155727 (PLBG)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATEIlw ELECTRICAL FEES PLUMBING FEES
1st FI. Sq. Ft. p NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft. @
i
Gar.
Car P.
Wall
Sql Ft. @
Sq. Ft.
POLES
SIGNS
JOB ADDRESS OWNE ,
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USE OF BUILD DATE -
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Zr(Ja
RAINAGE PIPING
TRANS
Sq. Ft. � 'I"� �:,lc
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR
H.P.
FLOOR DRAIN
iNO. MECHANICAL FEES
MOTOR
H.P.
MMU ITY ISTRICT
t lilt `
WATER SOFTENER
HEAT APPLIANCE
MOTOR
H.P.
F
.ZONE
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
BD. RMS.
J
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
PET1N
5 727
1 -j
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
SUPPLEMENT TO PERMIT
I'
j SET
BACK
KITCHEN SINK
APPLIANCE VENT
LOT SIZE
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
TYPE
BOND
$
LAVATORY
REPAIR OR ALTER
WATER HEATER
$
SHOWER
VENT SYSTEM Cl HOOD ❑ EVAP. COOL ❑
SPACE HEATER
$
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
I ELECTRICAL FEE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
$
ab
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SQ. FT.
HOUSE SEWER
GARAGE iG SQ. FT.
GAS PIPING
r PERMIT FEE
I PERMIT FEE
PERMIT FEE Jy
PERM N R REN JDBL PLN CHK FEE CONSTR. FEE HEAT & VENT ELECT. FEE PLUMB. FEE TOTAL FEES PLAN CHECKER
0�tl
J F M A M J ! A C
J F M I A M J J A S 0 N
TOTAL FEE
! CASH CHECK
'RECEIV p BY
W GLUME SEPTIC TANK
LETTER ❑ FILE
ere y cer 1 y a In per ormance y y p
of the work for which this permit is of the work for which this permit is
1 46 $ Od 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
M. 0. N,C, come subject to the Workmen's Com- Code, and a certificate or certified
PLAN FILE pensation Laws of the State of copy is on file with the Riverside
California. County. Bui.ldir g Dep fitment.
# Owner Contractor f j` i a s
LEACH LINE SEEPAGE PIT ... �' s /
Address Address NNNN
GAL. 1 SO. FT. T+ GAL. Telephone Tel.���� �.. Lic. N
BUILDING
INFORMATION
JOB ADDRESS OWNE ,
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USE OF BUILD DATE -
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WOOD
CONCRETE FIREPLACE
PIERS MEMBRANE
CONCRETE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
MMU ITY ISTRICT
t lilt `
F.C.
NITS
VALUATIONf_
F
.ZONE
PLASTER
DRY WALL ROOF
COVERING
BD. RMS.
J
LEGAL VIPTION
+ !� �"'
PET1N
5 727
1 -j
ZONIN CHECKED BY
,.�1-
O
PERMIT USSEENO.
OAK /♦
SUPPLEMENT TO PERMIT
I'
j SET
BACK
FRONT
SI EAR
LOT SIZE
FIINALEDD DATE
G '('C•
1:1;NgSTOR
L^i�/
GROUP
TYPE
BOND
$
BOND
CASH
I PLAN CHECK FEE
$
CONTRACTOR
LICENSE -TYPE
RELEASE BOND
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 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 h b t'f th t f I hereb certif that in erformance
1
r CONSTRUCTION FEE
$
I ELECTRICAL FEE
$J(�
PLUMBING FEE
$
ab
TOTAL FEE
! CASH CHECK
'RECEIV p BY
W GLUME SEPTIC TANK
LETTER ❑ FILE
ere y cer 1 y a In per ormance y y p
of the work for which this permit is of the work for which this permit is
1 46 $ Od 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
M. 0. N,C, come subject to the Workmen's Com- Code, and a certificate or certified
PLAN FILE pensation Laws of the State of copy is on file with the Riverside
California. County. Bui.ldir g Dep fitment.
# Owner Contractor f j` i a s
LEACH LINE SEEPAGE PIT ... �' s /
Address Address NNNN
GAL. 1 SO. FT. T+ GAL. Telephone Tel.���� �.. Lic. N