146400 (SFD)DEPARTMENT OF 13UILDING & SAFETY FIELD OFFICE
in COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1st FI. 7W Sq. Ft. g NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft. @ 3 -OD 3
Gar. 539
Sqs Ft.
PIERS
POLES
USE OF BUILDING
Wx
DATE
Car P.
Sq. Ft. @
OTHER
SIGNS
DRAINAGE PIPING
COMMUNITY
t
DISTRICT
F.C.
TRAN
VALUATION OFFICE
I
I
PLASTER DRY WALL ROOF COVERING W(M
�P\Ai/
Wall
Sq. Ft. -
P E kf
OR TSELK.D/
;ZONE ZONING CHECKED BY
M.
PERMIT USE NO.
DRINKING FOUNTAIN
I
Sq. Ft. a
LOT SIZE
2,17
MOTOR
H.P.
TYPE
URINAL
BOND
CASH
CONTRACTOR �;�R"\ASE
LICENSE -TYPE
MOTOR
H.P.
$
WATER PIPING
ESTIMATED VALUATION I $U
667
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
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 1.600
COMPRESSOR
RESID. 1Q SQ. FT.
HOUSE SEWER
RAGE f 0 SO. FT.
GAS PIPING ILI 5D
PERMIT FEE
PERMIT FEE
PERMIT FEE
E MI
M
REN
DBL
PLN CHK
FEE
CONSTR. FEE
HEAT 13 VENT
ELECT.
FEE
PLUMB.
FEE
TOTAL FEES
PLAN CHECKER
{.
J ?
QK50
J F M A
M J
J
I
S
0 _ N D
J F M I A
M J
J A
S
O N
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE
FIREPLACE
I
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
Wx
DATE
BLOCK
FRAME STUCCO BRICK CONC. METAL
OTHER
COMMUNITY
t
DISTRICT
F.C.
UNITS
VALUATION OFFICE
I
I
PLASTER DRY WALL ROOF COVERING W(M
�P\Ai/
BD. RMS,
LEGAL DESCRIPTION
T-1, r
P E kf
I N B R
;ZONE ZONING CHECKED BY
M.
PERMIT USE NO.
SUPPLEMENT TO PERMIT
I- SET FRONT SIDE REAR
f BACK
PLAN CHECK FEE
LOT SIZE
2,17
FINALED DATE INS�P1ECTOR _
3-/7-L f
GROUP
TYPE
BOND
$
BOND
CASH
CONTRACTOR �;�R"\ASE
LICENSE -TYPE
BOND
a TE
MECHANICAL FEE
$
In accordance with Sec. 302-D of theo 111 •�y�9 this permit shall
expire if work is not commencedd s. If Work 'it uspended or abon- j
Cloned for a period of 120 d jiitT� etvAt shall automatically become null
and Void.'
CONSTRUCTION FEE
$
9550
ELECTRICAL FEE
I
PLUMBING FEE
TOTAL FEE
CASH CHECK
RECEIVED 11/
WA ER POLUME SEPTIC ANK
GAL
SETTER U FILE U
$ This permit is issued, and continue in effect;'piirsuant to the terms and
conditions of Sec. 3800 of the 6}ulness andr!�fessions Code and as a condi-
33 tion of the issuance hereof th {?IL1Iiwing d`ertificate 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 ofthe work for`which this permit is
$ issued I shall not employ any person issued I hole complied with Title 8,
in any manner whatsoever as to be- r ' Article' 3, Sec. 3800 of the Laoor
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 frle with the R'A erside
PLAN FILE Coliforn'a. �.; r ��,I[JD,�, County Build'�i�
LEACH LINE SEEPAGE PIT 795 Owner " 1`-' • I r1Contractor
Address '�'� "I'yt Address
sQ. FT. GAL• Telephone =, ) { Tel Lic. k