155657 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMAT ow'ELECTRICAL FEES PLUMBING FEES
1st FI. t ! Sq. Ft. @/ �=' f NO. NO.
i. 2nd FI. Sq. Ft.
Por. Sq. Ft. R. it U 11
Gar. �~ Gr SqI Ft. @ ? L/ POJI ES
I
Car
P.$q.
Ft.
MEMBRANE
SIGNS
DATE
2
DRAINAGE PIPING
1
OTHER
TRANS. AND/
COMMUNITY
'i ACD�-
DI'S'T'RAC'T
s
F.C.
UNITS
t Wall
OFFICE
Sq. Ft.
PLASTER
OR T. ELK.
COVERING
BD. RMS.
DRINKING FOUNTAIN
1
Sq. Ft.
LEGAL DES CR TION
7 {i
MOTOR
H.P.
ZO + N CHECIFEp BY PERMIT
URINAL
••y�[
jl ; H 2
SUPPLEMENT TO PERMIT
'
MOTOR
H.P.
SID
WATER PIPING
+�
} t�
j ESTIMATED VALUATION $
C•a
MOTOR
H.P.
INSPECTOR 1
FLOOR DRAIN
TYP
.NO.
MECHANICAL FE
S
MOTOR
H.P.
WATER SOFTENER
HEAT APPLIANCE
I PLAN CHECK FEE
MOTOR
H.P.
CONTRACTORRELEASE
'-_
WASHER (AUTO) (DISH)
(�<
�! �..�•
INLETS - OUTLETS
FIXTURES
LICENSE -TYPE
GARBAGE DISPOSAL
J _�
In accordance with Sec. 02-D of the Uniform Building Code, this permit shall
expire if work is not commenced within 60 days. If work is suspended or abon-
M. SQ. FT. - UNIT HEATER
OUTLETS
/�
��,Y
LAUNDRY TRAY
5
T,75
M. SQ. FT. - PERF. CEILING MAT.
CONSTRUCTION FEE
SUB -PANEL
f
KITCHEN SINK
(
APPLIANCE VENT
conditions of Sec. 3800 of the Business and Professions Code and as a condi- -
ELECTRICAL FEE
WATER CLOSET
tion of the issuance hereof the following certificate is executed.
GAS PIPE
RANGE AND/OR OVEN
OWNER -BUILDER CONTRACTOR
i PLUMBING FEE
LAVATORY
V �
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
REPAIR OR ALTER
x
WATER HEATER
TOTAL FEE
t
SHOWER
>ry
f
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
• CASH CHECK M. 0. N. C.
BATH TUB
;RECEIVED Y
PLAN FILE
COMPRESSOR
j:
CONSTRUCTION POLE
Owner Contractor
Address Address
t
WATER HEATER."..
SEEPAGE PIT
COMPRESSOR
�V d�
SERVICE ENTRANCE
GAL.
L ,
SEWAGE DISPOSAL
�-
SETTER ❑ FILE I olifli
COMPRESSOR
RESID. 10 SO. FT.
1i .i N
HOUSE SEWER
GARAGE i6 SO. FT.
2 1,3
GAS PIPING
PERMIT FEE
PERMIT FEE
1 %10
PERMIT FEE
L 1
ERM
M E
REN
CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE
PLUMB. FEE
TOTAL FEE
PLAN CHECKER
5
JDBL
JPLN
1:2
J IFM
AM
1
J
A
S .- O
J F M I A
M J
J A
S 0
N D
BUILDING INFORMATION
JOB ADDRESS
ow
WOOD
CONCRETE
FIREPLACE
21154
r
LZI
CONCRETE
PIERS
MEMBRANE
U OF BUILDING
F�
�Z• V ir. 77,A?
\
DATE
2
BLOCK FRAME STUCCO
BRICK CONC. METAL
OTHER
COMMUNITY
'i ACD�-
DI'S'T'RAC'T
s
F.C.
UNITS
VALUATION
OFFICE
PLASTER
IDRY WALL ROOF
COVERING
BD. RMS.
LEGAL DES CR TION
7 {i
PER I R
[ZONE/
ZO + N CHECIFEp BY PERMIT
USE N0.
••y�[
jl ; H 2
SUPPLEMENT TO PERMIT
'
- SET
[:�RONT
SID
(, EAR LOT
SIZE
FINALED DATE
INSPECTOR 1
GROUP
TYP
BOND
BOND
CASH '
BACK
I PLAN CHECK FEE
CONTRACTORRELEASE
'-_
BOND
$
LICENSE -TYPE
DATE
In accordance with Sec. 02-D of the Uniform Building Code, this permit shall
expire if work is not commenced within 60 days. If work is suspended or abon-
[ MECHANICAL FEE
r $
/�
��,Y
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.
s
OWNER -BUILDER CONTRACTOR
i PLUMBING FEE
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
x
TOTAL FEE
$ j
issued I shall not employ any person issued I have complied with Title 8,
in any monner whatsoever as to be- Article 3, Sec. 3800 of the Labor
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
• CASH CHECK M. 0. N. C.
;RECEIVED Y
PLAN FILE
California. County Bui fng Depoftmdnf.
j:
#
Owner Contractor
Address Address
IWATER VOLUME SEPTIC TANK
'
LEACH LINE
SEEPAGE PIT
�V d�
GAL.
SO. FT.
GAL•
Telephone / Tel Lic. k
Ilk V, • /� /ft;r�i
SETTER ❑ FILE I olifli