150300 (SPIN)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATgwr ELECTRICAL FEES PLUMBING FEES
1st FI. Sq. Ft. @ NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft. (i
Gar.
Car P.
Wall`-
I M J
Sq] Ft.
POLES
BUILDING INFORMATION
Jos A��{DQ'([yyDRESS
[[il
$q, Ft, @ SIGNS
DRAINAGE PIPING
Sq. Ft. ORAT.S CLK.D/
DRINKING FOUNTAIN
qt MOTOR H.P.
•
URINAL
t MOTOR H.P.
WATER PIPING
ESTIMATED VALU
TION $
MOTOR
H.P.
FLOOR DRAIN
NO. rAECHAN16AL
FEES
MOTOR
H.P.
WATER SOFTENER
! HEAT APPLIANCE
come subject to the Workmen's Com-
MOTOR
H.P.
WASHER (AUTO) (DISH)
I INLETS - OUTLETS
PLAN FILE
FIXTURES
DISTRI
GARBAGE DISPOSAL
j M. SO. FT. - UNIT HEATER
OUTLETS
LEACH LINE
LAUNDRY TRAY
M. SO. FT. - PERF.
CEILING MAT.
SUB -PANEL
BD. RMS.
KITCHEN SINK
APPLIANCE VENT
'4 v
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
V REPAIR OR ALTER
PET I R
WATER HEATER
PERMIT USE N0.
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
i COMPRESSOR
I SET
RESID. 1; SO. FT.
LOT SIZE
HOUSE SEWER
I BACK r p'
GARAGE i 4 SO. FT.
GAS PIPING
PERMIT FEE
GROUP
PERMIT FEE
BOND
PERMIT FEE
EJ M M E
5
J
F
REN
M
DBL
J
PLN CHK FEE
A
CONSTR. FEE
M J
HEAT 8 VENT
J
ELECT.
A
FEE
JPLUMB.FEE
TOTAL F,S1
PLAN CHECKER
J F I M A
I M J
J A
S 110 N D
BUILDING INFORMATION
Jos A��{DQ'([yyDRESS
[[il
OWNERWOOD
I hereby certify that in performance
I herebycertify that in performance
CONCRETE FIREPLACEt!`7V/&;74L'�
���
((
of the work for which this permit is
of the work for which this permit is
CONCRETE
$ssued
PIERS MEMBRANE
USE 0 BUILDING
DATE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
Ji
I I
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
PLAN FILE
COM NITY r
'ZA
DISTRI
F.C/.
UNITSS
VALUATION OFFICE
LEACH LINE
SEEPAGE PIT
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
Telephone -
�/.�
Tel.
'4 v
,.�
LEGA DESCRIPTION2 P
PET I R
ZONE Ny CHECK.ED BY
PERMIT USE N0.
r
/ 7., (
SUPPLEMENT TO PERMIT
I SET
FRONT SIDE REAR
LOT SIZE
I BACK r p'
�1
FINALED�iDATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
`
f p
LS
ONTRACTOR
RELEASE BOND
/
$
V
LICENSE -TYPE
DATE
MECHANICAL FEE
In accordance with Sec. 302-D of the Unl rm 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 T20 days, this permit shall automatically become null
CONSTRUCTION FEE
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-
ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
$
PLUMBING FEE
TOTAL FEE
CASH I I CHECK
RECEIVED BY
ATER VOLUME SEPTIC TANK
GAL.
ETTER F-1 FILE
OWNER -BUILDER
CONTRACTOR
I hereby certify that in performance
I herebycertify that in performance
of the work for which this permit is
of the work for which this permit is
$ssued
I shall not employ any person
issued I have complied with Title 8,
c•�
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
M. 0. N. C.
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
PLAN FILE
California.
County Buildiryg.D.epartmenL
#
Owner
`.
Contractor�—
LEACH LINE
SEEPAGE PIT
Address
� � �r'`•''''� ,-
Address
SO. FT.
GAL.
Telephone -
�/.�
Tel.