144715 (PLBG)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT011F ELECTRICAL FEESse" PLUMBING FEES
1st FI. Sq. Ft. @ NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft.
I Gar.
Sq] Ft. @
POLES
J
O
USE OF BUILDING
DATE
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BLOCK
FRAME STUCCO
BRICK CONC. METAL
Car P.
Sq. Ft.
SIGNS
D AINAGE PIPING
CO UNITY TRICT
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F.C.
S—
UNITS
/
L
VALUATION (f
16 �.
OFFICE
9 Wall
Sq. Ft.
OR T. CALK.
BD. RMS.
DRINKING FOUNTAIN
LEGAL DE RIPTION
fZON
PE IT N
�171
5
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t. H
Sq.Ft.
MOTOR
H. P.
URINAL
FRONT SIDE REAR
LOT SIZE
FINALE D DATE
i
I
INSPECTOR
GROUP
TYPE
BOND
$
MOTOR
H. P.
WATER PIPING
2
ESTIMA ED VA TI
AON $
MOTOR
H. P.
FLOOR DRAIN
O. MECHANICAL FEES
MOTOR
M.P.
WATER SOFTENER
$
i HEAT APPLIANCE
MOTOR
H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
ELECTRICAL FEE
LAUNDRY TRAY
Q0
r M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
$
KITCHEN SINK
s. PLUMBING FEE
APPLIANCE VENT
/,/j
04
OWNER -BUILDER CONTRACTOR
1 h b t•f th tf I hereb certif that in erformance
WATER CLOSET
I- 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
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SQ. FT.
HOUSE SEWER
GARAGE i Q SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
E MI N
REN
DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. F E,
TOTAL FEES
PLAN CHECKER
O
11
"J F M A
M J
J A
S O N D
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE FIREPLACE
-
-
CONCRETE,
PIERS
MEMBRANE
USE OF BUILDING
DATE
hi _
?
BLOCK
FRAME STUCCO
BRICK CONC. METAL
- OTHER
CO UNITY TRICT
~""t ��
F.C.
S—
UNITS
/
L
VALUATION (f
16 �.
OFFICE
PLASTER DRY WALL
ROOF COVERING
BD. RMS.
LEGAL DE RIPTION
fZON
PE IT N
�171
5
`
H
ZONE,{j/'�
PERMIT USE .
SUPPLEMENT TO PERMIT
SET
FRONT SIDE REAR
LOT SIZE
FINALE D DATE
i
I
INSPECTOR
GROUP
TYPE
BOND
$
BOND
CASH
BACK
$
PLAN CHECK FEE
CONTRACTOR of }
LICENSE-TYPEF4t �L / r
RELEASE BOND
DATE
- MECHANICAL FEE
$
to accordance with Sec. 302-D of the uniform Building Code, this permit shall
expire if work is not commenced Within, 610 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
$
ELECTRICAL FEE
Q0
conditions of Seca 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the following certificate is executed.
$
s. PLUMBING FEE
/y�
I
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04
OWNER -BUILDER CONTRACTOR
1 h b t•f th tf I hereb certif that in erformance
TOTAL FEE
CASH f CHECK
RECEIV Y
NATER VOLUME SEPTIC TANK
GAL
ere y cer 1 y a 1n per ormance y y p
r= of the work for which this permit is of the work for which this permit is
$ G DQ 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
M.O.
N. r. 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
California. County Build' art
# Owner Contract o ItJ
LEACH LINE SEEPAGE PIT a ` r�O.+"2
Address Address
SO. Fr. GAL• TelephoneTe Lic. N
r
ETT ER F-1 - FILE � '�,�.....--�^►.•���' -- �C�, L ���`'�