151914 (AR)V
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
Is
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
;'1st Ft.
Sq. Ft. 00
�'
NO.
NO.
I2nd FI.
Sq. Ft.
i For.
Sq. Ft. @
Gar.
Sq] Ft.
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
Wall
Sq. Ft. Q,
ORAT.SCLK D/
DRINKING FOUNTAIN
i
I
Sq. Ft.
MOTOR H.P.
URINAL
i
MOTOR H.P.
WATER PIPING
I ESTIMATED VALUATION $
4._-
MOTOR H.P.
FLOOR DRAIN
(NO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
r HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS.
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
I 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
/
I COMPRESSOR
SERVICE ENTRANCE Q
SEWAGE DISPOSAL
COMPRESSOR
ESID. IQ SO. FT.
HOUSE SEWER C/
GARAGE f SO. FT.
GAS PIPING
PERMIT FEEL
PERMIT FEE 11 49d
PERMIT FEE �O
E
M N
M ER
REN
DBL
PLN CHK
F E CONSTR. FEE
`�°
HEAT IN VENT
ELECT. FEE PLU ,� E
TOTAL FE,�S LAN. EC
'S /
M
A
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J
A s _
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J F M A
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J A S
0 N
BUILDING INFORMATION
JOB ADDRESS e
_
OWNER
WOOD
CONCRETE
FIRI�PLACE
&E, Ot
o
CONCRETE
PIERS
MEMBRANE
USE 0 ILD NG
f J) L
AI
DAT
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
t'
CG
coM NITY� .�i;T►
DIST ICT F.C.
UNITS
VALUATION OFF/ICE
y,
PLASTER
D Y WALL
ROOF�COV
ING
BD. RMS.
��1.����+WL►
l
�-
LEGAL DESCRIPTION -
PER
I B
ONE ZON G HECK B
PERMIT USE NO.
fD �' ��
/ P3
14
I
J
X1�t1j
PPLEMENT TO PERMIT
SET
FRONT SIDE AR
LOT SIZE
54,vJ ,,q /i ,
�
BACK
! V
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
/� -18 6y
Jt1.ti;,
s
Fr
E PLAN CHECK FEE
CONTRACTOR J
RELEASE BOND
$
LICENSE -TYPE
DATE
MECHANICAL FEE
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 oban-
oned for a period of 120 days, this
permit shall automatically become null
CONSTRUCTION FEE
and void.
$
his 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-
I,. ELECTRICAL FEE
tion of the issuance hereof the following certificate is executed.
OWNER -BUILDER
CONTRACTOR
� PLUMBING FEE
I hereby certify that in performance
I hereby certify that in performance
S3__'-I
f the work for which this permit is
of the work for which this permit is
TOTAL FEE
$
sued 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
Came subject to the Workmen's Com-
Code, and a certificate or certified
CASH CHECK
M.O.
N.C.
pensation Lows Of the State of
copy Is on file with the Riverside
RECEI Y
REC71)
PLAN FILE
PLAN FILE
California. .+ fi
County Building Department.
�' -
r
Owner
Contractor
A .CUME SEPTIC TA
LEACH LINE
SEEPAGE PIT
f
y
'�',
Address
,
Address
GAC.'
S0.
FT.
GAL.
Telephone
Tel. Lic. N
.i.r• , -„
ETTER ❑ FILE