146932 (BLCK)ZONE �J
DEPARTMENT OF BUILDING & SAFETY
PERMIT USE NO.
FIELD OFFICE
lBY
COUNTY OF RIVERSIDE AmIlk
SET
CONSTRUCTION ESTIMAT901F
ELECTRICAL FEES
LOT SIZE
PLUMBING FEES
"�lst FI.
Sq. Ft. 0
NO.
NO.
' 2nd Fl.
Sq. Ft.
PLAN CHECK FEE
Por.
Sq. Ft. @
$
Gar.
Sql Ft.
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
. Wall
Sq. Ft. &
AND/
OR T. TRANS,CLK.
DRINKING FOUNTAIN
$
Sq. Ft. g
MOTOR H.P.
URINAL
c
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
40. MECHANICAL FEES
MOTOR H.P.
$
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS — OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. S0. FT. — UNIT HEATER
OUTLETS
LAUNDRY TRAY
t M. SO. FT. — PERF. CEILINGMAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
LEACH LINE
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
SO.
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. 10 SQ. FT.
HOUSE SEWER
GARAGE iQ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
M E
REN
DBL.
PLN CHK FEE
CONSTR. SEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TO FEES.
PLAN CHECKER
I8 2
J F
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J F M A
M J J A
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BUILDING INFORMATION
JOB ADDRESS
OWN
WOOD
CONCRETE
FIREPLACE
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
!
%
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
w
•
COMMUNITY
DISTRICT
F.C.
UNITS
VALU/STI N
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
Z)/
// /7
IOF;Z_
ZONE �J
ZONING -CHECKED
PERMIT USE NO.
lBY
SET
FRONT
SIDE REAR
LOT SIZE
' BACK
PLAN CHECK FEE
$
I
{ MECHANICAL FEE
h
$
CONSTRUCTION FEE
$
ELECTRICAL FEE
c
E PLUMBING FEE
TOTAL FEE
$
I CASH CHECKM.O.
N. C.
RECEIV Y
PLAN FILE
VATWWLLMEYTIC TANK
LEACH LINE
SEEPAGE PIT
_
GAL.
SO.
FT.
G:
¢ETTER 7 FILE
LEGAL DESCRIPTION PE IT N
4JD 6 SiON t4
T4&932
SUPPLEMENT TO PERMIT
G► m r. l � f" fi � �'
FIINA.,LLED DATE INSPECTOR GROUP TYPE BOND BOND CASH
$
CONTRACTOR RELEASE BOND
LICENSE -TYPE DATE
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 Building Department.
Owner Contractor
Address Address
Telepho e 1 Tel Lic. #