144961 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
Is COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT 1p'ELECTRICAL FEES PLUMBING FEES
1st FI. t 06 Sq. Ft. X Q.-- % NO. NO.
2nd FI. Sq. Ft. @
Por. Sq. Ft.
Gar. Sql Ft. @ % POLES /,y AC.
CarP. Sq. Ft. SIGNS DRAINAGE PIPING
Wall Sq. Ft. • OR TRANS.
CLK.D/ DRINKING FOUNTAIN
Sq. Ft. @
MOTOR H.P. URINAL -
MOTOR H.P. WATER PIPING 1 �"
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
M. SQ. FT. - PERF. CEILING MAT. SUB-PANEL KITCHEN SINK
APPLIANCEVENT WATER CLOSET
GAS PIPE RANGE AND/OR OVEN LAVATORY 1
REPAIR OR ALTER WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATERtt1 BATH TUB
COMPRESSOR CONSTRUCTION POLE i WATER HEATER
COMPRESSOR SERVICE ENTRANCE 1 SEWAGE DISPOSAL
COMPRESSOR ` RESID. IQ SQ. FT. HOUSE SEWER
✓ GARAGE 'q0 SQ. FT. GAS PIPING
PERMIT FEE PERMIT FEE ( f,,, PERMIT FEE
ERMI N M E REN DBL PLN C�HjK� E CONSTR. FE HEAT & VENT ELECT. FEET PLUMB. FEE TOTAL FEE t PLAN C ECKER
Leo 0
R J F M A M
I—IJF M A M J J A Is 10 N D
BUILDING INFORMATION y J B ADDDDREESjS^j /� �y (/ p 0 �NjER (%,
WOOD CONCRETE X FIREPLACE /+- L, 56 Co P, ON oS �„ft l�. t j/ UN 4 1—)e�r $� V 0/
CONCRETE PIERS MEMBRANE US OF BUILDING '''`}"' (7 y� DATE
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER �1�%., f 1�/ G 0—,T, + 6iL / / T
COMMUNI Y DISTRICT IF./C�'� UNITS VALUATION O� �01`17_=
PLASTER DRY WALL ROOF COVE NG -_ BD. RMS., _ fti, 3, j
�/+,�LEGAL ZONI DES RIPTION :U4961
ZONE H KED BY PERMIT USE NO. /� r ��R�r � - ~
0-a—) a /7f SUPPLEMENT TO PERMIT
SET /
FRONT SIDE RE R LOT SIZE
BACK i O 2 FINALED DATE INSPECTOR GROUP ITYP BOND BOND CASH
��+,G+ S $ CONTRALTO ' 11yf ,.r w
.PLAN CHECK FEE ,%�, $ �V�O f'j' RELEASE BOND
Q�
LICENSE-TYPE DATE
MECHANICAL FEE In accordance with Sec. 302-D of the Uniform Building Code, this Permit shall
g expire if work is not commenced within 60 days. If work is suspended or aban-
�' Boned for o period of 120 days, this permit shall automatically become null
' CONSTRUCTION FEE V ^� and Void.
$ This permit is issued, and shall continue in effect, pursuant to the terms and
ELECTRICAL FEE conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the following certificate is executed.
$ ,Z
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 $ f 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
CASH CHECK M. 0. N.C. come subject to the Workmen's Com- Code, and a certificate or certified
�-'IR EEIV BY PLAN FILE pensation Laws of the State of copy Is on file with the Riverside
California. Co my B ilding Department. r
# Owner C� 4� * .1.41.4 F ;� V� - � 0
ATER VOLUME SEPTIC TANK LEACH LINE SEEPPGE PITS Address A 4g'�Iw A.r `q
/0 /'� J
(,1 �/0 GAL. SQ. FT. � � GAL. Telephone Tel6'% Y01Li . k 1 d'3 r
LETTER f-1 FILE F-1 e P `