204226 (SPIN)DEPARTMENT OF BUILDING & SAFETY " x. FIELD OFFICE
r • 'COUNTY OF RIVERSIDE
_:.
CONSTRUCTION ESTIMATE.~ `ELECTRICAL FEES. PLUMBING FEES a
'I ST FL':' SQ: F.T.V .,...err NO: +. NO. w
2ND FL:r a°
SQ. FT.
POR.` -C SQ. FT:
@ MOTOR I OR CESS M.P.
FT.."" MOTOR 5 OR LESS H.P.
GAR. SQ.
".,
.moi @%t : a
@ MOTOR' 20 OR LESS H.P. DRAINAGE PIPING
CARP. SQ. FT. r
DRINKING FOUNTAIN
WALL SOFT..: @
SQ'FT. Lia ., URINAL
OK W. UNITS WATER PIPING
ESTIMATED VALUATION . ' $ a FLOOR DRAIN
MFCHANICAL FFFS' WATER SOFTENER
VENT.SYSTEM ❑ FAN _❑ EVAP: COOL,❑ HOOD
SIGN WASHER (AUTO) (DISH)
APPLIANCE
TRANS- K.W. GARBAGE DISPOSAL
FORMER O
FURNACE ❑ UNIT ❑ WALL Cl FLOOR O SUSPENDED
OUTLETS - , _ LAUNDRY.TRAY
AIR'HANDLING UNIT CFM
FIXTURE -OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L:P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET,
ri
COMPRESSOR ' O:HP '
POLE ' LAVATORY
APPLIANCE VENT,
AMPERES SERV. ENT. SHOWU
ABSORPTION SYSTEM B.T.U. SQ. FT. @ ¢. BATH TUB
INCINERATOR ❑ DOMESTIC' ❑ INDUS. OR COMM.
SQ: FT. @ Q , , e .WATER HEATER
HEATING SYSTEM ❑ FORCED,0 GRAVITY,
SQ.' FT. RESID. @ 14 . ' SEWAGE DISPOSAL
BOILER 0•B.T.U.
r SQ. FT. GARAGE @1/2¢ HOUSE SEWER �.
PERMIT FEE J
a BALANCE OF MIN' FEE , ' GAS PIPING
TRAILER' `ISSUANCE' FEE PERMIT FEE.
PERMIT FEE' "' PERMIT FEE a
'
PEP
22
TOTAL FE
'REN. -TRAILER :FEE 'HEAT @ VENT..FEE
.PL'. CK., F,_ CONST.
FEE
oeL;
ELEC. FEE
IDBIL]SPEC.
INSP.. FEE
PLUMBING FEE
DBL. ^?
4
_ J -F M. 'q
- IMIM, __ J: L .J - - •per•. .. �..IA 5. :...1. Q�
� N. �.+.�.+�. D. - X7.1
-
LOT SIZE '. - ..
US E //
.
JOB ADDRESS.. E55..,�.�j ! ,0- J OWNER
:4'v ..9" 'i .t.+ L°•/k�j/�B
-
.'lam. •` P�- hi:
P/
• .r
-
ZONE
iib. _
LITE OF BUILDING .DAT
PLAN CHECK FEE
$
} y
CHECKED BY.,
COMMUNITY - - _ DISTRICT
UNITS
VALUATION OFFICE
..w• i
I
MECHANICAL -FEE
.• -
DBL
-TYPE
LEGAL. D CRIPTION.- •' 'Y' _
'Z
'aR IT UM ERnj y�
FEE'
$
rG
�'
CONSTRUCTION
^s �'��" .I' ^tom d ri
d/ 'eJ
DBL
PLAN CHECKER.. -
- - - - - -
SUPP. TO PERMIT -
ELECTRICAL FEE
DBL
-
BOND E
FILE# FINAL
DATE
.INSPECTOR '•
$
J.'BOND"CATSHAN
7
PLUMBING FEE
4TRAILER.
NAME
OF, CONSTRUCTION LENDER - -
BRANCH OFFICE
NO LENDER '
PERMIT
$
`.
INVOLVED
155UANCE FEE
_
•
•f -
ADDRESS ..
CITY
STATE -
a
FEE
g.•
-
,THIS. PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED -WITHIN -60 DAYS. CESSATION
TOTAL FEES
$•r -
OF WORK FOR 120 DAYS SHALL'ALSO'CAUSE PERMITJO BECOME VOID. ,
-HEREBY' AGREE THAT'ALL WORK IN,CONNECTION WITH THIS PERMIT WILL BE DONE IN•ACCOR 4
THE LAWS OF. RIVERSIDE CdUNTY' AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO 3
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES: COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q, CHECK M.O. N.C. Q .DANCE.WITH
RECEIVED➢BY - -SEWAGE SYSTEM
OF CALIFORNIA "COVERING CONTRACTORS IS ALSO GUARANTEED.
�IEREIiYCERTIFYTHATTHEINDIVIDUALWHO'PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE >
T LL p
AC EWIi iON'SS4I OF, THE BUSINESS -AND.- PROFESSIONS CODE OF THE STATE
R
- -• INFORMATION '
OW ER -'
CONTRACTOR. -
A DRESS:"``y,'
ADDRESS - s
-
- r
-EL. NO.
TEL. N0.
- ° , ... • -
LICENSE NO. • '
'-+.:.:�j .z L « s •- _ _ - �
.�..n... nn. inn mn,. , -rnra. i4..
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
An COUNTY OF RIVERSIDE Ashk
i CONSTRUCTION ESTIMAT9W
ELECTRICAL FEES
PLUMBING FEES
Ilst FI.
Sq. Ft. p
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft.
I
Gar.
Sq] Ft. P.
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
Wall .
Sq. Ft. % C ,CA a
TRANS. AND/
E
OR T. LK.
DRINKING FOUNTAIN
S..-
I
Sq. Ft.
MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
1 ESTIMATED VALUATION $ --0643
MOTOR H.P.
FLOOR DRAIN
NO. MECHANICAL FEES
i
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
�'- INLETS - OUTLETS
i
FIXTURES-
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
fM. S0. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN-
LAVATORY
REPAIR OR ALTER
WATER HEATER
SHOWER
VENTSYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SO. FT.
HOUSE SEWER
• •3
GARAGE iC SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
PJM�
ER
REN
DBL.
PLN CHK FEE
CONSTR. FEE
VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEES
PLAN CHECKER
J
tr.*666.
1HEAT,&
,.
F.
__M__
_
A _ ___
M ._ J
.. . J _
A
S.
0
.. - .N
J F M A
M J
J .F A
S
O N D
BUILDING INFORMATION
JOB ADDRESS
WOOD
CONCRETE FIREPLACE
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r
/O/WNER
e
-
pL�
g(
_
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
t.++-
DATE
BLOCK FRAME STUCCO BRICK CONC. METAL11
OTHER
a
�,•. ��
f� f
.+ p
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•
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/
44
Y
GOMMU�N� Y
DI CT
F.C.
UNITS
VALUATION OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
� �ili; �
i
f
Jii
V
f
V
-
L L DESCRIPTION
I•i
PER 1 R
rZONE ZONING CHECKED BY
PERMIT USE NO.
Jf�//�`
R 1`{'r.%�,p
SUPPLEMENT TO PERMIT
SETFRONT
SI E , REAR
FFINALED
LOT SIZE
BACK
DATE
INSP CTOR _
GROUP
TYPE
BOND
BOND
CASH
PLAN CHECK FEES,
CONTRACTOR f� 7•„rJ �
i
RELEASE BOND
$
(C
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-
�C/S'-�
doned for a period of 120 days, this permit shall automatically become null
' CONSTRUCTION FEE
.2q
"`
and void.
P
$
Thiskermit is issued, and shall continue
p
in effect, pursuant to the terms and
p
conditions of Sec. 3800 of the Business
and Professions Code and as a condi-
u ELECTRICAL FEE
tion of the issuance hereof the following
certificate is executed.
PLUMBING FEE
TOTAL FEE
c.
CASH CHECK
`RECEIVED BY
PWA R VOLUME SEPTIC TAP
GAL.
FLETTER F-1 FILE ❑
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
aj�
S ('�f o 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
PLAN FILE pensation Laws of the State of copy is on file ,with the Riverside
California. County Build• epartment.
# Owner Contractor g • A �^
'LEACH LINE SEEPAGE PIT
Address Address -4 v • 45—J7.
SO. FT. GAL. Telephone Te 1; 4 ~ +� Lic. N