Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
260335 (BLCK)
I0 FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY AshL COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SO.FT. @ WALL 6 qPrZ,0V SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax voluotion MECHANICAL FEES VENT SYSTEM ❑ FAN Cl EVAP. COOL ❑ HOOD NO. I ELECTRICAL FEES UNITS T MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN NO.I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI IDISHI 1 APPLIANCE JOB ADDRESS SP NO JOWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Cil�%� 3 7A'V /L LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. ROOMS SQ FT @ a BATH TUB OFFICE SQ FT @ ¢ WATER HEATER SOFT RESID @ 1¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO. 26033 • TOTAL FEES M08. HM.FL`E MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE � �° DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J I A S 1 Q 1 N I D JOB ADDRESS SP NO JOWNER 74 Qct L $/ Cil�%� 3 7A'V /L 75 USE OF PERMIT%% � l F, C. DATE 9-a- PERMIT NO. 260335 76 1 s-6:,IP.DEN �; M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE L MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CR BY /�I �/ FS R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE NSPECTOR /V --a3 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 0 © lI ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE,_,-' �K,A_ ^' i CONTRACTOR INSTRUMENTATION FEE /�!y'� cJf'T� $ ADDRESS - ADDRESS FEE JIV , 'Al A�'/E i3l3 PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. TEL. NO. LICENSE' `1 CASH CHECK p M.O. ❑ N C ❑ 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. 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 SEWAGESYSTEMCORDANCE T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE IN %A/C ! C TUC CT A TC / c (-AI ICP DNIIA Cn%ICDIAD_ CKITDArTl1DC IC AI rn t,l IA DA NITCCII I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.