144958 (SFD)I
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT "IerELECTRICAL
FEES PLUMBING FEES
Plst Fl. )
2. 2nd FI.
PO I. /
Gar. Ay 16
Car P.
n Wall
Sq. Ft.
�' 2 r%fV
NO. NO.
Sq. Ft.
Sq. Ft. @
_N
Sq] Ft. @ ��J
POLES �ys;
Sq. Ft.
SIGNS DRAINAGE PIPING
Sq. Ft.
TRANS. AND/ 1
OR T. CLK. DRINKING FOUNTAIN
Sq. Ft.
MOTOR H. P. URINAL
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)
IL INLETS - OUTLETS
FIXTURES GARBAGE DISPOSAL +"
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL I KITCHEN SINK +•
4-1)
APPLIANCE VENT
r
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
/ i•
} SERVICE ENTRANCE SLO' � SEWAGE DISPOSAL •^^'
COMPRESSOR
i, RESID. 10 SO. FT.HOUSE SEWER
V GARAGE ' C SO. FT. GAS PIPING
PERMIT FEE
PERMIT FEE if j PERMIT FEET
PE MI N M
E
REN DBL
PLN CHK FEE
•2'
CONSTR. FEE
C/ 0 -4 n
HEAT & VENT ELECT. FEE
PLUMtB�. FEE
T/OTAL FESS
PLAN M R
- - J 1F 1 M
J F M
A
A
M J-
M li
J - A
J A
s 10 IN O ,
SO N
BUILDING INFORMATION
JOB ADDRESS
t t2 �
1,.JT✓� O+�a-r.�i
OWNER 0
� t
I�' �,1 �%�1 CO,
WOOD
CONCRETE FIREPLACE X
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
r�i1 � • * I�
DATE
f
j 17-66
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
h%•. tc
COM MUNI
A6 ,,,,
DISTRICT
IF*L t`
11
UNITSLUAT10�
JPLASTER i�
Ott
i•,/ �6:1r—
OFFICE
DRY WALL
ROOF COV ERIIJ(,
J
L
+� . I--
`(�1�
1BD.RMS.
LEGAL DESCRIPTION
C. -
A0/.,%0 I�rY
PER
1T NU R
ZO j/ ZONI� H K D
•TT
IT nUSE N�
IL ! F I
SUPPLEMENT TO PERMIT
if SET
BACK
FRONT SIDE
R R LOT
SIZE
FINALED DATE
INSPECTOR
GROUP ___
TYPEt
BOND
BOND
CASH
PLAN CHECK FEE •��
CONTRACTOR(�1WT - --JL •(7
LICENSE -TYPE -4
RELEASE BOND
DATE
4
t 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 abon-
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-
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 Bu'Idipq Depart ent.
Owner "' 1�+ i� � ( b
�p ,tai °,
Address Afid r�' Se f0C� t v Y 1 tltk
.,r a
Te~J4 1l Lic.#
P
r
f $
CONSTRUCTION FEE
`S
:L(—)doned
$6
ELECTRICAL
ELECTRICAL FEE
fy
$
PLUMBING FEE
�j�f
c/
TOTAL FEE
$
J—16
•.r'
CASH CHECK M.O. N. C.
/RECEIVED BY
PLAN FILE
#
WATER VOLUME SEPTIC TANK
4 v 0 GAL.
LEACH LINE
S0. FT.
SEEPAGE PIT
i I
�/CL. 1,Telephone
LETTER F-1 FILE
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