145875 (RPL)+kr
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE Alftk
FIELD OFFICE
F CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft.
NO.
NO.
Sq. Ft.
Sq. Ft.
Sql Ft. @ POLES
Sq. Ft. @ SIGNS
DRAINAGE PIPING
t
Sq. Ft. i Tg~
OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. MOTOR H.P. - 4
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $ (0 o
MOTOR H.P.
FLOOR DRAIN
No. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
f FI%TURESz(`�
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS H�
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
V£NT SYSTEM ❑ HOOD ❑ EV AP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SO. FT.
HOUSE SEWER
GARAGE i Q SO. FT.
GAS PIPING
r PERMIT FEE
PERMIT FEE
PERMIT FEE
.E MI E
RJ 7
REN
J
DBL
PLN CHK FEE
J
CONSTR. FEE
HEAT& VENT
ELECT. FEE
PLUMB. FEE
is
TOTAL }FEES
PLAN CHECKER
F M A
- J F M I A
Mf! .I
M J
J A
J A
5
O H D
O N
BUILDING INFORMATION
JOB ADDRESS „s
OWNE R(+
� �+.,�d1
WOOD
CONCRETE FIREPLACE
jCONCRETE
PIERS MEMBRANE
USE-OF BUILDING
�i/,•/7T.
DATE J
} :2
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
COMMUNITY
•i
DIS RIOT
F.C. JUNIT;
[
VALUATION`
��
N
OFFICE
�~
•
F
ti
PLASTER
DRY WALL
ROOF COVERING
JBD. RMS.
LEGAL DESC IPTION
0
PETIT, R
-ZONEZONINi ,CE1,ECKED BY PERMIT
r
USE N0.
SUPPLEMENT TO PERMIT
i SET
BACK
FRONT SIDE REAR LOT
SIZE''`
FINALED DATE
�J_3
INSPECTOR
GROUP
TYPE
BOND
S
BOND
CASH
$
t PLAN CHECK FEE
f
CONTRACTOR i*�Af,t� rt�
v+ _ Z Z y�y i
LICENSE-TYPE L
RELEASE BOND
DATE
r $
f
E. MECHANICAL FEE
In accordance 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 aban-
doned 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
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
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
California. County Builjoi•ng Deprortmer}tg
Owner Contractor
Address Address � 7_79� )y`uXlf/
Telephone Tel. i Lic. N �lUdY f
z..
$
CONSTRUCTION FEE
06
-0-
$
ELECTRICAL FEE
03
„�
$
PLUMBING FEE
�(�'
TOTAL FEE
t
$
CASH CHECK M.O. N.L.
ECEIVD BY
j.
PLAN FILE
#
�ATER VOLUME SEPTIC TAN
GAL.
LEACH LINES
So. FT.
EEPAGE PIT
GAL.
�ETTER F-] FILE ❑