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206289 +215609 + 245501 (RIV CNTY)48901 Avenida Anselmo BUILDING PERMIT _ DEPARCOUNTY OF OF RIIVERSIDESAFET r i _ _ _ _ _ FIELD OFFICE IIIIIIIIIIIIIIIIIIIIIIII 78 IE i WASHER (AUTO*ISH) ESTIMATE ELECTRICAL FEES PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL /CONSTRUCTION ✓r / ✓S 0 SQ. FT. @ I3 . 6 NO. NO. SQ. FT. @ AIR HANDLING UNIT CFM SQ. FT. @ MOTOR 1 OR LESS H.P. I SQ. FT. @ MOTOR 5 OR LESS H.P. +^ SQ. FT. @ dO MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ I JORINKING FOUNTAIN SQ. FT. @ JURINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION $FLOOR LEGAL DESCRIPTION C !/— L j% f7 Z/1 , 6,!g:. DRAIN ABSORPTION SYSTEM E== B.T.U. 2 MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN ❑ EVAP. COOL LN HOOD SIGN T FEE = WASHER (AUTO*ISH) APPLIANCE ,{'/ TRANSFORMER OK•W• PERMIT PERMMITNUMBER OBVLYUM 2.0 GARBAGE DISPOSAL l FURNACE❑UNIT ❑WALLFLOOR(:) SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET I KITCHEN SINK ,•"" GAS PIPE ❑ NATURAL L.P.G. ❑ OIL CONST. SERV. ENTRANCE DOM WATER CLOSET e COMPRESSOR HP POLE LAVATORY ev APPLIANCE VENT 120a AMPERES SERV. ENT. LEGAL DESCRIPTION C !/— L j% f7 Z/1 , 6,!g:. SHOWER ABSORPTION SYSTEM E== B.T.U. SQ. FT.@ q BATH TUB 1 INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM. SQ. FT.@ q. USE NO. WATER HEATER r' HEATING SYSTEM IK FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 q F S S R SEWAGE DISPOSAL .-- BOILER B.T.U. SQ. FT. GAR AGE @ z q n HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE FINAL DATE INSPE /0 • 30 '% _ GAS PIPING ► E HOOKUP U/yJ IPE/iR~ MI I$ I I I I T FEE = — / I PERMIT FEE/ s I ;I ---- PERMIT PERMMITNUMBER OBVLYUM 2.0 P /JFEE LFEE5 MOB.HOOK FEE 8.HEAT VVE EDLPL. l 1 j CK. IE rC d ^Y I ) CONST. FEE I DLFEE y PLUMBING FEE DBL DOM VALUATION 3 0 279/ $ LEGAL DESCRIPTION C !/— L j% f7 Z/1 , 6,!g:. MECHANICAL FEE DBL $ 71 SET BACK J F M A M J J A S O 72 N D JOB ADDRESS - e, vw. A., c i v OWNER vete G o. 73 74 USE F BUILDING G . <j% ✓1 TT. 0A) Rjp,9 7 F.C. op DATE &_,2` a IGS PERr T06289 O6 2 8 9 75 76 COMMUNITY rr DST T I UNITS DOM VALUATION 3 0 279/ SUPP. TO PERMIT OFFICE MOBILEHOME HOOKUP FEE $ LEGAL DESCRIPTION C !/— L j% f7 Z/1 , 6,!g:. MECHANICAL FEE DBL $ 71 SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F S S R PLAN CHECK FEE ' $ n BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPE /0 • 30 '% _ TOR CONSTRUCTION FEE DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVO VED ELECTRICAL FEE DBL $X59 aiG1 ADDRESS CITY - a STATE tNOT FEE $ r THIS PERMIT SHALL BECOME VOID IF WORK IS COMMENCED WITHIN 60 DAYS. CESSATION 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 ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRA; RS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED,THEIPLANSXv D ECI (- CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5 d F H US SS D PROFESSIONS CODE OF THE STATE OF CALIFORNIA. PLUMBING FEE DBL $ 347 J TOTAL FEES $ ', V - ^/ CASH ❑ CHECK Ep M.O. ❑ N.C. 0 OWNER CON ;RAC OR ,. / Received By ADDRESS A RESS / -` / c Sewage System T LL P / 14 1 CITY CITY Trees Required Yes No INFORMATIONf TEL. NO. TEL. NO. LICEJJ E FORM 284-208 (REV. 4/71) BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Ah COUNTY OF RIVERSIDE Ah CONSTRUCTION ESTIMATE 1 ST FL. SO.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ r ! GAR. SQ. FT. @ CAR P. SO.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES 41—T CVCTC\♦ M -1 m C\/AD rnnl rl Hnnn NO. I ELECTRICAL FEES UNITS 1 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN NO.] PLUMBING FEES BOILER B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) I� APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM j B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ 1a SEWAGE DISPOSAL SQ FT GARAGE @ '/za HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE `� PERMIT FEE PERMIT FEE PERMIT NO. TOTAL F S � �.� MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE baa DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE OBL. J- I F I M A I M I J J A -I S 1 O 1 ND JOB ADDRESS ,¢ �j i SP NO OWN R 74 USE OF PERMIT lttei 11e F. C: DATE PW �%7s N . M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL D CRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONNE�� �Y^., j J ii USE NO. GRP TYPE 0�� F 5 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE`�/� �f vQ IijINSPECTOR 4? - I CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ 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. 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 LAWSOF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS'ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES � $ �,.. %.j � OWNER/AGEN 'S SIGNATURE .. \ CONTRACTO I IIIIIII VIII III VIII )III 79 ADDRESS IE CASHCVECK ❑ M.Q. ❑ N.C. ❑ ADDR Ile -9r)! 4,j,: 4,vr lx -..o RECEIVED BY TREES REQUIRED SEWAGE SYSTE LL P CITY ZIP CODE � ,[ E Pz/,i1/JI C� CITY ZIP CODE INFORMATION FORM 284208 [Rev. 9.731 ©S !I �� TELL. NO. t.� .. "/C -O/ TEL. NO. LICENSE I�