146687 (SPIN)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.
Por. Sq. Ft. @
Ger:
Car P.
Wahl Sq.
S�I•�
Sqi Ft. @
POLES
WOOD
_Sq. Ft. SIGNS
DRAINAGE PIPING
TRANS. AND/
Ft. W OR T. CCK.
DRINKING FOUNTAIN
Sq. Ft. p MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATE6 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
OF/FSI CrE�r -
�'^
I
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
ROOF COVERING
LAUNDRY TRAY
M. S0. FT. - PERF. CEILING MAT.
SU3-PANEL
LEG L DESCRIPTIOp
,
KITCHEN SINK
APPLIANCE VENT
USE NO.
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
SIZE
LAVATORY
REPAIR OR ALTER
WATER HEATER
GROUP
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
CASH
BATH TUB
- COMPRESSOR
CONSTRUCTION POLE
CONTRACTOR S- L/111'"17107
LICENEE-TYPE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 1Q SO. FT.
HOUSE SEWER
GARAGE SO. FT.
$
PLUMBING FEE
GAS PIPING
_
PERMIT FEE
PERMIT FEE
$
tr
PERMIT FEE
EIM4 NILMILER
'
i ECEIV Y
REN
IDOL,
�PLNICHK FEE
I CONSTR. FEE
JHEAT8 VENT
ELECT.
FEEPLUMB.
FEE
TOTAL FEES w
FrJ
PLAN CHECKER
BUILDING INFORMATION
JOB ADDRESS Z;�z
+�^
WOOD
CONCRETE ' FIREPLACE
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
TE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER��
CO
LUNITY
Qu f
DISTRICT
—r
1F.C.%
w*"
4WK V
0
UNITS
/
VALUATION
OF/FSI CrE�r -
�'^
I
-
_
PLASTER
DRY WALL
ROOF COVERING
JBD. RMS.
LEG L DESCRIPTIOp
,
PER IT N9987
IZONE /t ZONIN�GH CKED BY PERMIT
{ I
USE NO.
SUPPLEMENT TO PERMIT
SET
• BACK
FRONT SIDE REAR LOT
SIZE
FINALED DATE
-�26 4,
INSPECTOR _
GROUP
TYPE
BOND
g
BOND
CASH
PLA CHECK FEE -
in
CONTRACTOR S- L/111'"17107
LICENEE-TYPE
RELEASE BOND
DATE
$
MECHANICAL FEE
In oc:ordance 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 abon-
done(I for a period of 120 days, this permit shall automatically become null
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-
tion of the issuance hereof the following certificate is executed.
OWNER -BUILDER CONTRACTOR
1 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
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
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
Califon �County Buil D partmen-
Owner- Z/� _ .'� entracf�"-� , IU I
Address 4✓ Addres - d Vella /
Telephone _ T. 1. j � >�
��
$
CONSTRUCTION FEE
$
• ELECTRICAL FEE
$
PLUMBING FEE
TOTAL FEE
$
tr
�r
CASH CHECK , M.O. N. C.
i ECEIV Y
PLAN FILE
✓ATER. VOLUME SEPTIC TANK '
GAL.
BLEACH LINE
-v SO. FT.
SEEPAGE PIT
.GAL.
.ETTER ❑ FILE