148361 (CP)DEPARTMENT OF BUILDING & SAFETY
in COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE4PF
ELECTRICAL FEES
PLUMBING FEES
1st FI'
e
2nd FI.
Por. '
Gar.
ti Car P.
F +
c
Sq. Ft. p
NO. NO.
U EOF BUILDIN�
Sq. Ft.
SUPPLEMENT TO PERMIT
Sq. Ft. p
LOT SIZE
Sq] Ft. @ POLES
Sq. Ft. 0. SIGNS
DRAINAGE PIPING
q
OR% -2 CRN
DRINKING FOUNTAIN
CyfMOTOR H. P.
URINAL
jyi
MOTOR H.P.
WATER PIPING
f ESTIMATED VALUATION $ •��
MOTOR H.P.
FLOOR DRAIN
o. MECHANICAL FEEY
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. SQ. 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
COMPRESSOR
SERVICE ENTRANCE
-422
SEWAGE D.IgeM-
COMPRESSOR
RES ID. 16 SO. FT.
HOUSE SEWER
GARAGE 10 SQ. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
[ErjMIi
W$EA�
oned for a period of 120 days, this permit shall outomotIcally become null
RE
DBL IPLN CHK OCONSTR.
FEE
HEAT B�_
JELECT. FIL
PLUty1 B�FE�o
TOTAL FE
PL�����1/
BUILDING INFORMATION
WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE
BLOCK FRAME STUCCO BRICK I CONC. METAL OTHER
PLASTER IDRY WALLI ROOF COVERING
4 -ZONE
i•
ji SET FRONT
4 BACK
It. PLAN CHECK FEE
PE MECHANICAL FEE
II CONSTRUCTION FEE
Ir ELECTRICAL FEE
I : PLUMBING FEE
TOTAL FEE
CASH CHECK
bECEIVE
IWATER VOLUME SEPTIC TANK
iETTER F_� FILE
ZONING
SIDE
BD. RMS.
JOB ADDRESS
PERMIT USE/N/0.
I OWNER y
v
V
V40
�A- !•
U EOF BUILDIN�
,
SUPPLEMENT TO PERMIT
DATE 7
LOT SIZE
COM IT t
DISTRICT
F.L.
UNITS
VALUATION OFFICE
LEGAL DESCRI ION
BOND
CASH
PER
IT N R
CJCED BY
PERMIT USE/N/0.
�-f
SUPPLEMENT TO PERMIT
REAR J
LOT SIZE
FINALED DATE
INSPECTOR
GROUP
TYPE
I�c.
BOND
BOND
CASH
$
'f-3 _e
a
O
CONTRACTOR
#39
RELEASE BOND
$
L 1 CENSE-TYPL47^ O
DATE
In accordance with Sec. 302-D of the Uniform Building Code, thispermit shall
expire if work is not commenced within 60 days. If work is susppended or abon-
$
oned for a period of 120 days, this permit shall outomotIcally 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.
$ %
t/
OWNER -BUILDER CONTRACTOR
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
M. 0. N.C.
come subject to the Workmen's Com- Code, and a certificate or certified
pens..:." Laws of the State of copy is on file with the Riverside
PLAN FILE
California. County Building Departmen
#
APY
Owner;;�w" '�^�-- Contractor }SAS Q�
LEACH LINE
SEEPAGE PIT
A
Address Address -
SO. FT.
�/ /` •GAL.
Telephone Tel.ls2-ic. 413d 1139