145966 (MECH)DEPARTMENT OF BUILDING & SAFETY
Is COUNTY OF RIVERSIDE
,{ CONSTRUCTION ESTIMATEqlp' ELECTRICAL FEES
1S FI. Sq. Ft. p NO.
2nd FI. Sq. Ft.
For. Sq. Ft. @
FIELD OFFICE
PLUMBING FEES
a: Gar. a
Car P.
Wall
SqI Ft.
POLES
SQ, Ft. SIGNS
DRAINAGE PIPING
CLK AND/
Sq. Ft. OR TRANS
DRINKING FOUNTAIN
Sq. Ft. MOTOR H.P.
URINAL
MOTOR H.P.
WATER PIPING
a? 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
CONCRETE
GARBAGE DISPOSAL
M. SO. FT. - UNIT HEATER
OUTLETS
DAT
"'
LAUNDRY TRAY
M. S0. FT. - PERF. CEILING MAT.
SUB -PANEL
BRICK `GONG.
KITCHEN SINK
APPLIANCE VENT
.METAL
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
e. REPAIR OR ALTER
WATER HEATER
CO NITY
SHOWER
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
VALU ION
BATH TUB
t
COMPRESSOR )1.4"
� CO NSTRATION POLE
DRY WALL
WATER HEATER
d
I„ COMPRESSOR
SERVICE ENTRANCE
SEWAGE DISPOSAL
v COMPRESSOR
RESID. IQ SO. FT.
HOUSE SEWER
I+
GARAGE' -.'0 SO. FT.
GAS PIPING 01
PERMIT FEE •
PERMIT FEE
IT N R
PERMIT FEE
.E MI E
REN
DBL
PLN CHK FEE
CONSTR. FEE
HEAT IN VENT
ELECT. FEE
PLUMB FEE
TOTAL FEES
PLAN CHECKER
F M _. - A
J F M I A
M, J
M J
J A
J A
S' N .. D -
S 0 N D
BUILDING INFORMATION
JOB ADDRESS ow,Nkq
0
WOOD
CONCRETE FIREPLACE
� �r. y 5.
CONCRETE
PIERS MEMBRANE
USE OF BUILDINGr --
�Ls
DAT
"'
BLOCK FRAME STUCCO
BRICK `GONG.
.METAL
OTHER
! �!�•%
CO NITY
CT
F.C.
UNITS
VALU ION
OFFICE'
PLASTER
DRY WALL
ROOF COVERING
BD. RMS.
IDISTR
'C—
v
LEGAL E CRIPT
PER
IT N R
.ZONE ZONING CHECKED BY PERMIT
USE NO.
(� .T
4 v f y�l e /` /14
SUPPLEMENT TO PERMIT
SET
FRONT SIDE
REAR LOT
SIZE
BACK
FINALED DATE
INSPECTOR
GROUP
TYPE
BOND
BOND
CASH
d $
-
S
- 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-
doned for a period of 120 days, this permit shall automatically become null
CONSTRUCTION FEE Nri
:K/
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.
1J4GD� $
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 IsI7
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 Labor
` CASH 100 CHECK M.O. N.L.
come subject to the Workmen's Com- Code, and a certificate or certified
penSatlon Laws Of the State Of copy IS On file with the Riverside
RECEIVED BY
PLAN FILE
ColiforniSa County Building Department.
#
Owner Contractor
ATER VOLUME SEPTIC TANK
LEACH LINE
SEEPAGE PIT
1`+ E�sc•
Address �. c.../'S �� Address
- GAL.
SO. FT.
GAL.Telephone
R ll r Tel. Lic k
LETTER ❑ FILE
f�