151952 (SFD)DEPARTMENT
OF BUILDING & SAFETY FIELD OFFICE
Am
COUNTY
OF RIVERSIDE IdIIIIIL
CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
.�1st FI.
Sq. Ft. �-
1'6
NO. NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. (i 't R
r
Gar.
Sql Ft. @ 2 ' l
POLES y
Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
I Wall
Sq. Ft. �
TRANS. AND/
OR T. CCK. DRINKING FOUNTAIN
Sq. Ft. @
MOTOR H.P. URINAL
MOTOR H.P. WATER PIPING
ESTIMATED VALUATION I $
b0
MOTOR H.P. FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR M.P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO)ISH)S�',
INLETS - OUTLETS
FIXTURES GARBAGE DISPOSAL L�
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL KITCHEN SINK J
APPLIANCE VENT.t
�..! WATER CLOSET j G
GAS PIPE
RANGE AND/OR OVEN LAVATORY L!Ll
REPAIR OR ALTER
WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER BATH TUB L
i COMPRESSOR
CONSTRUCTION POLE WATER HEATER
4 COMPRESSOR
r�
! SERVICE ENTRANCE �l SEWAGE DISPOSAL Ja
COMPRESSOR
RESID. 14 SO. FT. HOUSE SEWER
(_,GARAGE iQ SO. FT. � ' GAS PIPING //,.
PERMIT FEE
PERMIT FEE i PERMIT FEE
,E
N M E
REN
DBL.
PLN CHK FEE
CONSTR. FEE
H AT & VENT ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
JM
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J A
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5 O N
BUILDING INFORMATION
JOB ADDRESS �t ij
OVJNER
•`„1ANN
t
WOOD
CONCRETE
FIREPLACE
—
i
IIP
CONCRETE
PIERS
MEMBRANE �U
OF BUILDING
1 1.�
DA E
'
BLOCK
FRAME S UCCO BRICK CONC. METALf'I
OTHER
h�
! 2—-69
COMMUNIT
DI TRICT
F.C.A
UNITS
V�AIVATION r�i
OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.h
I
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J
t
_ Cr� �•
LPPE• JR•7
(Z q `Y S
LEGAL DE IPTION
I R
ZONE f ZO1 NG CHECKB B�YL
PERMIT USE N0.^
f ,/� {�a�
SUPPLEMENT TO PERMIT
y SET
FRONT SIDE 111EAR
LOT SIZE
BACK
FINALED/DApTE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
I PLAN CHECK FEE
,Z
CONTRACTOR s l�Y� i} "va r
1
RELEASE BOND
$
LICENSE -TYPE ��
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 suspended or aban-
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.
I.
$
60
OWNER -BUILDER CONTRACTOR
I 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 Is�.,ssued
I shall not employ any person issued I have complied with Title 8,
n any manner whatsoever as to be- Article 3, Sec. 3800 of the Labor
CASHCHECK C M.O.
come subject to the Workmen's Com- Code, and a certificate or certified
N.C.
pensation Lows of the State of copy is on file with the Riverside
RECEIVED BY
PLAN FILE
California. County uildi a Department
#
Owner Cont act' r + L
A7 ER VOLUME SEPTIC TANK
LEACH LINE
SEEPAG`EE PPSI IT
Address Address��'
/ Q GAL.
S0. FT.
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Telephone Te I.y?9/- &A� ic. N— J A?
LETTER FILE //N. `
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