152135 (PLBG)DEPARTMENT OF BUILDING & SAFETY
in COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE11F ELECTRICAL FEES
1st FI. Sq. Ft. p NO.
' 2nd FI. Sq. Ft.
Por. Sq. Ft.
FIELD OFFICE
PLUMBING FEES
Gar. Sq] Ft. @ POLES
Car P. ,Sq. Ft. SIGNS DRAINAGE PIPING
i Wall Sq. Ft. ORAT.SCLK.D/ DRINKING FOUNTAIN
r Sq. Ft. 0 MOTOR H. P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION $ MOTOR H. P. FLOOR DRAIN
NO. 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
r
c APPLIANCE VENT WATER CLOSET
S GAS PIPE RANGE AND/OR OVEN LAVATORY
REPAIR OR ALTER WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATER BATHTUB
COMPRESSOR CONSTRUCTION POLE WATER HEATER
I COMPRESSOR SERVILE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR RESID. IQ S0. FT. HOUSE SEWER
R GARAGE ''7a 0
I S0. FT. GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE Q�
RENDBL. PLN CHK FEE JCONSTR. FEE HEAT & VENT ELECT. FEE PLUMB. FIFE_, TOTAL FEES PLAN CHECKER
rte+
J F I M AM J. A S _ -10 V -. 0-
J F M A M J J A S O N D
BUILDING INFORMATION JOB ADDRESS OWNER
f WOOD CONCRETE FIREPLACE r G
CONCRETE PIERS MEMBRANE USE OF BUILDING DATE
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER Y
COMMUNITY DISTRICT F.C. UNI VALUATION 4,y OFFICE
PLASTER DRY WALL ROOF COVERING BD. RMS. i '•-
J
LEGAL DE RIPTION PE I N JR35
7ZONE 20 G HECKE BYL��� PERMIT USE N0. !�
` V' ,yy- SUPPLEMENT TO PERMIT
SET FRONT SIDE e"EAR ,LOT SIZE��i
BACK FINALED DATE INSP TOR I GROUP TYPE BOND I BOND I CASH
$ $
PLAN CHECK FEE CONTRACTOR 6k7 RELEASE BOND
$ LICENSE -TYPE 47 ;? O 1 I /
DATE
MECHANICAL FEE In accordance with Sec. 302-D of the Uniform Building Code, this permit shalt
$ expire if work is not commenced within 60 days. If work is suspended or aban-
doned for o period of 120 days, this permit shall automat -scally become null
CONSTRUCTION FEE and void.
$ This permit is issued, and shall continue in effect, pursuant to the terms and
ELECTRICAL FEE conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the following certificate is executed.
$
PLUMBING FEE OWNER -BUILDER CONTRACTOR
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
i CASH CHECK M. 0. N. C. come subject to the Workmen's Com- Code, and a certificate or certified
RECEIV Y PLAN FILE pen SOtlOn LAWS Of The Slate Of copy IS On file with the Riverside
California. County Building Department.
# Owner Contractor
W VOLUITE VE15TIt TANK LEACH LINE SEEPAGE PIT Address MKk Address
GAL. SO. FT. GAL• Telephone s Tel• Lic. N
TETTER FILE t ,�