151961 (RER)go
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATEO"F
ELECTRICAL FEES
PLUMBING FEES
:1st Fl.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft.
NO. NO.
Sq. Ft.
Sq. Ft. (i
Sql Ft. (i POLES
Sq. Ft. SIGNS
DRAINAGE PIPING
CLK.D/
Sq. Ft. OR TRANS
DRINKING FOUNTAIN
Sq. Ft. MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H. P.
FLOOR DRAIN
o. 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. SO. FT. - PERF. CEILINGMAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
- COMPRESSOR
RESID. 10 SO. FT.
HOUSE SEWER
GARAGE iC SO. FT. +
GAS PIPING
PERMIT FEE
PERMIT FEE ++L,
PERMIT FEE
hm�
IN
REN
JDBL
PLN CHK FEE
CONSTR. FEE
HEAT B VENT
ELECT. FJE
�-
PLUMB. FEE
TOTAL FEES J
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PLAN CHECKER
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Is 10
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BUILDING INFORMATION
WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE
BLOCK FRAME STUCCO BRICK I CONC. METAL I OTHER
PLASTER IDRY WALL[ ROOF COVERING
rONEr'
SET FRONT
BACK
PLAN CHECK FEE
a MECHANICAL FEE
IF CONSTRUCTION FEE
L ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH I I CHECK
ECEIV,Ep,BY
VOLUME SEPTIC
S
BD. RMS.
CHECKED BY I PERMIT USE NO.
GAL
ETTER F__] FILE ED
JOB ADDRESS/ OWNER ) /
%��L..C: ^�J /i/• �� :iJ1J
USE OF BUILDING DATE
COMMUNITY DISTRICT F.C. UNITS VALUATION OFFICE
LEGAL `+ ;RIPTIOPEfjf.Al�NIjM�RR 1 1 1
OL 4 SUPPLEMENT TO PERMIT
LOT S12E
FINALED DATE INSPECTOR GROUP I TYPE BOND BOND I CASH
$ S
CONTRACTOR RELEASE BOND
$ LICENSE -TYPE ;?? ' n 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-
doned for a period of 120 days, this permit shall, automatically 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-
f "�I 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
Q 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
pensation Laws of the State of copy is on file with the Riverside
PLAN FILE California. County Building partment.
# Owner Contractor J
LEACH LINE SEEPAGE PIT Address Address„^ Aes
SO. FT. GAL --Telephone Tel.LIC. .• � fit%
I., ie ha4wn