144647 (AR)As
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE 191111111111
FIELD OFFICE
CONSTRUCT IONIESTIMAT E
ELECTRICAL FEES
PLUMBING FEES
Ist FI.
2nd FI.
Por.
Gar.
Car P.
Wall
Sq. Ft.
NO.
NO.
Sq. Ft.
Sq. Ft.
BATH TUB
Sq] Ft. @ POLES
Sq. Ft. SIGNS
DRAINAGE PIPING
Sq. Ft. 0, ORAT.S CLK.D/
DRINKING FOUNTAIN
Sq. Ft. MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $
'." 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. S0. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
JHEAT& VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COO- ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 11 SO. FT.
HOUSE SEWER
GARAGE is SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
'E MI RERI
,.
REN
DBL. PLN CHK FEE•
CO NSTR.
.�^•rji
JHEAT& VENT
ELECT. FEE
PLUMB. FEE
TOTAL FSE E��
PLAN CHECKER/
J _ F ..
J F
_ M
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O N D
BUILDING
INFORMATION
J B ADDRESS vim' �(j
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ow L. JL ([� }�
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WOOD
CONCRETE FIREPLACE
r
CONCRETE
• PIERS
MEMBRANE
US OF 8 LDIN/G J
%s �tl C// & ya. '00),
DATE
/0 1--G �
BLOCK
FRAME STUCCO
BRICK CONC METAL
0 HER
C MMUNITY
D TRICT
F C
UNI S
VALUATION
OFFI
I PLASTER I DRY WALLI ROOF COVERING
ZONE 1-14
yJ14
SET FRONT
BACK
PLAN CHECK FEE
Ef�(ED
C►
JBD. RMS.
LEGAL ES.0TION(/ 44 PER IT NU B R
PERMIT USE N0. ® 3 �" VI's �J L�47
ilii SUPPLEMENT TO PERMIT
SIDE REAR LOT SIZE � T - ,L -I-�
FINALED DATE INSPECTOR GROUP GGGTYPE BOND BOND CASH
r
MECHANICAL FEE
S
CONSTRUCTION FEE
S
ELECTRICAL FEE
$
PLUMBING FEE
TOTAL FEE
CASH CHECK
k ECEIV _ B,�
OLUME SEPTIC TANK
r
✓M.O.
PLAN FILE
LEACH LINE
GAL. S0. FT
GETTER E:] FILE EJ
CONTRACTOR i RELEASE BOND
LICENSE -TYPE _-2-&? 7r 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-
00 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-
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
of the work for which this permit is of the work for which this permit is
00 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
California. County Buil i g Dep° t.+
Owner Contract �OO ' C,# �
SEEPAGE PIT// e,
7
Address Addre {•
GAL- Telephone Te;p'�