Loading...
272548 (AR)BUILDING PERMIT DEPARTMENT 'OF BUILDING $ SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE , , NO. ELECTRICAL FEES 1 CT El FT F ///Cr •. r_, ."L 'l ;112 I IUNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN • URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST /1 APPLIANCE 1011 ADDRESS SP NO OWNER 2ND FL. GARBAGE DISPOSAL SQ. FT. @ POR. USE OF PERMIT els ��/✓L li t J-�j+ �f /� SO. FT. @ GAR. CFM SO. FT. @ CAR P. KITCHEN SINK SQ.FT. @ WALL TEMP USE PERM SVC SQ. FT. @ WATER CLOSET COMPRESSOR HP SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $- NOTE: Not to be used os property tax valuation HEATING SYSTEM ❑ FORCED O GRAVITY MECHANICAL FEES VENT SYSTEM ❑ FAN O EVAP. COOL ❑ HOOD MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN • URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST /1 APPLIANCE 1011 ADDRESS SP NO OWNER 74 1 1J; GARBAGE DISPOSAL FURNACE O UNIT O WALL O FLOOR O SUSPENDED 75 USE OF PERMIT els ��/✓L li t J-�j+ �f /� LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER DwA �i/�lr ra/ KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM UNITS LAVATORY HEATING SYSTEM ❑ FORCED O GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. SQ FT @ a BATH TUB I SQ FT @ ¢ WATER HEATER MICROFILM FEE COPIES tly SQ FT RESID @/3-4J SEWAGE DISPOSAL SQ FT GARAGE @ IF,a HOUSE SEWER PERMIT FEE DBL $ GAS PIPING MOBILE HOME PERMIT FEE 5 USE NO. / PERMIT FEE PO PERMIT FEE 2R1T jJQ.4 TOTAL F�EyES MOB. HM FEE MICRO FEE MECH. FEE DBL. �L CK. FEE CONST FEE PBL. ELE/CT. FEE DBL. S/MI FEE FEE PLUMB FEE DBL. J J I F I M A I M IJ J A S Q N D 1011 ADDRESS SP NO OWNER 74 1 1J; -11,/e, ,#ue ��F_/'1: r +C' 75 USE OF PERMIT els ��/✓L li t J-�j+ �f /� F.C. DATE PE I O. 76 DwA �i/�lr ra/ ;-,�0 272548 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMITOFFICE I I MICROFILM FEE COPIES $ LEGAL DESCRIPTION PAI - %gy-,g "-X/ - 01 t i -/ - f',1- .9 !. -If Af7-4 Prlr r+ MECHANICAL FEE DBL $ SET)BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY DIS PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE f JINSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED a. y 40 /--- ELECTRICAL FEE DBL $ ADDRESS CITY �' �� STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE Iq d FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE ,(} TOTAL FEES $ /� U TEL. NO. TEL.NO. LICENSE I—/ 7 --, / f / d t ' L� —i 7 CASH O CHECK, M.O. ❑ N.C. O y� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA• y[;PON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED 1 J 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 SEWAGE SYSTEM T LL P �, AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE A1C—TUC CTArC—(-Aii n —1--T—C Ic Al cry—IAD-1 C, I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) O► L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.