Loading...
215422 (RPL)BUILDING PERMIT • DEPARTMENT OF BUILDING & SAFETIS COUNTY OF RIVERSIDE FIELD OFFICE TRANSFORMER =K•W• CONSTRUCTION ESTIMATE ELECTRICAL FEES OUTLETS f OO PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. LL JH FIXTURE OR SOCKET % Q SQ. FT. @ GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL NO. NO. COMPRESSOR E== HP SQ. FT. @ 0 LAVATORY SQ. FT. @ MOTOR 1 OR LESS H.P. ` Qr% AMPERES SERV. ENT. SQ. FT. @ MOTOR 5 OR LESS H.P. ABSORPTION SYSTEM E:= B.T.U. SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL 4 Q OK.W.UNITS WATER PIPING ESTIMATED VALUATION $ SQ. FT. GARAGE @21 2 H'CP�E / O PERMIT FEE FLOOR DRAIN GAS PIPING MECHANICAL FEES MOBILEHOME I IWATER Cr)FTFNFR VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER =K•W• GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS f OO LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET % Q KITCHEN SINK. GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL CONST. SERV, ENTRANCE WATER CLOSET COMPRESSOR E== HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM E:= B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ Q. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 2 SEWAGE DISP SAL BOILER B. T. U. SQ. FT. GARAGE @21 2 H'CP�E / O PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE $ j PERMIT FEE 1 C0" O PERMIT FEE PERMIT NUMBER TOTAL F� OB. HOOK FEE HEAT & VENT FEE PL. CK. FABS CONST, FEE DBl ELEC. F DBL FEEje P/L`UM BINri'419'g DBL 915422 I 6-7 I 1081_ DS -T UNITS OOM VALUATION 7 OFFICE J a Qv + i'i�C7 / l®� 4 MOBILEHOME LEGAL DESCRIPTION HOOKUP FEE J F M A M J J A S O N D JOB ADDRESS 72 73 USE OF BUILDING F.C. DATE ��- PERMIT NO 215422 74,,,,,,,,y,� a 75 COMMUNITY J DS -T UNITS OOM VALUATION SUPP. TO PERMIT OFFICE 76 a Qv + i'i�C7 / l®� 4 MOBILEHOME LEGAL DESCRIPTION HOOKUP FEE f f ? —0 DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE MECHANICAL FEE $ 1 + i I JCKJ3Y AAA F S // R,& BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I TOR l PLAN CHECK FEE $ / / O 0 /_fit, 11 DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE L� , / 0 0 DBL ADDRESS CITY STATE ELECTRICAL FEE $ Q 0 1 $ 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 COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDJHE PLANS AND SPECIFI- TOTAL FEES $ CATIONS HAS DONE SO IN ACCORDANCE WITH S ION 5,41' OF THE B 6INESS AND 7 PROFESSIONS CODE OF THE STATE OF CALIFORNIA] CASH Q CHECK E�6e M.O. ❑ N.C. Q OWNER CONTRAC Received By ADDRESS ADDR SS — i Sewage System T LL P CITY CITY 61 Trees Required Yes No_1 45'a �f `T 1 INFORMATION TEL. NO. TEL. NO. IC SE cr k, = 6 3 FORM 284-208 (REV. 4/7I1 I e3lx�"