154968 (AR)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
-COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATew
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. p
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. [i
Gar.
SqI Ft.
POLES
Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
Wall
Sq. Ft. R,
ORAT.S CLK.D/
DRINKING FOUNTAIN
Sq. Ft. @
MOTOR H. P.
URINAL
plics
I
MOTOR H. 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)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
I 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
t
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
P COMPRESSOR
RESID. 14 SO. FT.
HOUSE SEWER
GARAGE iQ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
E
M N M E
REN
DBL
PLN CHK FEE
CONSTR. FEE
I HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J F I M A
M JA
G
J F M A
M J
J A
5
O N
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE
FIREPLACEen-Mirw
is
r
I
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
BLOCK I
FRAME STUCCO I
BRICK I CONC. METAL
OTHER
.7 .12,11
P—Al
fCOMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
IF
LEGAL DESCRIPTION
PER
ZONE ZONING CHECKED BY
I.
PERMIT USE NO.
54968
e
SUPPLEMENT TO PERMIT
SET FRONT SIDE REAR
LOT SIZE
I BACK
FINAL'7ED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
d
/�� C /11
$
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
L
$
LICENSE -TYPE A
DATE
MECHANICAL FEE
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
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.
$
OWNER -BUILDER
CONTRACTOR
PLUMBING FEE
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
TOTAL FEE
$M
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
_ CASH CHECK
M.O.
N. C.
pensation Laws of the State Of
Copy IS On file with the Riverside
.RECEI
-we
PLAN FILE
California.
County Building Department.
4"I'
#
Owner
Contractor A111 IM AIDEM
WATER VOLUME SE /TIC TANK
I LEACH LINE
SEEPAGE PIT
Address
Address 923 MAD
GAL.
SO.
FT.
GAL•
Telephone
T LIC. #
ETTER F-� FILE
f