151951 (SFD)_ETTER F-1 FILE L]
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
As
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Ft. 4-
% 3
NO. NO,
_922 -Sq.
2nd FI.
Sq. Ft.
i Par.
Sq. Ft.
t Gar.
SqI Ft. P --k
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
TRANSN AN
. AND/
rl Wall
Sq. Ft.
OR C
DRINKING FOUNTAIN
Sq. Ft. @
MOTOR H. P.
URINAL
i
MOTOR H. P.
WATER PIPING J-{
ESTIMATED VALUATION $
MOTOR H. P.
FLOOR DRAIN
;"0' MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H. P.
WASHER (AUTO) ISH) O
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOS I vv
C M. S0. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILINGMAT.
SUB -PANEL
KITCHEN SINK >,
APPLIANCE VENT
31 WATER CLOSET S G
GAS PIPE
RANGE AND/OR OVEN
LAVATORY —4
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ElHOOD Q EVAP. COOL ❑
SPACE HEATER
l'
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE 1
SEWAGE DISPOSAL
COMPRESSOR
ESID. 11 SO. FT. ZO
HOUSE SEWER
GARAGE fl SO. FT. 9 r
GAS PIPING z,
PERMIT FEE
PERMIT FEE Ali
PERMIT FEE Cb
E M N M E
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES J
PLAN C EC KER
J FM A
M J
J A
S O
N D
J F M A
M J
J A
1 S O
N
BUILDING INFORMATION
JOB ADDRESSt f ow
:-
ER
)
WOOD
CONCRETE
FIREPLACE
J 1',
CONCRETE
PIERS
MEMBRANE
US@ F BUILDING
`4
-DATe
r Z
BLOCK FRAME TBRICK CONC. UCCO METAL
OTHER
CO
DISTRICT
F.C.
UNITS
VALUATION OFFICE
a
PLASTER
DRY WALL
OF COVERING
BD. RMS.
LEGAL MESCRIPTION
PER I B R
r.
f'
C
'ZONE ZON G CHECK BY
PERMIT USE NO.
SUPPLEMENT TO PERMIT
-11"
pe
A 1Z_1 )Cf
SET
/
FRONT SID,
I AR
LOT SIZE
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
BACK
CONTRACTOR •sII f4J I ��:Z y j y
Z3bz r I
�
0,
RELEASE BOND
PLAN CHECK FEE
2� ars.
$
LICENSE-TYPED,is
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-
MECHANICAL FEE
$
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
$ Cf
_[
conditions of Sec. 3800 of the Business and
Professions Code and as a condi-
ELECTRICAL FEE
'�""'
tion of the issuance hereof the following certificate
OWNER -BUILDER
is executed.
CONTRACTOR
'
$ b
PLUMBING FEE I
I hereby certify that in performance I
of the work for which this permit is of
hereby certify that in performance
the work for which this permit is
l
TOTAL FEE
$
'?
I shall not employ any person issued I have complied with Title 8,
ISLiedT.,
n 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
I
cgsH CHECK M.O.
N.C.
ensation Laws of the State of copy is on file with the Riverside
BY
PLAN FILE
`RECEIVED
California. County BuVild'ng Departm nt.
E
#
Owner Coni2ctorf
)!
VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
Addre
[ATER
f. G�
_Address
`S r
GAL.
SO.
FT. Ge
Telephone Telma
Lic. N
_ETTER F-1 FILE L]