157149 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
is COUNTY
OF RIVERSIDE
CONSTRUCTION ESTIMAT 1prELECTRICAL
FEES PLUMBING FEES
1st Fl.
Sq. Ft.
NO. NO.
Sq. Ft.
1r 2nd FI.
Sq. Ft. @
i' Por.
Gar.
n
/1
Sq] Ft. @ _
POLES
Sq. Ft. @
SIGNS DRAINAGE PIPING
Car R.
s
Wall
Sq. Ft. ,
TRANS. AND/
OR T. CLK. DRINKING FOUNTAIN
Sq. Ft.
MOTOR H. P. URINAL
!`
MOTOR H. P. WATER PIPING b
."
ESTIMATED VALUATION 1 $ r 4
MOTOR H. P. FLOOR DRAIN
i No. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO), 6SH)
INLETS -OUTLETS
FIXTURES GARBAGE DISPOSAL Zt!
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. S0. FT. - PERF. CEILING MAT.
J
SUB -PANEL KITCHEN SINK J
APPLIANCE VENT
WATER CLOSET a4i
GAS PIPE
RANGE AND/OR OVEN LAVATORY
REPAIR OR ALTER
WATER HEATER [ SHOWER
f VENT SYSTEM ❑HOOD ❑ EVAP. COOL ❑
SPACE HEATER .# BATH TUB
COMPRESSOR
CONSTRUCTION POLE WATER HEATER 'vl
k COMPRESSOR
SERVICE ENTRANCE i,�� � SEWAGE DISPOSAL
COMPRESSOR
ESID. 10 SQ. FT. 66 HOUSE SEWER
S
,h
GARAGE iC SO. FT. ..Y GAS PIPING �!
PERMITFEE
PERMIT FEE '? AU
PERMIT FEE
PERM 7MJER
0
4
REN DBL.
J
PLN CHK F�
1 r15
CON
(5
HEAT& VENT ELECT. FEE r�
rl
PSB. FEE_
TO A ES„ •„ PLAN CHECKER
J
J F M _ A .- __M
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,J. _ - . A
S 0 N - D
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J A
S 0 . N D
BUILDING INFORMATION
�
JOB ADDRESS ! !
di j4I
YNER
f
WOOD
CONCRETE FIREPLACE
CONCRETE
PIERS MEMBRANE
U E¢O UILDING
" 1 +
.i
DATE
4 »� J •'�
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
COMMUNITY
",�,;.
DISTRICT
F.C. JUNITS
CCrr��
VALUA ON y
444JJliVV7 2-
JOFFICEw
7
7
PLASTER
DRY WALL
ROOF COVERING
BO. RMS.
LEGAL DES IPTION 71 y,r
PE JR49
ZONE ZONING CHEC�K:E'D BY
P q/MIT USE 0.
'1/"t'
4, e
SUPPLEMENT TO PERMIT
"Z1. Ji:�
"
I SET FRONT SI!
REAR
LOT SIZE
BACK U
O
FINALED DATE
INSPECTOR
GROUPT
B�t
BOND
$
BOND
CASH
p
$j
PLAN CHECK FEE
./��
CONTRACTOR
LICENSE -TYPE �2
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 abon-
doned for a period of 120 days, this permit shall automatically become null
w MECHANICAL FEE
$ ,Y
(Q,J
CONSTRUCTION FEE
"""'
and Void.
This .permit is issued, and shall continue in effect, pursuant to the terms and
'
$ t
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.
2L
OWNER -BUILDER CONTRACTOR
A PLUMBING FEE -
.yr
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
.*
TOTAL FEE$
t .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
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
�CASH CHECK M.O. N.C.
$RECEIVED BY
PLAN FILE
1
California. County Building,Department:,N
'#
Owner Contractor
,WAY@ VOLUME SEPTIC TANK I
LEACH LINE SEEPAGE PIT j
Address Ad - 2 f -
,/'
s �'''(
GAL.
50. FT. G
Telephone - el i LIC. #
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(LETTER F FILE 4
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