145832 (RER)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Po I.
Gar.
Sq. Ft. p
Sq. Ft.
Sq. Ft.@
Sq] Ft.
NO.
NO.
POLES
Car P.
rr i
y.� J�
eiq •'(!!►LLTZ3�
Sq. Ft.
Sq. Ft.
Sq. Ft.@
SIGNS
DRAINAGE PIPING
TRANS. AND/
OR T. CL K.
DRINKING FOUNTAIN
MOT H.P.
URINAL
�(f
MOTOR H.P.
WATER PIPING
ESTIMATED VALUATION $ CJ 90MOTOR
H.P.
FLOOR DRAIN
No.
MECHANICAL FEES
MOTOR H.P.
WATER SOFTENER
HEAT APPLIANCE
MOTOR H.P.
WASHER (Wfi4f (DISH)
INLETS -OUTLETS
FIXTURES
GARBAGE DISPOSAL
M. SQ. FT. - UNIT HEATER
OUTLETS
LAUNDRY TRAY
M. SQ. FT. - PERF. CEILING MAT.
SUB -PANEL
KITCHEN SINK
APPLIANCE VENT
WATER CLOSET
GAS PIPE
RANGE AND/OR OVEN
LAVATORY
I
REPAIR OR ALTER
WATER HEATER
SHOWER
V
VENT SYSTEM ❑ HOOD ❑ EVAP. COOL ❑
SPACE HEATER
BATH TUB
Q
COMPRESSOR
CONSTRUCTION POLE
WATER HEATER
�►
COMPRESSOR
SERVICE ENTRANCE
19
SEWAGE DISPOSAL
COMPRESSOR
RESID. IQ SQ. FT.
HOUSE SEWER
QD _
GARAGE zQ SQ. FT,
GAS PIPING
PERMIT FEE •
PERMIT FEE
.5
PERMIT FEE
00
E MI M E
REH JOBIL
JPLN
CHK FE CONSTR.
FEE HEAT& VENT
/Y_e
ELECT. FE
� / </
PLUMB. FE TOTAL FEES
_2190
LAN CHECKER
J F M A M
J J
BUILDING INFORMATION
JOB A RESS 1.9
I
OWNER
+
WOOD
CONCRETE
xi FIREPLACE
1
I
CONCRETE
PIERS
MEMBRANE
USE OF BUILDING
-- �A y
DATE
.� ,..
BLOCK FRAME
STUCCO
BRICK CONC.
METAL OTHER
COMMUNITY DISTRIC
F.C.
UNITS
VALUATION OFFICE
6
'S` iOO
].
PLASTER
DRY WALL
ROOF COVERING
1 x.�.-- J
BD. RMS.
J
LEGAL DESCRIPTION �,PEpf
J�+
tITJH
R
H'
111E
I HIHG CHECx EQ BY
PERMIT USE NO.
_
t
'
SUPPLEMENT TO PERMIT
I SET FRONT
BACK
SIDE
REAR
LOT SIZE
/.�;
FINAWD DAT INSPECTOR
III''
GROUP
TYPE
BOND
BOND CASH
I
I
I PLAN CHECK FEE
$
CONTRACTOR
LICENSE -TYPE
RELEASE BOND
DATE
i
�. MECHANICAL FEE
$
In accordance with Sec. 302-D of the Uniform Bu-ilding Cadc, this Rermi! shall
expire if work is not commenced within 60 Jars. If work is suspended or aban-
doned Far a period of 120 days, this permit shall outomaticolly "corrve null
-••� •:.•�
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-
tion of the issuance hereof the following certificate is executed.
OWNER -BUILDER CONTRACTOR
1 hereby certify that in performance I hereby Certify than in performance
of the work for which this permit is of the work for which this permit is
ssued 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
come subject to the Workmen's Corn- Code, and a certificate or certified
pensation Laws Of the State Of copy Is on file with the Riverside
Californi County Building Department.
Owner 1 A.+ Contractor
Address ^/u 3 Address
TeleDhone.7 !e �'7 Tel.
CONSTRUCTION FEE
$
0
ELECTRICAL FEE
$
66
PLUMBING FEE
$
�
.
TOTAL FEE $
C�
CASH CHECK M.O. N,F.
ECEIYfFr Y
PLAN FILE
#
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GAL,
LEACH LINE SEEPAGE PIT
SQ. FT. GAL,
LETTER 7 FILE F-1 �:���'t�Z10�11