151960 (SATT)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
Ah COUNTY OF RIVERSIDE AmIlk
CONSTRUCTION ESTiMAT
ELECTRICAL FEES
PLUMBING FEES
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POLES
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Sq. Ft. @
SIGNS
DRAINAGE PIPING
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TRANS. AND/
OR T. cLK.
DRINKING FO UNTAIV
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Sq. Ft.
MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $
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MOTOR H.P.
FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
r HEAT APPLIANCE
MOTOR H.P.
! WASHER (AUTO) ISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
I M. SQ. FT. - PERF. CEILING MAT.
SUB-PANEL
KITCHEN SINK
t, APPLIANCE VENT
% WATER CLOSET
( GAS PIPE
RANGE AND/OR OVEN
LAVATORY It
I REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
E BATH TUB
COMPRESSOR
CONSTRUCTION POLE
r WATER HEATER ! '�
COMPRESSOR
P,
SERVICE ENTRANCE
I SEWAGE DISPOSAL J '�
COMPRESSOR
L RESID. 11 SQ. FT. j
HOUSE SEWER
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¢
GARAGE 1x0 SQ. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE b
PERMIT FEE
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DBL
PLN CHK FEE
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CON T FEE
HEAT & VENT
ELECT. FEE
J
PLUMB. FEE
TOTAL FEES
PLAN CH CKER
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BUILDING INFORMATION
JOB ADDRESS _ �NER
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6
WOOD
CONCRETE
FIREPLACE
'
CONCRETE
PIERS
MEMBRANE -10'
USE OF BUILDING
DATE
BLOCK
FRAME STUCCO
BRICK
CONC. METAL
OTHER
¢'
F
COMMUNITY, IDIS
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F.C.
UNITS
VALUATION
OFFICE
PLASTER
DRY WALL
ROOF COVERING
RMS.
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ZONE ZONING CHECKED BY
PEyRMIT USE NO.
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SUPPLEMENT TO PERMIT
SET
FRONT SIDE I EAR
LOT SIZE
F BACK;
f J '
FINAALEAD DATE
INSP CTOR/
GROUP
TYPE
BOND
BOND
CASH
$
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$
PLAN CHECK FEE
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CONTRACTOR '' p' U0vf f+? r�/fv�f/�'!ir %
RELEASE BOND
$
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LICENSE-TYPE
DATE
I MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
F
$
expire if work is not commenced within
60 days. If work is suspended or aban-
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doned for a period of 120 days, this permit shall automatically become nu►f
F CONSTRUCTION FEE
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[ Jr
and void.
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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.
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C�
OWNER-BUILDER
CONTRACTOR
I PLUMBING FEE
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I hereby certify that in performance
I hereby certify that in performance
t
l�qq
of the work for which this permit is
of the work for which this permit is
TOTAL FEE Is
_
S�
(V
sued I shall not employ any person
issued I have complied with Title 8,
a
In any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
i CASH CHECK C M.O.
N.C.
Come subject to the Workmen's Com-
Code, and a certificate or certified
FRECE
pensation Laws Of the State of
copy Is on file with the Riverside
D BY
1
PLAN FILE
California.
County Buildin ,Department.
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WA R VOLUME SEPTIC TANK
LEACH LINE
Owner
ContrQcto
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SEEPAGE PIT
Address
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V 's-
Addrets�s�
6 yd 747 I+
/GAL.
SQ.
FT.
Telephone
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