151954 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE dolk
CONSTRUCTION ESTIMATE411F ELECTRICAL FEES PLUMBING FEES
!1st Fl. Sq. Ft. 0 NO. NO.
2nd Fl. S . Ft.
I. Por. Sq. Ft.E:XO2
G c
Gar. Sq] Ft. 7� POLES
Car P. Sq. Ft. SIGNS DRAINAGE PIPING
TRANS. AND/
Wall $q. Ft. OR T. CLK. DRINKING FOUNTAIN
t Sq. Ft. @ MOTOR H.P. URINAL
` MOTOR H.P. / WATER PIPING
ESTIMATED VALUATION $ , C% MOTOR H.P. FLOOR DRAIN
INO. MECHANICAL FEES MOTOR H.P. WATER SOFTENER
EHEAT APPLIANCE MOTOR H.P. WASHER (AUTO ISH) G O
INLETS - OUTLETS FIXTURES 1 GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER OUTLETS LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT. SUB -PANEL KITCHEN SINK
APPLIANCE VENT WATER CLOSET QQ ,
GAS PIPE RANGE AND/OR OVEN LAVATORY
REPAIR OR ALTER WATER HEATER SHOWER .�
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑ SPACE HEATER BATH TUB S�Vy
COMPRESSOR CONSTRUCTION POLE / WATER HEATER V
COMPRESSOR SERVICE ENTRANCE ( SEWAGE DISPOSAL
COMPRESSOR RESID. IQ SO. FT. HOUSE SEWER ry�
GARAGE ZQ SO. FT. GAS PIPING S7�
PERMIT FEE PERMIT FEE PERMIT FEE G(J
E M N M E REN DBL. PLN CHK FEE CONSTjt. FEE HEAT & VENT ELECT. FEE LUMB. FEE TOT EES „RL qN CHECKER
J F M A M J J A S O N D
J F M A M J J A S 0 N
BUILDING INFORMATION JOB ADDRESS / tj OWNER
WOOD CONCRETE FIREPLACE I G� , 1,)ea.
ofj
CONCRETE PIERS MEMBRANE USE OF BUILDING DATE.
/,; ZA 7
BLOCK FRAME STUCCO BRICK CONC. METAL OTHER ! �-�� �lll AG
C>
,TY DISTRICT F.C. UNITS VALU ION OFFICE
®"
PLASTER DRY 5f q54
WALL ROOF COVERING �,. BD. RMS.
1 LEGAL DES IPTION PER I
13
ZONE _ ZON ,NG CHECKED BY PERMIT USE NO./ +�
1
- � h, 77 SUPPLEMENT TO PERMIT
SET FRONT SI/E REAR LOT SIZE
BACK FINALED DATE INSPECTOR /GROUP TYPE BOND BOND CASH
$ /—/D �d� Glri� $
U
PLAN CHECK FEE CONTRACTOR RELEASE BOND
$ LICENSE -TYPE DATE
MECHANICAL FEE In accordance with Sec. 302-D of the Uniform Building Code, this permit shall
$ t expire if work is not commenced within 60 days. If work is suspended or oban-
1 Cloned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE and void.
$his permit is issued, and shall continue in effect, pursuant to the terms and
2 —.conditions of Sec. 3800 of the Business and Professions Code and as a COndi-
ELECTRICAL FEEtion of the issuance hereof the following certificate is executed.
$ fj
d.{ S 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
,issued
TOTAL FEE S err 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
CASH CHECK M.O. N.C. Come subject to the Workmen's Com- Code, and a certificate or certified
ECEIVED PLAN FILE pensation Laws of the State of copy Is on file with the Riverside
California. County Bu4l g Departm
Owner CQ tr or V ?A PIZU e O%
�AT ER GLUME SEF�TIC TANK LEACH LINE SEEPAGE PIT j��
/ 9 �J(� I Address d ress
GAL. S0. FT. V •r PKC. Telephone Tel.. Lic. k 277f-
ETTER FILE 0 / f V a� N r 1