155737 (BLCK)IL CONSTRUCTION ESTIMAT
1st FI. Sq. Ft. @
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2nd FI. Sq. Ft. @
Por. Sq. Ft. @
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF.RIVERSIDE
ELECTRICAL FEES
NO.
FIELD OFFICE
PLUMBING FE
Gar.
SqI Ft. @
POLES
' Car P.
Ft.
SIGNS
DRAINAGE PIPING
Wall
,Sq.
Sq. Ft. b
OR TRANS
CLK.D/
DRINKING FOUNTAIN
Sq. Ft. 0
MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $
^
MOTOR H. P.
FLOOR DRAIN
•`N 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
i M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
l APPLIANCE VENT
WATER CLOSET
_ GAS PIPE
RANGE AND/OR OVEN
LAVATORY
- REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD O EVAP. COOL O
SPACE HEATER
BATH TUB
S COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
GARAGE iQ SO. FT.
GAS PIPING
r PERMIT FEE
`
PERMIT FEE
PERMIT FEE
PERM
DBL.
PLN CHK FEE
CONSTR. FEEEEj`
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
1REN
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O N D
BUILDING INFORMATION
JOB ADDRESS
'
WOOD
CONCRETE
FIREPLACE4
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f
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DA E
t
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
COMMUNITY DISTRICT
F.C.
UNITS
VALUATION
OFFICE
PLASTER DRY WALL ROOF
COVERING
BD. RMS.
.�
(/
€
LEGAL 9CRIPTION
PER I N
ZONE
ZONING CHEC ED BY
PERMIT USE NO."'
5737
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try
' ,
SUPPLEMENT TO PERMIT
i
SET
FRONT
SI E
JI REAR
LOT SIZE
/
�.•.r .�
BACK
FINALED DA E
INSP TOR
GROUP
TYPE
BOND
BOND
CASH
->%
1
$
/-
$
PLAN CHECK FEE
CONTRAC Ol( C. eelr
RELEASE BOND
$
LICENSE -TYPE -
DATE
.' MECHANICAL FEE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
$
expire if work is not commenced witftin
60 days. ff worts is suspended or abort-
?
doped 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 as 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
$
GQ
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 f M.O.
N. C.
Come 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
'RECEIVED B
PLAN FILE
Califotrpioe+
County B'ui g Depart ent.
'
#
Owner s d.
Contractor - I
WATER VO UM SEPYIC -ANK
t
LEACH LINE
SEEPAGE PIT
Address/ }
Address' o
GAL.
SO.
FT
GAL.
Telephone
Tel.j(
LETTER F_� FILE F__1