153405 (RPL)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE?W ELECTRICAL FEES PLUMBING FEES
1st Fl. Sq. Ft. p NO. NO.
2nd Fl. Sq. Ft.
Po r. Sq. Ft. @
Gar. Sq] Ft. @ POLES
Car P. -.Sq.
! t
J
Ft. @
SIGNS
BUILDING INFORMATION
DRAINAGE PIPING
OWNER
na Ile.
T R **S -PWB
Sq. Ft. OR T. CLK. DRINKING FOUNTAIN
WOOD
MOTOR H. P. URINAL
Sq. Ft.
CONCRETE FIREPLACE
30 �4
MOTOR H. P. WATER PIPING
CONCRETE
ESTIMATED VALUATION $
MOTOR H. P.
USE OF BUILDiN'G
n __L
.1 �7.
FLOOR DRAIN
A"
NO. MECHANICAL FEES
MOTOR H.P.
BRICK CONC. METALI
WATER SOFTENER
HEAT APPLIANCE
MOTOR H. P.
and void.
WASHER (AUTO) (DISH)
COMMUNITY
z
INLETS - OUTLETS
FIXTURES
JUNITS
GARBAGE DISPOSAL
tion of the issuance hereof the following
M. SQ. FT. - UNIT HEATER
OUTLETS
ela
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
of the work for which this permit is
APPLIANCE VENT
issued I shall not employ any person
issued I have complied with Title 8
WATER CLOSET
in any manne-r whatsoever as to be-
GAS PIPE
RANGE AND/OR OVEN
come subject to the Workmen's Com-
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
County Building DeDartn'
VENT SYSTEM (3 HOOD 0 EVAP. COOL 0
SPACE HEATER
Contractor—X—i'a *",v
BATH TUB
Addressd '3?r * ,
'J�ry&Lal_ #'1W
COMPRESSOR
CONSTRUCTION POLE
Telephone
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SO. FT.
H 0 USB-SeWE R
GARAGE f0 SO. FT.
GAS PIPING
PERMIT FEE
1P ERMIT FEE
I
PERMIT FEE
46 a
EJ M� T�n 5
IREN
JDBL.
1PLN CH�a
A
CONSTR. FZA
J
1HEAT & VENT
JELECT. FEE
C
A
PLUMB. FEE
E ::]
_�E
PLAN OH ECKER
491-6-40.11*
A
J A
S 0
BUILDING INFORMATION
JOB ADDRESS 6V6,
a
OWNER
na Ile.
�BOND
WOOD
PLAN CHECK FEE
CONCRETE FIREPLACE
-
CONTRACTOR )WQiPJ",%T 1-t 0 C7
CONCRETE
PIERS MEMBRANE
USE OF BUILDiN'G
n __L
.1 �7.
DATE
In accordance with Sec. 302-D of the Uniform
ELECTRICAL FEE
STUCCO
BRICK CONC. METALI
OTHER
doned for a period of 120 days, this permit shall automatically become null
and void.
COMMUNITY
z
ISTYCT
1F.C.
JUNITS
VALUATION OFFICE
tion of the issuance hereof the following
certificate is executed.
ALL
ROOF COVERING
lBD. RMS .
ZONE
ZONING CHECKED BY
SET
BACK
J
S 14
XAR
�BOND
�CASH
PLAN CHECK FEE
-
CONTRACTOR )WQiPJ",%T 1-t 0 C7
MECHANICAL FEE
LICENSE-TYPEF_Jr-e,.2_#____/_a 0 J6112T
CONSTRUCTION FEE
In accordance with Sec. 302-D of the Uniform
ELECTRICAL FEE
expire if work is not commenced within
PLUMBING FEE
doned for a period of 120 days, this permit shall automatically become null
TOTAL FEE
CASH CHECK
RECEIVU713Y
UiTE SEP`TId`TANK
ETTER F FILE
I I LEGAL DESICRIPTION #� E
PERMIT USE NO. I Zw-t P'Y4,2?Jk '_2 / 4/ S
LOT SIZE
1$
PLAN FILE
LEACH LINE
'7..G A L. SO. FT
SUPPLEMENT TO PERMIT
FINALED DATE
_Z* _eA
j9_eM_1
JINSf.FCTOR
".
]GROUP
L��
�TYPE
BOND
S
�BOND
�CASH
-
CONTRACTOR )WQiPJ",%T 1-t 0 C7
RELEASE BOND
LICENSE-TYPEF_Jr-e,.2_#____/_a 0 J6112T
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 manne-r whatsoever as to be-
Article 3, Sec. 3800 of the Labor
N. r.
come subject to the Workmen's Com-
Code, and a certificate or certified
pensotion Laws of the State of
copy is on file with the Riverside
California.
County Building DeDartn'
Owner_:�
Contractor—X—i'a *",v
SEEPAGE PIT
Addressd '3?r * ,
'J�ry&Lal_ #'1W
Address��--14F/ Wv-, J//
GAL-
Telephone
T e I * 7