155630 (SPIN)As
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd Fl.
Por.
Gar.
Sq. Ft. @
NO. NO.
FRAME STUCCO BRICK CONC. METAL
Sq. Ft.
and void.
Sq. Ft. @
This permit is issued, and shall continue in effect, pursuant to the terms and
Sq] Ft. @ POLES
PLASTER
Car P.
Wall
'3
$q• Ft.
SIGNS
DRAINAGE PIPING
TRANS. AND/
C
Sq. Ft. OR T. LK.
DRINKING FOUNTAIN
Sq. Ft. MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION I $
MOTOR H.P.
FLOOR DRAIN
FNO. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H. P.
WASHER (AUTO) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. -UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SQ. 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
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 10 SQ. FT.
HOUSE SEWER
GARAGE i Q SQ. FT.
i
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
EM]j�EF
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE PLUMB. FEE
TOTAL FEES
PLAN CHECKER
JI F I M I A M I J I J
BUILDING INFORMATION
JOB ADDRESS
WOOD
CONCRETE FIREPLACE
CONCRETE
PIERS MEMBRANE
USE OF BUILDING
t -
BLOCK
FRAME STUCCO BRICK CONC. METAL
OTHER
and void.
i
This permit is issued, and shall continue in effect, pursuant to the terms and
C MMUNITY
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
OWNER -BUILDER CONTRACTOR
DATE
LEGAL DESCRIPTION
1,X
/ 'k *
SET FRONT
BACK
'5-A eG
PL N CHECK FEE
F MECHANICAL FEE
J CONSTRUCTION FEE
F ELECTRICAL FEE
PLUMBING FEE
TOTAL FEE
CASH If CHECK
RECEIVED 09
ZONING CHECKED BY I PERMIT USE NO.
sF
[WATER VOLUME SEPTIC TANK
5
O
N D
1
i
S
O
N
expire if work is not commenced within 60 days. If work is suspended or aban-
doned for a period of 120 days, this permit shall automatically become null
OWNER
and void.
i
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
DATE
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 '
$ GOissued
I shall not employ any person issued I have complied with Title 8,
DISTRICT
F.C.
M. 0. N,c•
VALUATION
OFFICE
pensation Laws of the State of copy is on file with the Riverside,
PLAN FILE
#
JUNITS
r
LEACH LINE SEEPAGE PIT
F i
SQ. FT. GAL.
Telephone J,, �• Tel.` i 00 -ft yvy—
PERf
/
1
17
5M
SUPPLEMENT TO PERMIT
E I JREAR LOT SIZE
FINALED DATE INSP TORS GROUP TYPE BOND BOND LASH
GAL
[ETTER F-� FILE ❑
CONTRACTOR RELEASE BOND
$
LICENSE -TYPE Oil-47VDATE
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 aban-
doned 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 '
$ GOissued
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
M. 0. 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,
PLAN FILE
#
Califo / County B
wrier Contract Departmep�
O�"'d � � +� � Q/Y' r
LEACH LINE SEEPAGE PIT
Addres �r �a` Address dX
SQ. FT. GAL.
Telephone J,, �• Tel.` i 00 -ft yvy—
/