157145 (BLCK)ZONE
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
is
COUNTY OF RIVERSIDE
BOND
$
CONSTRUCTION ESTIMAT
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. @
NO. NO.
- RELEASE BOND
2nd FI.
Sq. Ft.
CONSTRUCTION FEE
Por.
Sq. Ft. P.
S
Gar.
SqI Ft. 0.
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
//
TOTAL FEE
TRANS. AND/
$
WallG.�
Sq. Ft. ✓
OR T. CLK.
DRINKING FOUNTAIN
'RECEIVED BY
Sq. Ft. g
MOTOR H. P.
URINAL
of the work for which this permit is
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION $
Q 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. SO. FT. – UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. S0. FT. – PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
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Tel `«26L'4,
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. IQ SO. FT.
HOUSE SEWER
'
GARAGE iC SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
PER M ER
REN
DBL,
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
7 4
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BUILDING INFORMATION
Joe ADDRESS
CONCRETE
FIREPLACEt.�`
fiER)41WOOD
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CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
1+
DATE
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BLOCK
FRAME STUCCO BRICK CONC. METAL
OTHER
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UNITS
VALUATION
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DRY WALL
COVERING
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SET
BACK
FRONT
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BOND
$
BOND
LEGAL DESCRIPTION
BY PERMIT USE 0. 1
Agwu
— LOT SIZE
LETTER FILE
SUPPLEMENT TO PERMIT
FINALED DATE
9-j3-bS
INSPECTOR
kL(.a\ e
PLAN CHECK FEE
TYPE
BOND
$
BOND
CASH
- MECHANICAL FEE""
CONTRACTOR
- RELEASE BOND
S
CONSTRUCTION FEE
In accordance with Sec. 302-D of the Uniform
Building Code, this permit shall
S
- ELECTRICAL FEE
Cloned for a period of 120 days, this permit shall automatically become null
and void.
PLUMBING FEE
This permit is issued, and shall continue in effect, pursuant to the terms and
TOTAL FEE
and Professions Code and as a condi-
$
tion of the issuance hereof the following
CASH CHECK
M.O.
OWNER -BUILDER
'RECEIVED BY
PLAN FILE.
I hereby certify that in performance
t
of the work for which this permit is
of the work for which this permit is
issued I shall not employ any person
WATER VOLUME SEPTIC TANK
"EAGH_LINE
in any manner whatsoever as to be-
Article 3, Sec. 3800 of the Labor
GAL. SO.
FT
LETTER FILE
SUPPLEMENT TO PERMIT
FINALED DATE
9-j3-bS
INSPECTOR
kL(.a\ e
GROUP
TYPE
BOND
$
BOND
CASH
CONTRACTOR
- RELEASE BOND
LICENSE -TYPE
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-
Cloned 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
issued I shall not employ any person
issued I have complied with Title 8,
t /
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 Building Department. g
f 'I' or
SEEPAGE PIT
Owner
Address
Contractorf
/jl SLS
Address r' /4~�f
GAL-
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Tel `«26L'4,
Telephone
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