146795 (AR)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. p
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. @
Gar.
Sql Ft. @
POLES
Car P.
Sq. Ft.
SIGNS
DRAINAGE PIPING
TRANS. AND/
Wall
Sq. Ft. @*
OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft.
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) (DISH)
INLETS - OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. S0. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SO. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET _
GAS PIPE
RANGE AND/OR OVEN
lag
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. 1¢ SO. FT.
HOUSE SEWER
GARAGE 3Q SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
E
MI N
REN DBL
PLN CUK FEE
CONSTR. FEE
EAT & VENT
ELECT. FEES
PLUM FEE _
TO AL FEES w PLAN CHECKER
J IF M A
M J
J A
S
O
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE
FIREPLACE
_ - -
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
—o
DATE
BLOCK FRAME
STUCCO
BRICK CONC. METAL
OTHER
CO U ITY
DISTRICT
F.C.
UNITS
VALUATION
OFF
ROOF
PLASTER DRY WALL
COVERING
BD. RMS.
J
LEGA> DES RIPTION
P IT N
ONE20 I G CHELKE BY
PERMIT USE NO.
!Ir +
�17.9
SUPPLEMENT TO PERMIT
SET
FRONT SIDE
RR
LOT SIZE
BACK
V
? U
D E
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
Ce �i
f//N
S
PLAN CHECK FEE
CONTRACTOR
RELEASE BOND
$
LICENSE -TYPE A
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 aban-
$
doned for a period of 120 days, this
permit shall automatically become null
CONSTRUCTION FEE
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-
ELECTRICAL FEE
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
/j
of the work for which this permit is
of the work for which this permit is
TOTAL FEE
$
iJ/
issued I shall not employ any person
issued I have complied with Title 8,
ri 41
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
CASH CHECK M.O.
N. C.
pensation Laws of the State of
copy Is on file with the Riverside
EC VPLAN FILE
California.
County Building Department.
#
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OL M SEP TANK LEACH LINE
SEEPAGE PIT
Owner = +t" �1 Contractor
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SO.
FT.
GAL.
Address 7
Telephone 1,1'rdItiC0 ICAtPA
Kddress
Tel. Lic.N
TTER F-1 FILE
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