144667 (CRES)DEPARTMENT OF BUILDING & SAFETY
As COUNTY OF RIVERSIDE
FIELD OFFICE
` CONSTRUCTION ESTIMATEtELECTRICAL
FEES
PLUMBING FEES
1St FI.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft. 0 V�'� / NO.
NO.
Sq. Ft. @
RMS.
Sq. Ft. @
PER IT
Sq] Ft. @ POLES
R
Sq. Ft. SIGNS
DRAINAGE PIPING
Sq. Ft. ORAT.SCLK AND/
DRINKING FOUNTAIN
Sq. Ft. MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $ A- 7f
MOTOR H.P.
FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SQ. FT. - PERF. CEILING MAT.
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 SQ. FT.
HOUSE SEWER
GARAGE iS SO. FT.
GAS PIPING
- PERMIT FEE
PERMIT FEE
PERMIT FEE
'E NI N M
E
REN
DBL
PLN CHK_FEE
CONiTR. F8
HEAT�`T
ELECT, FEES
PLUME TOTAL FE.€b
PL+ ER
10
BUILDING INFORMATION
JOB ADDR�, 1
')7~ �/�/�
WOOD
CONCRETE 7fi FIJEPLACE
CONCRETE
PIERS MEMBRANE
USFS.OF BUILDING (!^p_ �) �3 �..
X CA,4 S� �•-I• i( •'���C �
A
� R' � '
DA
r
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
PLASTER IDRY WALL n
'ZONE
o SET FRONT
BACK
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH CHECK
RECEIVED, BY
$
$
$
M.O.
PLAN FILE
WATER VOLUME SEPTIC TANK T ' I LEACH LINE
sT Ihj., GAL. SO. FT.I
SETTER [__J FILE
FINALED DATE INSPECTOR IGROU TYP-&--.n— BOND BOND I CASH
J
CONTRACTOR RELEASE BOND
LICENSE-TYPEDATE
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. ei
This permit iswissued, -and shall continue in effect, pursuant to the terms and
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the foltowing,cvrtificate is executed.
s
OWNER -BUILDER CONTRACTOR
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
I{ 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
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
Calif ornj�b i) w County Building Department:
Owner Contractor
SEEPAGE PIT Address A;., A0140 Address
GAL. TelephQree her, � ilf'Y' T Tel. Lic. q
CO MUNI
'�Jr
DISTRICT
7
IF.C.
UNITS
VALUATION
'� "If
OFFICE
F COVERINGBD.
>]
RMS.
LEGAL DES RIPTION
�(� 'r p%a �..SC %Z,
PER IT
NU B
R
ZONING CHEV/x�D
`a
PERMIT USE NO.
SUPPLEMENT TO PERMIT
SIDE REAR
LOT SIZE
$
$
$
M.O.
PLAN FILE
WATER VOLUME SEPTIC TANK T ' I LEACH LINE
sT Ihj., GAL. SO. FT.I
SETTER [__J FILE
FINALED DATE INSPECTOR IGROU TYP-&--.n— BOND BOND I CASH
J
CONTRACTOR RELEASE BOND
LICENSE-TYPEDATE
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. ei
This permit iswissued, -and shall continue in effect, pursuant to the terms and
conditions of Sec. 3800 of the Business and Professions Code and as a condi-
tion of the issuance hereof the foltowing,cvrtificate is executed.
s
OWNER -BUILDER CONTRACTOR
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
I{ 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
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
Calif ornj�b i) w County Building Department:
Owner Contractor
SEEPAGE PIT Address A;., A0140 Address
GAL. TelephQree her, � ilf'Y' T Tel. Lic. q