150246 (PLBG)Is
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FINALED DATE
FIELD OFFICE
CONSTRUCTION ESTIMATOW
ELECTRICAL FEES NEW
BOND
PLUMBING FEES
1st FI.
2nd FI.
Por.
Gar.
Car P. m
Wall
Sq. Ft. @
NO.
NO.
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Sq. Ft. @
/
Wue
Sq. Ft. @
S
Sql Ft. @ POLES
Sq. Ft. SIGNS
DRAINAGE PIPING
Tll7YI05
$q. Ft. OR T. CLK. SLK
DRINKING FOUNTAIN
MOTOR H.P.
Sq. Ft. @
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)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SQ. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
tion of the issuance hereof the following certificate is executed.
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
VENTSYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SO. FT.
M. 0. N. C.
HOUSE SEWER
PLAN FILE
GARAGE f0 SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
QO
PERMIT FEE
-E@Myr
�M$ER_
SQ. FT. GAL.
Telephone, Tel. Cic. N
REN
DBL
PLN CHK FEE
CO NST R. FEE
HEAT & VENT
EL ,FEE
PLUMB FEE�
TOa F� 5,,,,.
I PLAN CHECKER
J F I M A M J J
J F M A M J J
BUILDING INFORMATION JOB AD Ess
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WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE USE /F BUILD�N
BLOCK FRAME STUCCO BRICK CONC. METAL 1 OTHER
M
PLASTER DRY WALL ROOF COVERING BD. RMS.•��
LEGAL DESCRIPTION
ZONE
SET FRONT
BACK
Ili' PLAN CHECK FEE
6 MECHANICAL FEE
i` CONSTRUCTION FEE
t ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH 1,efCHECK
-RECEIVED BY 4
LWATER VOLU%f%6 'DTIC T
R r-1 FILE
CHEC�,JED BYI PERMIT USE NO. A{,% 3
SIVE I AEAR I LOT SIZE
O%v,At,(liS G
j 0' N
DI$T,AICT IF.C. ZUNI
164 DrL/- GG.
DATE _
VALUATION OFFIU_
J, o /-
PER-MIZ.NUMaER -
SUPPLEMENT TO PERMIT
FINALED DATE
TYPE
BOND
BOND
CASH
$
-) J Y
JI/NS,,PECTO.,R,,GROUP
S
/t i/�y I
BOND
LIOCENSE-TYP r • DATERELEASE
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 o 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
$
rissued 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
PLAN FILE
pensation �L"a`ws of the State of copy is on file with the Riverside
ntyCalifornia. ' Couin�g,Depaif+m"•ent%• f
#
Owner— (ter;, (�• COn} a7 cto" tl 1.
LEACH LINESEEPAGE PIT
I
IL/ ,
Address Address G X �c
i
SQ. FT. GAL.
Telephone, Tel. Cic. N