155709 (SPIN)BUILDING INFORMATION
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
GROUP
COUNTY OF RIVERSIDE ldlbL
CONCRETE
CONSTRUCTION ESTIMAT
q'FELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft.
NO. NO.
OTHER
2nd FI.
Sq. Ft.
Building Code, this permit shall
expire if work is not commenced within
Par.
Sq. Ft. @
DRY WALL
ROOF COVERING
Gar.
SqI Ft. @
POLES
LEGAL DE P
Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
of the work for which this permit is
of the work for which this permit is
issued I shall not employ anyperson
issued I have complied with Title 8,
Wall
Sq. Ft.
ORAT.S.ELK.D/
DRINKING FOUNTAIN
pensation Laws of the State of
SQ. Ft.
MOTOR H. P.
URINAL
Owner .f
Contractor V ��
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H. P.
FLOOR DRAIN
NO. 1 MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H. P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. 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. 11 SO. FT.
HOUSE SEWER
GARAGE 'qI SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
-E
M
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
TOTAL FEES
PLAN CHECKER
�PLUMB.FEE
_
J F I M •A
IM 1 IJ I A
I S 10
1.. 1 D
BUILDING INFORMATION
JOB ADDRESS
WOOD
GROUP
CONCRETE FIREPLACE
CONCRETE
BOND
PIERS MEMBRANE
USE OF BUILDING
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
DATE
In accordance with Sec. 302-D of the Uniform
Building Code, this permit shall
expire if work is not commenced within
CO UNITY
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the following
LEGAL DE P
*ZONE
./'
SET FRONT SI
BACK
�P__ *'txx
AN
FEE
9_ MECHANICAL FEE
J CONSTRUCTION FEE
E ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
ASH I I CHECK
EIVEDJI
GAL
TER F-1 FILE
HECKEO.BYPERMIT USE NO.
(_X-qCJ
I ., LOT SIZE
$
PLAN FILE
LEACH LINE
S0. FT
I
DATE
R
I-1 C I =02
�
I TRICT F.C. UNITS I VALUATION
P
OFFICE
SUPPLEMENT TO PERMIT
0 159 .s
FINALED DATE
-2
IN CTORR
GROUP
TYPE
BOND
S
BOND
CASH
CONTRACTOR I% 6 40 00e
RELEASE BOND
LICENSE -TYPE
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-
doned for a period of 120 days, this permit shall automatically become 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-
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
of the work for which this permit is
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 Laoor
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.
County Buil • Dpaltmen .
Owner .f
Contractor V ��
SEEPAGE PIT .�
Address% 5 � Z..
Address
/f
GAL • Telephone �+�