153688 (CP)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT9W ELECTRICAL FEES PLUMBING FEES
1st FI. Sq. Ft. p NO. NO.
2nd FI. Sq. Ft.
Por. Sq. Ft. (i
Gar. Sq] Ft. P. POLES
Car P. Sq. Ft. @ SIGNS DRAINAGE PIPING
s.
Wall Sq. Ft. A6ii�T:ZCK D/ DRINKING FOUNTAIN
^� Sq. Ft. MOTOR H.P. URINAL
&Ova !�t 4�, MOTOR H.P. WATER PIPING
S ATED WI -DATION $ MOTOR H.P. FLOOR DRAIN
420
NO. 1 MECHANICAL FEES MOTOR H.P. WATER SOFTENER
HEAT APPLIANCE MOTOR H.P. WASHER (AUTO) (DISH)
INLETS - OUTLETS FIXTURES GARBAGE DISPOSAL
M. S0. FT. - UNIT HEATER OUTLETS LAUNDRY TRAY
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
VENTSYSTEM ❑HOOD ❑ EVAP. COOL ❑ SPACE HEATER BATH TUB
COMPRESSOR CONSTRUCTION POLE WATER HEATER
COMPRESSOR SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR RESID. 1Q S0. FT. HU %EJ
GARAGE ''I SO. FT. GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
E M NTERREN DBL P�J�iLN CHK _EE CONSTR. FEE HEAT & VENT
ELECT. FEE PMB FEE TOTAL FEES PLAN CHEC
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J F M M J- J 'A 9 O is p
J F M A M J J A S O N D
BUILDING INFORMATION JOB ADDRESS OWNER
WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE USE OF BUILDING DATE
s
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER � ♦ �
COMITY DISTRICT F.C. UNITS VALU T.I�OtN�f OF I
PLASTER DRY WALL ROOF COVERING JBD. RMS. a�
LE�DESCR T N ".�. PE 151588
ZONE / ZON G" ECKEyRY PERMIT USE NO.
/t/.�/V�r• SUPPLEMENT TO PERMIT
r
SET FRONT SIDE RE R LOT SIZE �' dA,
BACK O (} FINAL ED DATE INSP CTOR GROUP TYPE BOND BOND CASH
$ ( — r T�(C S
PLAN CHECK FEE
CONTRACTOR
LICENSE -TYPE Q
RELEASE BOND
DATE
$
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-
MECHANICAL FEE
$
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
`
1 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
$
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
" CASH CHECK M. 0. N.C.
RECEIVED. BY
PLAN FILE
LW A T
# Calitornia. County Bulldl Departt.
OwnerContracto b A�r
IC LEACH LINE SEEPAGE PIT,
Address Addr ss
GAL. S0. FT. Telephone Tel. Lic.gl 'f
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