The URL can be used to link to this page

260233 (PLBG)rJ BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE . CONSTRUCTION ESTIMATE NO. ELECTRICAL. FEES NO. PLUMBING FEES I ST FL. 2ND FL. - POR. GAR : CAR P. WALL SQ.FT. @ UNITS ABSORPTION SYSTEM SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ - MOBILEHOME SVC. BAR SINK - SO. FT. @ POWER OUTLET ROOF DRAINS SO.FT., @ DRAINAGE PIPING, SQ. FT. @ DRINKING FOUNTAIN SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ SHOWER - URINAL . WATER PIPING NOTE: Not to be used CIS property tox voluotion SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) $ APPLIANCE LEGAL DESCRIPTION r;ARRAr,F nlcancAl DST FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESSSP NO LAUNDRY TRAY 75 76 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK M H PERMIT FEE ABSORPTION SYSTEM 0 B'. T, U. TEMP USE PERM SVC WATER CLOSET DST COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY OFFICE HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER - BOILER B.T.U. SQ FT @ a BATHTUB ISUPP. b SQ FT @ a WATER HEATER $ LEGAL DESCRIPTION SOFT RESID @ • 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/]a HOUSE SEWER PERMIT FEE MECHANICAL FEE GAS PIPING G MOBILE HOME PERMIT FEE $ LOT SIZE ZONEUSE PERMIT FEE PERMIT FEE G`G PERMIT NO, 2 6 2 � TOTAL FEES � MOB. HMSEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. 'ELECT. FEE DBL. SMI FEE y " FEE PLUMB. F E 1 . DBL. J F M Ar M J J A S O N D 74 JOB ADDRESSSP NO OWNER -' 75 76 USE OF PERMIT ?�=Pt4c� 4�� %p��r•� F.C. DATEPE ?-moo M XIT NO. 60233 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION TO PERMIT OFFICE ISUPP. b MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY k_ / 7 F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR . J `NO CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR ,I Lr ^. b' i�� +'" •ter'' INSTRUMENTATION FEE $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES ' � $ TEL. NO. TEL. NO. LICENSE i, CASH ❑ CHECK 'M.O: ❑ N.C.'❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE'PERMIT TO BECOME VOID, O RECEIVED BY TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC WITH THE LAWS OF. RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEMCORDANCE T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI ell/ICT CCTATC— .. 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 CALIFORNIA.