146755 (CP)i
I TOTAL FEE
i CASH CHECK
DECEIVED BY
I
WA OL E SEPTIC TANK
GAL.
I ere y cert) y t at In per ormance ere y cert) y t at In per ormance
�y of the work for which this permit is of the work for which this permit is
$ f issued I shall not employ any person issued I have complied with Title 8,
sin any manner whatsoever as to be- Article 3, Sec. 3800 of the Laoor
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 Buildi g DepartLT nt.
# Owner ContractcK�4to'`i'� .� U
LEACH LINE SEEPAGE PIT -� ...YY4.
Address Address
So. FT. GAL. Telephone Tel. Lic
ETTER F_� FILE F_� t�[i�
i. �.
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY
OF RIVERSIDE AMIL
CONSTRUCTION ESTIMAT
ELECTRICAL FEES PLUMBING FEES
1st FI.
Sq. Ft. @
NO. NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. p
Gar.
Sq] Ft. @
POLES
Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
[ Wall
Sq. Ft.
ALJ DRINKING FOUNTAIN �
Sq. Ft.
.cam
MOTOR H.P. �O URINAL
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H. P. FLOOR DRAIN '
10. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
i HEAT APPLIANCE
MOTOR H. P. WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES GARBAGE DISPOSAL
t. M. SO. FT. - UNIT HEATER
OUTLETS Jf 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 36NFMe1'wDISPOSAL
COMPRESSOR
RESID. 10 S0. FT. HOUSE SEWER
GARAGE iO SO. FT. GAS PIPING
PERMIT FEE
PERMIT FEE J PERMIT FEE
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTTAL FEES
PLAN CHECKER
In
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J F M A
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J F M A
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S O N
BUILDING INFORMATION
JOB ADDRESS J�,
WOOD
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ZER
CONCRETE
FIREPLACE
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CONCRETE
PIERS
MEMBRANE
U OF BUILDING
DATE
BLOCK FRAME STUCCO
BRICK CONC. METAL
OTHER
6 fib
COMMUNITY
DISTRICT
F. C/.*
UNITS
VALUATION
OFFICE
PLASTER DRY WALL
ROOF COVERING
JBD. RMS.
T
iON
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LEGAL D CRI•P TSI
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ZONE ZONING CHEC{jKED BY,
PERMIT USE NO.
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SUPPLEMENT TO PERMIT
t
SET
FRONT SIDE REAR
LOT SIZE
j BACK
1 J J
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
r
$
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$
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1 PLAN CHECK FEE
CONTRACTOR �.k ik /M x
RELEASE BOND
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LICENSE -TYPE
DATE
MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
r
$
expire if work is not commenced within 60 days. If work is suspended or oban-
I
doned for a period of T20 days, this permit shall automatically become null
CONSTRUCTION FEE
and void.
$
ZCi
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.
Sa
OWNER -BUILDER CONTRACTOR
PLLIMRING FFF
h b 'f h fI h b •f h f
i
I TOTAL FEE
i CASH CHECK
DECEIVED BY
I
WA OL E SEPTIC TANK
GAL.
I ere y cert) y t at In per ormance ere y cert) y t at In per ormance
�y of the work for which this permit is of the work for which this permit is
$ f issued I shall not employ any person issued I have complied with Title 8,
sin any manner whatsoever as to be- Article 3, Sec. 3800 of the Laoor
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 Buildi g DepartLT nt.
# Owner ContractcK�4to'`i'� .� U
LEACH LINE SEEPAGE PIT -� ...YY4.
Address Address
So. FT. GAL. Telephone Tel. Lic
ETTER F_� FILE F_� t�[i�
i. �.