144964 (SATT)J
DEPARTMENT OF BUILDING & SAFETY
As COUNTY OF RIVERSIDE
FIELD OFFICE
1M
CONSTRUCTION ESTIMAT90or
ELECTRICAL FEES
PLUMBING FEES
BOND
1st FI. `
2nd FI.
Por.
Gar.
Car P.
i Wall
I
Sq. Ft. -:�
`�Q NO.
NO.
FIREPLACE
UNIT4/S
Sq. Ft.
OFFICE
Sq. Ft.0 Cis C)
R 4t v
Sql Ft. ?� POLES I
*-/16
Sq. Ft. SIGNS DRAINAGE PIPING
BLOCK
Sq. Ft. OR TSCLK.D/
DRINKING FOUNTAIN
BRICK CONC.
Sq. Ft. MOTOR H. P. URINAL
OTHER
MOTOR H. P. i WATER PIPING
`
ESTIMATED VALUATION$
:=-- MOTOR H. P.
LICENSE -TYPE �ff�...•tttt
FLOOR DRAIN
SUPPLEMENT TO PERMIT
NO. MECHANICAL FEES
MOTOR H.P.
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
WATER SOFTENER
$
HEAT APPLIANCE
MOTOR H. P.
WASHER (AUTO) DISH)
�d
INLETS - OUTLETS
FIXTURES
l
GARBAGE DISPOSAL
JFK
M. SO. FT. - UNIT HEATER
OUTLETS
2S'•'
LAUNDRY TRAY
I M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
KITCHEN SINK
APPLIANCE VENT
tion of the issuance hereof the following certificate is executed.
WATER CLOSET
,..�,•
I
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
1
v
REPAIR OR ALTER
WATER HEATER
of the work for which this permit is of the work for which this permit is
SHOWER
i
P VENT SYSTEM ❑HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
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COMPRESSOR
CONSTRUCTION POLE
pensation Laws of the State of copy is on file with the Riverside
WATER HEATER
California. Count4B ding Depart en t.
COMPRESSOR
I SERVICE ENTRANCE
I 1
SEWAGE DISPOSAL
!3
Address Ad� r
COMPRESSOR
ESID. IQ SO. FT.
2.1 PiM
HOUSE SEWER
ARAGE iQ SO. FT.
GAS PIPING
0
PERMIT F•EE
PERMIT FEE
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PERMIT FEE
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CONSTR. FES
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PL MB.FEE_
TOTAL ES_,
PLAN H R
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DRY WALL
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BUILDING INFORMATION
BOND
CASH
JOB ADDRESS
�JQ C'd
WOOD
CONCRETE
FIREPLACE
UNIT4/S
CONCRETE X
OFFICE
PIERS
R 4t v
MEMBRANE
*-/16
US OF BUILDING
BLOCK
FRAME STUCCO
BRICK CONC.
METAL
OTHER
RELEASE BOND
b,0'Mme, I
F
PLASTER
DRY WALL
OF COVER
GROUP
�i
DATE
BOND
CASH
ZONING
{[ZONE
SET
FRONT
SIDE
UNIT4/S
VALUATION
OFFICE
BACK
R 4t v
17 - _-s
*-/16
c
F PLAN CHECK
FEE
/.
I
MECHANICAL FEE
r CONSTRUCTION FEE
SELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH I I CHECK
,RECEIVED BY
ER VOLUME SEPTIC TANK
GAL
LETTER ❑ FILE
COMMUNITY
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RELEASE BOND
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LICENSE -TYPE �ff�...•tttt
DATE
SUPPLEMENT TO PERMIT
.iv T
FINALED DATE
JINSPECTOR
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TYPE
BOND
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BOND
CASH
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RELEASE BOND
$
LICENSE -TYPE �ff�...•tttt
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.
$
2S'•'
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.
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,..�,•
OWNER -BUILDER CONTRACTOR
I hereby certify that in performance I hereby certify that in performance
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of the work for which this permit is of the work for which this permit is
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issued I shall not employ any person issued I have complied with Title 8,
111
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
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California. Count4B ding Depart en t.
Owner C^r��t
LEACH LINE
SEEP GE PI
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Address Ad� r
SO. FT.
Telephone TeF���_ Lic. N
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