157151 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
As
COUNTY OF RIVERSIDE Adak
s; CONSTRUCTION ESTIMAT
ELECTRICAL FEES PLUMBING FEES
i` 1st Fl. p-tj
Sq. Ft.
"
NO. NO.
' 2nd FI.
Sq. Ft.
s
< Por. gr 40
Sq. Ft.
Gar.
Sql Ft. @
®
POLES
Car P.
Sq. Ft.
SIGNS DRAINAGE PIPING
Wall
Sq. Ft. ral
TRAN
OR TSCLK.D/ DRINKING FOUNTAIN
•
Sq. Ft. 0
MOTOR H.P. URINAL
'
MOTOR H. P. WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P. FLOOR DRAIN
"NO. MECHANICAL FEES
MOTOR H.P. WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.WASHER (AUTO) fbISH)
INLETS-- OUTLETS
FIXTURES GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS LAUNDRY TRAY
' M. SQ. FT. - PERF. CEILINGMAT.
SUB -PANEL l KITCHEN SINK
APPLIANCE VENT
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 SQ. FT. ® HOUSE SEWER
'
GARAGE iQ SQ. FT. e 2 GAS PIPING
PERMIT FEE-
PERMIT FEEo PERMIT FEE
'PERM
REN DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FES
PL CHECKER
JE�
J
(
- J - F _ M A
MJ
.. _. J. • A _.
S O N .. D
J F M I A
M J
J A
S 0 N D
BUILDING INFORMATION
JOB ADDRESS
'
j'
WOOD
CONCRETE
FIREPLACE
^� ` 1g2» .+�+
L/W,NER
! —"
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
BLOCK FRAME STUCCO
BRICK CONC. METAL
OTHER
- 1 y
...�
-4-
C�O`MMUN1
DISTR,. T
F.C.
UNITS
VALUATION
OFFICE
PLASTER DRY WALL
ROOF COVERING
BD. RMS.
f
7
,�
i,
,¢-
f
LEGAL DESCRIPTION
PET B I N R
. ZONE ZONING CHECKED BY
P•Ej+11T USE J;10�
UR(/
'SUPPLEMENT TO PERMIT
SET FRONT SIDE
REAR
LOT SIZE
BACK Q%
FINALED DATE INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$$
,10,
PLAN CHECK FEE
CONTRACTOR Qui (/tom {✓ (j
RELEASE BOND
$
- ! � 7
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 abon-
cloned' for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE
�/
si
Qy
and Vold.
$
This permit is issued, and shall continue in effect, pursuant to the terms and
ELECTRICALS FEE r-•.,�
Conditions of Sec. 3800 of the Business and Professions Code and as a Condi-
_4..+.
tion of the issuance hereof the following certificate is executed.
I: PLUMBING FEE,
� �
OWNER -BUILDER' CONTRACTOR
ate®
1 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
$
/
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 L M.O.
come subject to the Workmen's Com- Code, and a certificate or certified
RECEIVED Y1
pensation LAWS Of the State Of copy is On file with the Riverside
'
LAN FILE
Califor la. County Bui In Dep�a,r�t"e� .
#
Owne&f?tf bH l.%ia Contractotsf
'WATER VOLUME SEPTIC TANK
i
LEACH LINE
SEEPAGE PITL
Addressl� I f?'I Address`F-2.3 h
C/V y GAL.
SO. FT.
,/�eG
W _/' L AL.
fHip
9y `
Te I On-rEy�w'��.> dtiif 41C .Flj, eaet'j
•rj`�.^/�"'^
^LETTER 'F_1 FILE