144965 (SFD)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE ANNIL
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI. r✓
Sq. Ft. 0
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. (i r Q
Gar. 'y
Sq] Ft. I" % Z
POLES
/
Car P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
TRANAN /
Wall
Sq. Ft.
OR TSELK.
DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
!
7
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. S0. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
tt�
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
! BATH TUB
l
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
(r
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
6
COMPRESSOR
RESID. I¢ SO. FT.b'S
HOUSE SEWER
GARAGE i¢ SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
E MI N M E
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN C ECKER
yrs
b
�__
is
7 °
152 V o
J
F
•�
4
J F M A
M J
J A
10 N I Do
BUILDING INFORMATION
JOB ADDRESS11
OWNER
WOOD
CONCRETE FIREPLACE
` '� ,. �,
f�•
�A00iqiq
0" 1.
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
DATE.r
BLOCK FRAME STUCCO
BRICK CONC. METAL
OTHER
t : �
w
�
17-66 � ��
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
PLASTER DRY WALL ROOF
..N
RI
+LS&A!
S.
.44 t3utT
J
IS
2 760
1131-
c�
f
JBD.
LEGAL DES RIPTION
PER IT NU 13 R
ZONE
ZONING CHK D B
r�,
P IT USE NO.
a T (�
v
SUPPLEMENT TO PERMIT
SET FRONT SIDE
BACK
e py f I>
PLAN CHECK FEE i'{J
If MECHANICAL FEE
II! CONSTRUCTION FEE
IIF ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
r
CASH I I CHECK
ECEIVED BY
FNATER VOLUME SEPTIC TANK
1 b 00 GAL
r ETTER ❑ FILE
LOT SIZE
SVT FINALED DATE �INSPECTOR/I GROUP„- TYPE BOND BOND CASH
CONTRALTO h V w LlY
f�� RELEASE BOND
$ LICENSE -TYPE DATE
In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
$ w expire if work is not commenced within 60 days. If work is suspended or aban-
doned for a period of 120 days, this permit shall automatically become null
and void.
$ 1 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-
61 tion of the issuance hereof the following certificate is executed.
$ (�
-w OWNER -BUILDER CONTRACTOR
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
$ 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
PLAN FILE pensation Laws of the State of copy is on file with the Riverside
California. Ad
my uilding tD irtment.
# Owner r 4 t ��/% - t
LEACH LINE SEEPAGE PIT
i
� // F Address re s �,�
SO. FT. MEAL. Telephone Tel � Vj I is 209—'
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