151957 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is •
COUNTY
OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES PLUMBING FEES
'1St FI. 7 S
Sq. Ft.
Cf3
NO. NO.
2nd FI.Sq.
Ft.
Por.
Sq. Ft. @
Gar.
Sq] Ft.
a
POLES 0 C J
- Car P.
Sq. FI, @
SIGNS DRAINAGE PIPING
TRANS. AND/
Wall
Sq. Ft.
OR T. cLK. • DRINKING FOUNTAIN
Sq. Ft.
MOTOR H. P. URINAL
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION is
MOTOR H. P. FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P. ' WASHER (AUTO) ISH) fr-
INLETS - OUTLETS
FIXTURES 1 GARBAGE DISPOSA
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. S0. FT. - PERF. CEILING MAT.
a
SUB -PANEL I KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN 12, LAVATORY 1•
l
REPAIR OR ALTER
WATER HEATER SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER t BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER
COMPRESSOR
SERVICE ENTRANCE SEWAGE DISPOSAL
COMPRESSOR
-RESID. IQ SO. FT. HOUSE SEWER
ARAGE 1z SO. FT. Z ` GAS PIPING `Cr,
PERMIT FEE
PERMIT FEE PERMIT FEE
E M N M E
REN
PL �HK�
CONST R. F , C
(Jr�
VENT
ELECT. F�
PLUM FEE,
TOTAL FEES 4
PLAN CHECKER
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BUILDING INFORMATION
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J ADDRESS `0..'-
OWER
WOOD
CONCRETE X
FIREPLACE
Of _
C�itvr
Ob-
CONCRETE
PIERS
MEMBRANE k
—
USDING
DATE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
:Mt-rJ--4_0V6-
14-
~
COMMUNITY%
DISTRICT
F.C.
UNITS
VALUATION
OFFIC
PLASTER
DRY WALL
ROOF COVERING
RMS.
/
(�
/
JBD.
LEGAL DESCRIP IONN
PER Il M
{ 2 l +
JR
ONEZO G HECKED BY
PF�RMIT USE NO.
'!}SUPPLEMENT
TO PERMIT
SET
FRONT SIDE
R AR
LOT SIZE
BACK
{
I
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
PLAN CHECK FEE
CONTRA v% I{, ('�' C Jtlij 1
RELEASE BOND
$
M —
LICENSE -TYPE In
DATE
• MECHANICAL FEE
In accordance with Sec. 302-1) 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.
' $
/tj
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.
$
�^ 14
A,*
OWNER -BUILDER CONTRACTOR
PLUMBING FEE
I hereby certify that in performance I hereby certify that in performance
he work for which this permit is of the work for which this permit is
TOTAL FEE
$ !
/rj
Oued
At 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
CASH CHECK M. 0.
N.C.
pensation Laws of the State of copy is on file with the Riverside
RECEIVED BY
PLAN FILE
California. County Building Departme. t.
#
Owner Contractor 'J T {✓ i
TANK' .—LEACH
LINE
SEEPAGE PIT
1
Address AddressV JA
rATN1_9AiiiSM_ETE_PTIC
tJ GAL.
of %i1lj
SO. FT. "`UwL.
Telephone Tel./a,t� T ll� Lic. N
• ETTER F_� FILE /y
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