Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
241191 (BLCK)
I BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ Ia POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SOFT. @ WALL SQ. FT. @ HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuotion MECHANICAL FEES DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS._ 1 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO.] PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER 1 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT Cl WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT IDLE METER KITCHFN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SOFT @ ¢ BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ I a SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S I PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEES �b MOB. HM. FEE MICRO FEE MECH. FEE DBL PL. CK. FEE CONST. FEE � �v DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J A 1 S 1 O 1 ND JOB ADDRESS { ' SP NO �C3 ' yJ J �1� S t! 1 �' T OW /' 1 VJ Ipi 73 74 USE OF PERMIT // 15 ix T d err I�/zv1" IJ•41/f F.C. DATE y- 7- � PERMIT NO. 9 75 M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION /,eTr- ;Z I - 7'e j=7e- 6/7- 4) aft MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE )III / USE NO. GRP TYPE CK BY % F S RI PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPEC CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE N6 LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12�YS. 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 PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WIT ECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF'CALIFORNIA-.. FEE $ PLUMBING FEE DBL $ TOTAL FEES $ r% l� OWNER/AGENT'S SIGN �o R� / �L 7 v �� CONTRACTOR CASH ❑ CHECK [� M.O. ❑ N.C. ❑ SS ADDRESS 7�t^ E�• "2 ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P CITY,, JP CODE /2 CITY ZIP CODE" 43 INFORMATION FORM 284208 +Rev. 9731 ©s TEL. NO. •�(:% 7 � �� '�-`✓ TEL. NO. LICENSE