance I herebycertify that in performance
of the work for which this permit is of the work for which this permit is
TOTAL FEE
$
y
00
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
- CASH D CHECK M. 0.
N. C.
Come subject to the Workmen's Com- Code, and a certificate or certified
FECEIV
PLAN FILE
pensation Laws Of the State of Copy IS on file with the Riverside
#
Coliforn, County Building Department.
Owner«r' e!4 U%� Contractor
-�
Addre dt�/ - Y ddress
WATER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
GAL.
SQ.
FT.
GAL.
Telephone ®x ri r G Co ire 1. Lic. H
SETTER ❑ FILE
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