143003 (BLCK)'
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
As
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft.NO.
NO.
2nd FI.
Sq. Ft.
e Por.
Sq. Ft. @
• Gar.
e
Sq] Ft. @
POLES
1' Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
Wall
r
Sq. Ft. di
tq TRANS. AND/
OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P.
URINAL
4
MOTOR H.P.
WATER PIPING
`. ESTIMATED VALUATION $ t
MOTOR H.P.
FLOOR DRAIN
1N0. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
¢ INLETS - OUTLETS
r'
FIXTURES
GARBAGE DISPOSAL
M. S0. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILINGMAT.
SUB -PANEL
KITCHEN SINK
H APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
S VENT SYSTEM ❑ HOOD
❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
i COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
t COMPRESSOR
RESID. 16 SO. FT.
HOUSE SEWER
GARAGE 10 SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
�P-EIMA N M E
REN
DBL.
PLN CHK FEE
CONSTR. F€E�
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
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BUILDING INFORMATION
FIREPLACE
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CONCRETE
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DATE
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BLOCK FRAME STUCCO
BRICK CONC. METAL
OTHER
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COMMUNITY
DISTRICT
F.C.
JUNITS
VALUATION
OFFICE
PLASTER DRY WALL
ROOF COVERING
BD. RMS. oksk
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LEGAL Op7775CRIPTION��
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T
PER IT N
R
03
+ZONE
ZONING CHECKED BY
PERMIT USE NO.
2 2 ,
J '�
SUPPLEMENT TO PERMIT
LOT SIZE
C`yQ(•. j S 3
SET
FRONT
SIDE REAR
BACK
e�
/, 1 O
DATE
GROUP
TYPE
BOND
BOND
CASH
-
$
=4z
JINSPECTOR
$
• PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
w
LICENSE-TYPEfol �� ?�
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'os 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
CASH CHECK
�^ M.O.
N.C.
come subject to the Workmen's Com-
Code, and a certificate or certified
R
Laws Of the State of
copy Is On Ile with he Rlv rsldgx
C -VED BY
PLAN FILEpensation
California.
County B " De.a - ent.
,(M;
Owner
Contractor-
WATER VOLUME SEPTIC TA K
LEACH LINE
SEEPAGE PIT
�J�I/'1� P
Address
Add
GAL.-
-" S0. FT.'-
... GAL.
Telephone
fess r�1
Tel?$
LETTER F] FILE