153596 (AR)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY
OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. p 6
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. @
Gar.
Sq] Ft.
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
Wall
Sq. Ft. 0,
OR TSCLK.D/
DRINKING FOUNTAIN
Sq. Ft. @
MOTOR H.P.
URINAL
MOTOR M.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)
I INLETS — OUTLETS
FIXTURES
GARBAGE DISPOSAL
f
M. S0. FT. — UNIT HEATER
OUTLETS
LAUNDRY TRAY
' M. SQ. 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
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
„ RESID. IQ SO. FT.
HOUSE SEWER
GARAGE z Q SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEEPERMIT
FEE
PE M
REN
DBL
PLN CHK FEE
ONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES,
PLAN
CHER
JIAqR
J
J
F
M
4
1•.q J
J
A
-O
J F M j A
M J
J A
S 0
N'
BUILDING INFORMATION
JOB ADDRESS tyvle rlv ff
��//i
OWNER
•
WOOD
CONCRETE FIREPLACE
t
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
DATIf
BLOCK I FRAME STUCCO BRICK CONC. METAL
OTHER
CO MUNITY IDI'STRI.C.11
UNITS
VALUATION
OFFICE
.
PLASTER DRY WALL
ROOF COVERING
BD. RMS.
`
J
LEGALDjES RIPTION
PER I �{,E�R
•ZONE ZONING CHECKED B
PERMIT USE NO.
/
F �, T ����"f «� �,
�+'
!� a
�y
.1
j -q h
SET FRONT {t SJ
BACK ?ll+
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
i ELECTRICAL FEE
SUPPLEMENT TO PERMIT
REAR LOT SIZE
FINALED DATEINSP CTORGROUP TYPE BOND BOND CASH
l
ONTRACTOR VJ J r 1 RELEASE BOND
LICENSE-TYPEF-I A 1 DATE
Ir, acccrdaice with Sec. 302-0 of the UrtifLrm P,;iHIng C-:�.e, "-,is per -,It =i ail
expire if ,;ark is not commenced withn 60 days. IT wor°lc is st,-pended or aLan-
g
doped foa period of T2C days, this permit sholf a.,ter_atica!ly berm. -e Noll
and "aid.
This permit is issued, and shall continue in effect, pursuant to the terms and
�-tonditions of Sec. 3800 of the Business and Professions Code and as a condi-
ev
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
/ Sof 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 Laoor
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
California. t County Buil ,g,Depart�nen
Owner/;'Ye �r H' ontractor10 t!
SEEPAGE PIT AddressY� �' _ r�'�� Aik�res
GAL- Telephone -- Tel. ./ t � yT�t►�T(1 ��/y
1$
$
PLUMBING FEE
TOTAL FEE $
CASH CHECK 'el M. a.
RECEIVED PLAN FILE
AT -On 1 E SEPTIC TANK LEACH LINE
GAL. S0. FT
ETTER f__1 FILE