153583 (RPL)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
:1st FI.
Sq. Ft. @
NO. NO..
'2nd Fl.
Sq. Ft.
I Por.
Sq. Ft. P.
S .Gar.
r
SqI Ft.
POLES
Car P.
Sq. Ft. a
SIGNS DRAINAGE PIPING
f Wall
Sq. Ft. 01
OR TRANS
ELK.D/ DRINKING FOUNTAIN
rSq.
Ft. p
MOTOR .P. URINAL
MOTOR M.P. WATER PIPING
ESTIMATED V LUA
ION.�,,�.
MOTOR H. P. FLOOR DRAIN
'O. MECHANICAL FEES
MOTOR H. P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT,
SUB -PANEL KITCHEN SINK
APPLIANCE VENT
WATER CLOSET '
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 t"
COMPRESSOR
SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR
RESID: IC SO. FT. HOUSE SEWER
GARAGE qQ SO. FT. GAS PIPING
PERMIT FEEPERMIT
FEE PERMIT FEE
E M N
REN
DBL.
PLN CHK FEECONST
R. FEE
HEAT & VENT
ELECT.. FEE
PLUMB. FEE
TOTAL FEES
PLAN„C E
/ O10
+cam
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M Jam-
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BUILDING
INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE FIREPLACE
r -
rEo A 131
CONCRETE
PIERS MEMBRANE
US O BUILDING
BU
DATE
BLOCK
FRAME STUCCO BRICK CONC. METAL
OTHER
t
•
_
COMMfiN.ITY
F.C.
UNITS
VALUATION
OFFIC
PLASTER
DRY WALL
ROOF
COVERING
BD. RMS.
IDISIRICT
D
fff
4
LEGAL DESC PTION
PER,&A I
ZONE {r �/G
ZONING CHECKED BY
PERMIT USE NO.
h
-r
i tj�-C !•o
SUPPLEMENT TO PERMIT
'SET
FRONT
SIDE
A Ag
LOT SIZE
_
'
9.01
BACK
Q
FINALED DATE
INSPECTOR GROUP
TYPE
BOND
BOND
CASH
[PLAN
$
a
, ��
$
CHECK FEE
CONTRACT
RELEASE BOND
$
I&Id
LICENSE -TYPE
DATE
'MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
g
expire if work is not commenced within 60 days. If work is suspended or oban-
[CONSTRUCTION
Cloned for a period of 120 days, this permit shall automatically become null
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 as a condi-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
r_
�✓
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. 0. N.C.
come subject to the Workmen's Com- Code, and a certificate or certified
pensation LOWS Of the - State/ of Copy is On file with the Riverside
.ECEIVE B
PLAN FILE
California. .v-+� County Building Department
�ATER
OwnerContractor n
VOLUME SEPyrC TANK
LEACH UNE SEEPAGE PIT
Address Address
GAL.
GAL. SO. FT. GAL.
Telephone Tel.,',LIC. N
[ETTER ❑ FILE
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