157455 (RPL)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
Ah COUNTY
OF RIVERSIDE
CONSTRUCTION ESTIMAT94or
ELECTRICAL FEES
PLUMBING FEES
1st FI.
Sq. Ft. @
NO.
NO.
r
`6 2nd FI.
Sq. Ft.
Por.
Sq. Ft.
Gar.
Sq] Ft. R.
POLES
Car P.
.Sq. Ft. 0,
SIGNS
DRAINAGE PIPING
f
TRANS. AND/
Wall/
Sq. Ft. ,
OR T. CCK.
DRINKING FOUNTAIN
Sq. Ft.
MOTOR H. P.
URINAL
MOTOR H.P.
WATER PIPING
C
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
�o. MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (AUTO) (DISH)
INLETS -OUTLETS
r�
FIXTURESf. '�
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. 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
ivi
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
L
I GARAGE ':4 SO. FT.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
ERM M E
REN
DBL.
PLN CHK FEE
CONSTR. FEE_
HEAT 9 VENT
ELECT. F�
LUMP F�
TOTAL FEES
PLAN CHECKER
J FM A
M .1
J A
S
0. - N
J F M A
M J
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s
0 N O
BUILDING INFORMATION
JOB ADDRESS
OWNER
WOOD
CONCRETE
FIREPLACE
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
BLOCK
FRAME STUCCO
BRICK CONC. METAL
OTHER
B1204i.2
COMMUNITY
DISTRICT
F.C.
UNITS
VALUATION
OFFICE
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
T
;rto
I
LEG L DE CR I Of IONPE
I N B R
•ZONE ZONING BY
PERMIT USE NO.
ItFG%
At
At
SUPPLEMENT TO PERMIT
SET
FRONT SID REAR
LOT SIZE
BACK
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
PLAN CHECK FEE
!
,,,,,��
CONTRACTOR
RELEASE BOND
$
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 aban-
zaa
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.
$
5,0
OWNER-BUILDER
CONTRACTOR
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
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 Lauor
Come subject to the Workmen's Com-
Code, and a certificate or certified
CASH CHECK
M. 0.
N.C.
pensation Laws of the State of
copy is on file with the
REC .INFO BY
PLAN FILE
California.
Riverside
County Building Depart en t. '
a4'
#
Owner
Contractor<' /
WATER VOLUME SEPT TANK
LEACH LINE
SEEPAGE PIT
Address
Address71
GAL.
50.
FT.
GAL•
Tel.> -f4 `Q17✓y
Telephone
Lic. N
LETTER F-1FILE F-�
�i
Name of Construction Lend6e
Branch Office:
Address
City State
No Lender involved: