153753 (AR)DEPARTMENT OF BUILDING & SAFETY
in COUNTY OF RIVERSIDE
FIELD OFFICE
PF CONSTRUCTION ESTIMATE
ELECTRICAL FEES Now
PLUMBING FEES
1st,Fl.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft. Di.�
NO. NO.
Sq. Ft.
Sq. Ft. @
CONSTRUCTION FEE
Sql Ft. @ POLES
Sq. Ft. @ SIGNS DRAINAGE PIPING
Sq. Ft. OR TRANS
CLK.D/ DRINKING FOUNTAIN
ELECTRICAL FEE
Sq. Ft. @ MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
.NO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
RECEIV D
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
ATE VOLUME/EPTIC TANK
I M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KMVr rSINK
/
/
APPLIANCE VENT
SO.
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
I REPAIR OR ALTER
WATER HEATER
SHOWER
f VENT SYSTEM Cl HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
I COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SQ. FT. /O
HOUSE SEWER
GARAGE i C S0. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE 00
PERMIT FEE
..f
i 00
E
M N
REN
DBL
PLN CHK FEE
CONSTR. F�O
HEAT & VENT
ELEC FEE
PLUMB. F��
TOTAL FEE�SO
PLApd-CH,EGKE
J F n�0. ...- _
1-� J F M A
.;; _ _.�. J _. A.
M J J A
V
S 0
N
BUILDING INFORMATION JOB ADDRESS/ / ow
WOOD CONCRETE FIREPLACE 9-V As �,I�
CONCRETE PIERS MEMBRANE USE OF BU LDIN
BLOCK FRAME STUCCO BRICK CONC. METAL I + OTHER '4 f+'O Q
E PLASTER DRY WALL ROOF COVERING
F
f
:ZONE ZONIIJG CHECKED BY
`rI SET FRONT SI Rr
t BACK a /9 t\
CODISTRI F. C. UNITES
BD. RMS.
LEGAL DESCRIPTION I
4W
PERMIT USE NO. ,O '�►
LOT SIZE
-ETTERFILE
a IF -1-r- 0
DATE
/- G/ f
T -
z a 0 OF &
PERMIX-NUMW_
SUPPLEMENT TO PERMIT
FINALED DATE R
o GROUP TYPE BOND BOND CASH
6 � $
CONTRACTOR IRELEASE BOND
LICENSE -TYPE DATE
L
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-.
al doned for a period of 120 days, this permit shall automatically become null
and void.
/Q 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.
OWNER -BUILDER CONTRACTOR
I hereby certify that in performance I hereby certify that in performance
of the work for which this permit is
anof the work for which this permit is
issued I shall not employ y 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
pensation Laws of the State of copy is on file with the Riverside
California. - +/jj� . County Building D �p/or ment.
Owner Nf Contractor G • • V f `J
SEEPAGE PIT
Address ��,�/�n�. Addres n sr
GAL- Telephone Tel. � Lic. a1C1P!9 2�
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
$
CASH CHECK
M. 0.
RECEIV D
PLAN FILE
ATE VOLUME/EPTIC TANK
LEACH LINE
GAL.
SO.
FT
-ETTERFILE
a IF -1-r- 0
DATE
/- G/ f
T -
z a 0 OF &
PERMIX-NUMW_
SUPPLEMENT TO PERMIT
FINALED DATE R
o GROUP TYPE BOND BOND CASH
6 � $
CONTRACTOR IRELEASE BOND
LICENSE -TYPE DATE
L
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-.
al doned for a period of 120 days, this permit shall automatically become null
and void.
/Q 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.
OWNER -BUILDER CONTRACTOR
I hereby certify that in performance I hereby certify that in performance
of the work for which this permit is
anof the work for which this permit is
issued I shall not employ y 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
pensation Laws of the State of copy is on file with the Riverside
California. - +/jj� . County Building D �p/or ment.
Owner Nf Contractor G • • V f `J
SEEPAGE PIT
Address ��,�/�n�. Addres n sr
GAL- Telephone Tel. � Lic. a1C1P!9 2�