144968 (SATT)DEPARTMENT OF BUILDING & SAFETY
is COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATgwr
F BUILDING
ELECTRICAL FEES
PLUMBING FEES
"1st Fl. d
2nd FI.
Gar. 4r
Car P.
Wall
r`
Sq. Ft. y AG
.,.)C
'! NO. NO.
'ERMIT USE N0.
Sq. Ft.
or ��
Sql Ft. @ 2 �} 21 POLES
/ pe -
Sq. Ft. SIGNS
DRAINAGE PIPING
Sq. Ft. OR T SCLK �/
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H.P.
URINAL
MOTOR M.P.
WATER PIPING �r
j ESTIMATED VALUATION I $ XK W1
U
MOTOR H.P.
FLOOR DRAIN
O. I MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO ISH)
G 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 Cl EVAP. COOL ❑
SPACE HEATER I`
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
**
SERVICE ENTRANCE i
SEWAGE DISPOSAL
COMPRESSOR
RESID. 14 SQ. FT.
HOUSE SEWER
GARAGE iG SO. FT.
GAS PIPING
PERMIT FEE .
PERMIT FEE
PERMIT FEE
E M1 N M
ER
REN
JDBL
JPLNH
CONSTR. FEE
HEAT & VENT
ELECT. FES_
!�.rt/1_—
PLUMB. FEES
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PL KER
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BUILDING INFORMATION
WOOD CONCRETE
CONCRETE PIERS
BLOCK I FRAME STUCCO BRICK CONC. METAL
PLASTER DRY WALL ROOF COVERING
0 4
f ZONI - Ct EA . BY
�4
SET f FRONT SIDE
BACK
PLAN CHECK FEE
L MECHANICAL FEE
L CONSTRUCTION FEE
F ELECTRICAL FE
PLUMBING FEE
TOTAL FEE
CASH CHECK
RECEIVED BY
[ATER VOLUME] r�+SyE`PTIC TANK
/,boo GAL.
ETTER F-1 FILE
JOB
FIREPLACE 1/'+
( -tc-"d {,
MEMBRANE
F BUILDING
t OTHER,„
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co
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fl
BD. RMS.
3
LEGAL DE RIPTI
or 30
'ERMIT USE N0.
LOT SIZE
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j
DISTRICT F.C. t UNITS
y3s�
DATE
UATION O OFFICE
r
PER►41T_NUh18ER
SUPPLEMENT TO PERMIT
FIN ED DATE INSPECTOR GROU TYP BOND BOND CASH
CONTRACTORA3 q uri_rol e�j(f%l`r d RELEASE BOND
$ LICENSE -TYPE 21S7 Z'S 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 abon-
O doned for a period of 120 days, this permit shall automatically become null
V and void.
$ 'j}' 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
tof the work for which this permit is of the work for which this permit is
$ 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.o.
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
PLAN FILE California. Count uildin�9 De a tment.
# Owner Cmc U�%I�.L/v'rt1}���
LEACH LINE SEEPAGE PIT(, f�11i
! Address AD, eSS
SO. FT. �6AL. Telephone I Tel:6 Lic. N 3� 41�j1