151956 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF. RIVERSIDE
CONSTRUCTION ESTIMAT9W ELECTRICAL FEES PLUMBING FEES
ist FI. 1 / Sq. Ft. 1."-� '� NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft. P
(p Gar.
Sq] Ft. P ?1
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CONCRETE FIREPLACE .
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Sq. Ft.
PIERS MEMBRANE
SIGNS
i�
DATE
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DRAINAGE PIPING
FRAME STUCCO
BRICK CONC. METAL
OTHER
TRANAN
COMMUNITY3t
#
Wall
Sq. Ft. ,
JUNITS
OR TSELK .D/
FFICE
DRINKING FOUNTAIN
DRY WALL ROOF
COVERING _
S Ft.
q
MOTOR
H.P.
PETI5f
URINAL
ZONE
P
RMIT USE NJ.
MOTOR
H.P.
FRONT
WATER PIPING
<
jESTIMATED VALUATION $ r
o
MOTOR
H.P.
GROUP
FLOOR DRAIN
BOND
S
.-NO. MECHANICAL FEES
CASH
MOTOR
M.P.
1
�—
WATER SOFTENER
RELEASE BOND
DATE
HEAT APPLIANCE
f
MOTOR
H.P.
$
CONSTRUCTION FEE
WASHER (AUTO) .ISH)
v~fJ
I INLETS - OUTLETS
FIXTURES
PLUMBING FEE
L.%
GARBAGE DISPOSAL
TOTAL FEESissued
M. SQ. FT. - UNIT HEATER
OUTLETS
RECEIVED BY
PLAN FILE
#
LAUNDRY TRAY
LEACH LINE
So' FT.
M. SQ. FT. - PERF. CEILING MAT.
ETT ERT F-1 FILE
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
r
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
s�1ti
VENT SYSTEM ❑ HOOD p EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
dI
COMPRESSOR
SERVICE ENTRANCE
1 SEWAGE DISPOSAL
COMPRESSOR
L, RESID. 10 SQ. FT.
HOUSE SEWER
GARAGE J SO. FT.3l
GAS PIPING
!!
f
PERMIT FEE
r PERMIT FEE
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PERMIT FEE
- E
mM E
mn
EN
CHK FEE
CONSTR. FEE
HEAT & VENT
FEE
PLUMB. FEE
TOTAL FEES
PLAN CHEC ER
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JPLN
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M. J
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BUILDING INFORMATION
JOB ADDRESS rrl'�]XER
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CONCRETE FIREPLACE .
CONCRETE r
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USE OF BUILDING %%�,
•
L L2 �t- d �..`
i�
DATE
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BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
COMMUNITY3t
#
DISTRICT
/JZ-
F.C.
JUNITS
VALUATION
•lR
FFICE
PLASTER
DRY WALL ROOF
COVERING _
JBD. RMS.
TION �
PETI5f
ZONE
ZONING CHECKED BY P
04A777
RMIT USE NJ.
SUPPLEMENT TO PERMIT
SET
BACK
FRONT
SIDE EAR LOT
SIZE
1
IC.
FINALED DATE
/-ahs
GROUP
TYPE _
BOND
S
BOND
CASH
$
PLAN CHECK FEE
1
�—
CONTRACTOR
LICENSE -TYPE 'J ,
RELEASE BOND
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 :ban -
doned for a period of 120 days, this permit shall automatically become null
and void,
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
1 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
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 Laoor
came 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
California. County ulIdin' Department.
Owner Contrac"tor 11 J ' 4 ' r J_ � at
�r
Address Address? '
Telephone �e'I r rj�'S Li . q �� j 6f !�
$
CONSTRUCTION FEE
1 V A
1✓
v~fJ
$
ELECTRICAL FEE
71This
�
PLUMBING FEE
L.%
TOTAL FEESissued
F
CASH CHECK M. 0. N. C.
RECEIVED BY
PLAN FILE
#
ATIT VOLUME SEPTIC TANK
r.:. 6 0 GAL.
LEACH LINE
So' FT.
SEEPAGE PIT
�-
r�cAL.
ETT ERT F-1 FILE