146108 (BLCK)F IM 1A I M I J I J I A
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE Affilkik
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
=1 , • n/�
Wall .
Sq. Ft. @
NO. NO.
USE OF BUILDING
'
Sq. Ft.
doned for a period of 120 days, this permit shall automatically become null
Sq. Ft. @
and void.
Sq] Ft.@ POLES
$ This permit is issued, and shall continue in effect, pursuant to the terms and
Sq. Ft. @ SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. ''` ( 'Y OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $ %Z
6 MOTOR H.P.
FLOOR DRAIN
�l0. 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
SO. FT. GAL. Telephone Tel. Lic, k
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
j COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
I
GARAGE =Q SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
E$Mlj HAmJER,%
A
REN
JDBL.
JPLN CHK FEE I CONSTR. FEE
HEAT & VENT
ELECT. FEE
I PLUMB. FEE
I TOTAL FEES
I PLAN CHECKER
F IM 1A I M I J I J I A
J
l//FRONT
BUILDING INFORMATION JOB ADDRESS /^\
WOOD CONCRETE FIREPLACE -Rs R)
I.
CONCRETE
MECHANICAL FEE
PIERS
MEMBRANE
USE OF BUILDING
'
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
and void.
$ This permit is issued, and shall continue in effect, pursuant to the terms and
BLOCK
FRAME STUCCO
BRICK I CONC. METAL
OTHER
LJ
OWNER -BUILDER CONTRACTOR
dq
I hereby certify that in performance I hereby certify that in performance
COMMUNITY
of the work for which this permit is of the work for which this permit is
PLASTER
DRY WALL
ROOF COVERING
RMS.
tLEGAL
come subject to the Workmen's Com- Code, and a certificate or certified
JBD.
M. 0. N.L.
pensation Laws of the State of copy is on file with the Riverside
ECE D Br
DEISCRIPTION�
# OwnerNN ` Contractor
[ATER VOLUME SEPTIC TANK
LEACH LINE SEEPAGE PIT "•
+ h 41 Address
Address � �b
GAL.
SO. FT. GAL. Telephone Tel. Lic, k
rZONE
J
l//FRONT
SET
CONTRACTOR RELEASE BOND
BACK
MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
ZONING C_tl¢CX-ED BY I PERMIT USE NO.
0
01
An -
DISTRICT F.C.
i ;z
+.Ow
f 14f f1 g!e,14
DATE
1--(:,,—&7
h V L
i -—&7
UNITS VALUATION OFFICE
PERM IT-NUTABER _
SUPPLEMENT TO PERMIT
SIDE REAR , LOT SIZE
FINALED DATE INSPECTOR GROUP TYPE BOND BOND CASH
$ / 3D -6 l $
PLAN CHECK FEE
CONTRACTOR RELEASE BOND
$ LICENSE -TYPE 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
CONSTRUCTION FEE
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-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
OWNER -BUILDER CONTRACTOR
- PLUMBING FEE
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
TOTAL FEE
$ 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
come subject to the Workmen's Com- Code, and a certificate or certified
CASH CHECK
M. 0. N.L.
pensation Laws of the State of copy is on file with the Riverside
ECE D Br
PLAN FILE
Californi County Building Depart Mi. ri
# OwnerNN ` Contractor
[ATER VOLUME SEPTIC TANK
LEACH LINE SEEPAGE PIT "•
+ h 41 Address
Address � �b
GAL.
SO. FT. GAL. Telephone Tel. Lic, k
[ETTER F-1 FILE