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HomeMy WebLinkAbout259327 (AR)BUILDING PERMIT CONSTRUCTION ESTIMATE APPLIANCE GARBAGE DISPOSAL ' 1 ST FL. SQ.FT. @� 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ SQ FT @ a BATH TUB . FT. @ rSQLL - " SQ. FT. @ " ESTIMATED CONSTRUCTION VALUATION $ + NOTE: Not ?O be used as property tax voluotion PERMIT FEE TEMP ELEC SVC GAS PIPING MECHANICAL FEES PERMIT FEE y PERMIT FEE VFNT SYSTFAA n FAN n FVAP. COnt. n HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE __A NO. ELECTRICAL FEES tr 7 1 1 UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.] PLUMBING FEES BOILER I I B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) IDISHI //DST APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR' 0 HP Y> POLE, TEMP/PERM LAVATORY HEATING SYSTEM J FORCED ❑GRAVITY a �'� AMPERES SERVENTA*17k:C.474 40 SHOWER SQ FT @ a BATH TUB SOFT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ l SEWAGE DISPOSAL SQ FT GARAGE @ '/a¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE y PERMIT FEE PERMIT NO. 7 TOTAk FEES FAL MOB. HM. FEE MICRO FEE MECH. FEE 1M DBL. PL. CK. FEE � z olT CONST. FEE DBL. ELE T. �F,ZE � DBL. SMI FEE FEE PLUMB. FEE DBL. - -J -- F I M A IM I J IJ A I $ 1 Q N D JOB A.R 5 I SP NO .S✓% 'Fir% -i�% I���c.T�;�C. OWNER r r 73� 74 USE OF PERMIT . 6 j /j�7R7�Q17 f .str ��. �(3 li.r�f� %%2 F.C. JDATE l 'L} " -�.2 — P21A 3 , 75 MH PERMIT FEE $ COMMUNITY 3 /6'ptf o A17'-4 DST UNITS ROOMS VALUATION sy �� 7 c SVPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZEZONE �7 z I FINAL USE NO. GRP TYPE C//K BY PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER DATE XLSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE _ DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA• TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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 ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE ,LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED: I HEREBY CERTIFY THAT THE INDIVIDUAL WHO P-REPARED THEANS ANDS ECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 55 g? TJiE�& I .S$ P ESSIONS CODE" OF THE STATE OF CALIFORNIA. ,, ��- FEE $ PLUMBING FEE DBL TOTAL FEES ©" �i !&, r OWNER/AGENT'S SIGNATURE CONTRACTOR lE, ld� X717 !� lr1' . �✓1/ c; CASH ❑ ' HECK, M.O. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY jf ;� t{�� TREES REQUIRED SEWAGE SYSTEM T LL P CITY � ZIP CODE CIT ZIP CODE 1 ar � � f INFORMATION FORM 284.208 (Rev. 9.73) ©s TEL. NO. TEL.NO.LICENSE