Loading...
260898 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING &SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL. SQ.FT. @ UNITS 2ND FL. --SO. FT. @ POR. SO. FT. @ MOBILEHOMESVC. GAR. POWER OUTLET CAR P. SO.FI. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tax voluotion MECHANICAL FEES VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE APPLIANCE D/ST LWREk NO. PLUMBING FEES FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED YARD SPKLR SYSTEM LAUNDRY TRAY BAR SINK AIR HANDLING UNIT ROOF DRAINS IDLE METER DRAINAGE PIPING DRINKING FOUNTAIN B.T.U. URINAL WATER CLOSET WATER PIPING COMPRESSOR, 0 FLOOR DRAIN POLE, TEMP/PERM WATER SOFTENER WASHER IAI ITC)1 IDISHI AMPERES SERV ENT APPLIANCE JOB ADDRESS —..._ . _ __ _� .�.�..... 'SP NO`-. LWREk GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED 7rj LAUNDRY TRAY F.C. JDATEP AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET UNITS COMPRESSOR, 0 HP POLE, TEMP/PERM LAVATORY - HEATING SYSTEM Cl FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. SQ FT @ a BATH TUB MICROFILM FEE SQ FT @ ¢ WATER HEATER LEGAL D SCRIPTION SQ FT RESID @ 1¢ SEWAGE DISPOSAL MECHANICAL FEE SQ FT GARAGE @ '/2a HOUSE SEWER ' PERMIT FEE LOT SIZE ZONE GAS PIPING GRP MOBILE HOME PERMIT FEE Is4 1 1PERMIT FEE PERMIT FEE' PERMIT NO. 260898 TOTAL FE�r �0 1 MOB. HM.FEE MICRO FEE MECH. FEE DBL- PL. CK. FEE, % CONST, FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. .iom `J f I M - A M I J I J -_ A S • _O N_ D - JOB ADDRESS —..._ . _ __ _� .�.�..... 'SP NO`-. LWREk 7rj USE OF PERMIT - _ F.C. JDATEP ERMIT NO. M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION UPP. TO PERMITFFICE O MICROFILM FEE COPIES $ LEGAL D SCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY, I,%.� .�.. •?i� F f S 1 R PLAN CHECK FEE $ 4 C7 BOND AMT. PAN NO. PLAN CHECKER FI Dtf JINSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $�j 3 OWNER/AGENT'S SIGNATURE j CONTRACTOR j, f J `+ ✓ t ; , A—•`t' FEE $ - ADDRESS ADDRESS r PLUMBING FEE DBL $ � CITY ZIP CODE CITY ZIP, CODE TOTAL FEES $ (� 7J TEL. NO. �' TEL.'CENSE / NO. LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMLT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA rON-OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED B �R f2 %t!� TREES REQUIRED � I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM "' r(\, T LL P l! AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE -INDIVIDUAL WHO PREPARED THE,PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALfFORNIA.