Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
272056 (MISC)
BUILDING PERMIT = DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE. - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Fa NO. PLUMBING -FEES I ST FL. • 2ND FL. FOR. "' GAR! CAR P. WALL SQ.FT. @ 'UNITi r ' {£ai-��fi�Jf, SO. FT. @ - - ' YARD SPKLR SYSTEM SQ. FT. @ F' MON LEHOME SVC. BARSINK SQ. FT. @ i POW=R OUTLET ROOF DRAINS SO.F7. @ DRAINAGE PIPING SQ. FT. @ - DRINKING FOUNTAIN SO. FT, @ ESTIMATED CONSTRUCTION VALUATION $ 0 B.T'.U. URINAL WATER PIPING NOTE: Not to be used os property tax voluotion SWIM POOL, PVT, FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER POLE-TEMP/PERM VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD. SIGN 71 1 WASHER (Aural IDISHI DST J F M A M J J A S O N D APPLIANCE OWNER —1.1-1 74 ,{) 1 JJ 4 �� ;$ /'��t #19,11-14MAI ✓ l GARBAGE DISPOSAL USE OF PERMIT FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED {£ai-��fi�Jf, f ©( LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE AETER M H PERMIT FEE KITCHEN SINK ABSORPTION SYSTEM 0 B.T'.U. TEMP: USE PERM SVC VALU/TION WATER CLOSET OFFICE COMPRESSOR HP POLE-TEMP/PERM LAVATORY HEATING SYSTEM Cl FORCED ❑ GRAVITY AMP RESSERV ENT SHOWER BOILER O'B.T.U. SQ FT @ ¢ BATH TUB SQ FT @ ¢ COPIES $ WATER HEATER LEGAL DESCRIPTION - SQ FT RESID @ 1 ¢ x_(=17 0-5-/ ;:v - 71,) - ;zo SEWAGE DISPOSAL DBL $ 34 FT GARAGE @ 'h¢ LOT SIZE ONE HOUSE SEWER GRPTYPE 'PERMIT FEE CK BY ' GAS PIPING MOBILE HOME PERMIT FEE Is I I PERM IT FEE f f't PERMIT FEE *5 2 -WR IT O. TOTAL FEES �J �-= MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. C-(. FEE CONST. FEE DBL. ELECT. FEE ®� DBL. SMI FEE FEE PLUMB.. FEE DBL. J F M A M J J A S O N D JOB ADDRESS " ,/' j i SP NO I,�+�x-II✓( �% OWNER —1.1-1 74 ,{) 1 JJ 4 �� ;$ /'��t #19,11-14MAI ✓ l ]cj USE OF PERMIT F.C.DATE I O. PE2'702 M H PERMIT FEE $ COMMUNITY DST UNITSROOMS VALU/TION SUPP./TO PERMIT r! OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION - x_(=17 0-5-/ ;:v - 71,) - ;zo MECHANICAL FEE DBL $ SET BACK LOT SIZE ONE USE NO. GRPTYPE , CK BY ' /ly,r F 5 R PLAN CHECK FEE $ BOND AMT.. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH CFFICE NO LENDER IN OLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE �D STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE FEES_ $ ADDRESS ADDRESS , Jl)Z) 0 PLUMBING FEE DBL $ CITY ZIP CODECITY ZIP CODE oo TOTAL FEES $ /. �� •J G►G7 TEL. NO. - TEL NO. l LICENSE 0 -� © •� T,�f —j % ✓2 �% CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA �-V�01\1 1,3OF WORK FCR 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 ALSC RECEIVED BY, l �''¢"� TREES REQUIREDc SEWAGE SYSTEMLLLiv TAGREE IF TO CARRY :OMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI \AIC IIC TUC CT nIC (1C( . nnu n /•ll\/CM I/• !•l1 f,IT -Tl1nC IC n I CA /"I IA nA I.TCCn I HEREBY CERT FY THAT THE•INDIVIDUAL WHG 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 I OF THE STATE OF CALIFORNIA.