155577 (PLBG)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
As COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES
1st FI. Sq. Ft. 0 NO. NO.
2nd Fl. Sq. Ft.
Por. Sq. Ft. @
Gar.
Sq] Ft. @
POLES
�INSPECTOR.GROUP
�F
TYPE
BOND
$
Car P.
Sq. Ft.
SIGNS
$
DRAINAGE PIPING
Wall
Sq. Ft.
OR TRANS
CLK.D/
$
DRINKING FOUNTAIN
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-
Sq. Ft.
MOTOR
H. P.
$
URINAL
MOTOR
H. P.
WATER PIPING
and void.
This permit is issued, and shall continue in effect, pursuant to the terms and
ESTIMATED VALUATION $
MOTOR
H. P.
FLOOR DRAIN
NO. MECHANICAL FEES
MOTOR
H.P.
WATER SOFTENER
$
HEAT APPLIANCE
MOTOR
H. P.
WASHER (AUTO) (DISH)
OWNER -BUILDER CONTRACTOR
INLETS - OUTLETS
FIXTURES
o
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
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
issued 1 shall not employ any person issued I have complied with Title 8,
LAUNDRY TRAY
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
penSatlOn LOWS Of the State Of Copy IS on file with the Riverside
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
#
California' Count Bulldin f art e
Own-, Contract /�' "`w fDA!$/!-e'►
Address Address? "
KITCHEN SINK
SEEPAGE PIT
APPLIANCE VENT
GAL.
Telephone Tel. , el[
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
VENT SYSTEM Cl HOOD ❑ EVAP. COOL Cl
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 11 SO. FT.
FigytGrfiaWA R
Q(�
GARAGE iR SQ. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
Q
PERM
REN
DBL
PLN CHK FEE
CONSTR. FEE
VENT
ELECT. FEE
PLUMB. FEETOTAL
FEES
PLAN CHECKER
J
I
1HEAT&
_ _ J F
M
A
M J
J
A
S O
N
D
J F M A
M J J A
S o
u n
BUILDING INFORMATION JOB ADDRESS
WOOD CONCRETE FIREPLACE
CONCRETE PIERS MEMBRANE USE OF BUILDING
BLOCK FRAME STUCCO BRICK CONC. METAL I OTHER
1.
COMMUNITY
PLASTER DRY WALL ROOF COVERING BD. RMS. +
,
LEGAL DESCRIPTION ZONE ZONING CHECKED BY PERMIT USE NO. r LE/_ . _ Lam'
SET FRONT S:(6E
BACK
PLAN CHECK FEE
MECHANICAL FEE
CONSTRUCTION FEE
ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH C CHECK
'RECEIVED B
WATER L E SEPT C TANK
GAL
LETTER F-1 FILE
REAR LOT SIZE
OWNER
-r-
/.W—
rp-
DISTRICT 1F.C. JUNITS I VALUATION OFFICE
PE I N
577
SUPPLEMENT TO PERMIT
FINALED DATE
/, -C
�INSPECTOR.GROUP
�F
TYPE
BOND
$
BOND
CASH
$
CONTRACTOR %'tom P4 r ��
LICENSE -TYPE
RELEASE BOND
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-
$
doned for a period of T20 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
o
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 1 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
penSatlOn LOWS Of the State Of Copy IS on file with the Riverside
M.o. N. C.
PLAN FILE
#
California' Count Bulldin f art e
Own-, Contract /�' "`w fDA!$/!-e'►
Address Address? "
LEACH LINE
SEEPAGE PIT
So. FT.
GAL.
Telephone Tel. , el[