157150 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMAT
. ELECTRICAL FEES PLUMBING FEES
Ilst FI.
Sq. Ft.@
1 Jr )_�
NO. NO.
I 2nd FI.
Sq. Ft.
v
Por. ��
Sq. Ft. @ O
r
Gar. `�V
Sql Ft, @ }
'*
POLES
Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
.;
�I Wall
Sq. Ft.
AND/
OR T. LK. DRINKING FOUNTAIN
ELK.
I"
Sq. Ft.
MOTOR H. P. URINAL
).,
MOTOR H. P. WATER PIPING �p
k' ESTIMATED VALUATION
//��,,``
VY
MOTOR H. P. FLOOR DRAIN
e. NO. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P. WASHER (AUTO) (DISH)
1: INLETS - OUTLETS
FIXTURES GARBAGE DISPOSAL $
1.
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
M. SO. FT. - PERF. CEILINGMAT.
SUB -PANEL KITCHEN SINK
�i APPLIANCE VENT
WATER CLOSET ., 4
L. GAS PIPE
RANGE AND/OR OVEN LAVATORY '� a
REPAIR OR ALTER
WATER HEATER SHOWERv
VENTSYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER BATH TUB V
`! COMPRESSOR
WATER HEATER
CONSTRUCTION POLEa�
;L COMPRESSOR
tt�
SERVICE ENTRANCE 7 SEWAGE DISPOSAL
COMPRESSOR
fj'RESID. 10 SO. FT. - Aa HOUSE SEWER
ARAGE i Q SO. FT. 2j 4ij GAS PIPING
PERMIT FEE
f PERMIT FEE s PERMIT FEE •�
ppPE IA
�7
E
REN
J
DBL.
PL`N CHK FEE
J/
CONSTR. FEE
HEAT & VENT
ELECT. FEE PLUMB. FEE
TOTAL-F�•E�ES�y,.w
`
PLAN CHECKER
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J F M A
BUILDING INFORMATION
M J
J .A S
JOB ADDRESS
O N D
II
WOOD
CONCRETE
FIREPLACE
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L74h1 Uts lf,
CONCRETE.;
PIERS MEMBRANE
'SE O BUILDING
� - �'V
6
DATE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
4
COMMUNITY�..7
DISTRICT'
F.C.
UNITS
VALUATION ,.{�
OFFIM
PLASTER
DRY WALL
ROOF,COV E.ING
RMS.
.. (p
it 20NE
13. CHE
USiN.
JBD.
LEGAL DESC IPTION iT
�
PE
I N YR510
,ED` .�BBYVmTj
D(/
SUPPLEMENT TO PERMIT
SET
FRONT SI E REAR
LOT SIZE
BACK
/ 0 p 0
FINALED DATE INSPECTOR
GROUP
"
BOND
BOND
CASH
fPLAN CHECK FEA
CONTRACTOR
RELEASE BOND
i
$
p3�+•
a OI
-
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-
doned for 120 days,
a period of this permit shall automatically become null
CONSTRUCTION FEE
and void. .
j,
Ic
$T
SrJ
his This permit is issued, and'sholl continue in effect, pursuant to the terms and
ELECTRICAL FEE
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
!� PLUMBING FEE
.-�
I hereby certify that in performance I hereby certify that in performance
I;
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
' CASH CHECK M.O.
N.C..
come subject to the Workmen's Com- Code, and a certificate or certified
t9RECE WED BY
PLAN FILE
#
penSOtlan LOWS Of the State Of copy IS On file with the Riverside
Co ifo'rrn``i��/� ��� j� �r Count Builldinj rD,�e artme t.
Ownerw ''»' 1, z �t Contractor r�iFgCI�� lAf if ,ti ( 0
WATER OLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT%
�23, /��� 44— z %j,4Gtf`
�•j',•� GAL.
SO.
FT.
r `AL.
:Address Addr, ss -a
Telephone �11J��±3.' C+`f T I jir" e`7�5�
Lic. a
LETTER El FILE D
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