114962 (SFD)DEPARTMENT OF BUILDING & SAFETY
in COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMAT wp'ELECTRICAL
FEES
PLUMBING FEES
1st FI. f
L 2nd FI.
f Por.
Gar.
Car P.
Wall
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Sq. Ft. Q�"—`- �?.��Q
NO. NO.
Sq. Ft.
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Sq. Ft. @1
S q I Ft. @ ^ r` 2- I POLES
ej
Sq. Ft. SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING 1 �'
II
2
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
fNO.
MECHANICAL FEES
MOTOR M.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
—4
WASHER (AUTO DISH)
INLETS -OUTLETS
FIXTURES
GARBAGE DISPOSAL v
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK J
C
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
!
WATER HEATER {
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SHOWER V
VENT SYSTEM ❑HOOD ❑ EV AP. COOL ❑
{
SPACE HEATER i
fv
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER ter.
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
'
COMPRESSOR
RESID. 11 SQ. FT. O
HOUSE SEWER
GARAGE f SO. FT.'?'J. J
GAS PIPING
PERMIT FEE
i PERMIT FEE
PERMIT FEE to
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HEAT & VENT
ELECT . FEE _
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BUILDING INFORMATION
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LEGAL DESCRIPTION
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USE NO.
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SUPPLEMENT TO PERMIT
SET
BACK
FRONT
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t
SIDE REAA LOT
2O r l
SIZE
FINALED DATE
INSPECTOR
�GROUPT
TYP
-
BOND
BOND
CASH
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PLAN CHECK FEE �v
i
CONTRACTOR T k3t#4rj4 Adm
LICENSE -TYPE r ssl
o
RELEASE BOND
DATE
MECHANICAL
$
FEE
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 susppended or abon-
doned 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.
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
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
California. County B ilding Dep{ tment.
Owner C� At( 0144,4 j �%)t' ' CI
Q i
Address ss, wot T r
Telephone Teo �f Lic.
' g
CONSTRUCTION FEE
(s
'i $
ELECTRICAL FEE
Y
PLUMBING FEE
�..J"�'
-�,,,.
TOTAL FEE
S��
-6
IS
.�.�.•
CASH CHECK M. 0. N.C.
RECEIVE B.•.
Z
PLAN FILE
u
WATER VOLUME SEPTIC TANK
Q W e GAL.
LEACH LINE
SO. FT.
SEEPAGE PIT
` ETTER 7 FILE