Loading...
206155 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET 0 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE IST FL. SQ. FT. Co) 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED VALUATION is MECHANICAL FEES m ELECTRICAL FEES MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. UN FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN W4TFG Cr1CT{ Kj9rp VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER OK.W. GARBAGE DISPOSAL FURNACE ❑ UNITE) WALL❑FLOOR❑SUSPENDED' OUTLETS LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE S WATER CLOSET COMPRESSOR HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM O B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM. SQ. FT.@ 4. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 (r SEWAGE DISPOSAL BOILER � B.T.U. SQ. FT.GARAGE @ z Q HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE $ PERMIT FEE 3— PERMIT FEE PERMIT NUMBER I TOTAL FEES IMOB, HOOK FEE I HEAT & VENT FEE DBl PL. CK. FEE I CONST. FEE DBL ELEC. , DBL FEE PLUMBING FEE DBL ngi J F M A M J J A S O N D JOB ADDRESS df e 6,-lfV %<a9 OWNER /-H Oe. 72 c`3G7CJ 5 QU//vT� r� efc 73 USE OJF BUILDING F.C. DATE IT PER206155 NO 74 ,�-1 ���� �r 3-12-72-1 75 COMMUNITY DST UNITS DOM VALUATION SUgPP. TO PERMIT OFFICE 76 d 2 / MOBILEHOME $ L/EGAL%�ESCRIRIPTION �✓ ^- 7- ��" HOOKUP FEE f Q %. C< / -.,y•� lj"�/i/%'r�I <5G/L T DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE BY MECHANICAL FEE $ � ICK O tl--\ F s R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR � -1 };', 12'1' DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVO ED CONSTRUCTION FEE ELECTRICAL FEE DBL $ r, '> ADDRESS CITY STATE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF- DBL ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA OVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL PPRE THE P gNDSPECIFI- CATIONS HAS DONE SO IN ACCORDANCE WIT E5 �E USE US AND TOTAL FEES $� PROFESSIONS CODE OF THE STATE OF CALI FOR IA. r CASH ❑ CHECK �• M.O. ❑ N.C.' O ER /� (� CO TRACTOR , I ,I� f� � f Received By �� GaJ6« A DRESSY `✓�����,��f ADDRE 5'i �±t,/f f f '�i/ ,- -� Sewage System T L P lTvp Trees Required Yes No INFORMATION / TEL. TEL. NO.r * LICENSE FORM 284-208 (REV. 4/71) �7 0 � �r C..fr v.,,�y (