144869 (PLBG)DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
dbCOUNTY
OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES Now
PLUMBING FEES
° 1st FI.
Sq. Ft. p
NO.
NO.
2nd FI.
Sq. Ft.
Por.
Sq. Ft. @
Gar.
Sql Ft. @
POLES
Cat P.
Sq. Ft. @
SIGNS
DRAINAGE PIPING
Wall
Sq. Ft.
TRANS. AND/
OR T. ELK.
DRINKING FOUNTAIN
Sq. Ft.
MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $
MOTOR H.P.
FLOOR DRAIN
O• MECHANICAL FEES
MOTOR M.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. 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
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
COMPRESSOR
RESID. 14 SQ. FT.
HOUSE SEWER
GARAGE '10 SQ. FT.-
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
'E MI N M E
REN DBL.
PLN CHK FEE
CONSTR. FEE
HEAT & VENT
ELECT. FEE PLUMB. FEE
PLAN CHECKER
J F M A
it F M I A
M J
M J
J A S
1i A S
0 N D
BUILDING INFORMATION
JOB ADDRESS
WOOD
CONCRETE
FIREPLACE
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
DATE
-7-64
FRAME STUCCO
BRICK CONC. METAL
OTHER
��BLOCK S fid 1jt, fl .i`.
!/
COMMUNI Y
DISTRICT
F.C.
UNITS
VALUATION OFF/ILC�.F�
BD. RMS.
%"�
%
'`�"•
PLASTER DRY WALL
ROOF COVERING
fAf .i
�f
i
LEGAL DESCRIPTION
PER
IT NU B R
ONE ZONING.ZEC KED BY
PERMIT USE NO.
( 1
PERMIT
SUPPLEMENT TO
SET
FRONT SIDE
REAR
LOT SIZE
BACK
FINALED DATE
IINSPECTOR
GROUP
TYPE
BOND
BOND
CASH
$
/ _
/CONTRACTOR
S
PLAN CHECK FEE
IA J+&oV*
Iff71 t
RELEASE BOND
S6 t
LICENSE -TYPE
DATE
FEE
in accordance with Sec, 302•D of the Uniform Building Cod&, this permit shalt
MECHANICAL
if work is not commenced within
60 days, If work Is susppended or ab&n•
$
expire
domed for a period of 120 Joys, this permit shall automaticolly become null
CONSTRUCTION FEE
end Vold,
$
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 I
.�
of the work for which this permit is
of the work for which this permit is
issued I have complied with Title 8,
TOTAL FEE
$
issued I shall not employ any person
Article 3, Sec. 3800 of the Labor
in any manner whatsoever as to be-
Ll
come subject to the Workmen's Com-
Code, and a certificate or certified
CASH CHECK m. a.
N.C.
pensation Laws of the State of
copy IS on file with the Riverside
IAC
E ,ED BY
PLAN FILE
California.
County Bui g Depart�nL�
FF '�
F�
#
Owner
Contracto
SEEPAGE PIT
r f t3
ATER VOLUME SEPTIC TANK
LEACH LINE
Address
Address
5s�
GAL.
SO.
FT.
GAL.
Telephone
p
Tel. AC
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