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SFD (272656)FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ashk COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS Ci � "MOBILEHOME SVC. '3 U POWER OUTLET SWIM POOL, PVT SWIM Pnni (Y1MM NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN %A/GTFR Ch FTFNFD DST VENT SYSTEM ❑ FAN CONSTRUCTION ESTIMATE ' I ST FL. 1,12--,161 SQ.FT. @4/2 2ND FL. SO. FT. @ POR. &rv"O '•. SQ. FT. @ c✓ �- ` GAR. SQ. SQ. FT. @ CARP. SOFT. @ WALLSO. FT. @ SQ. FT. @ ' 2656 ESTIMATED CONSTRUCTION VALUATION $� NOTE: Not to be used CIS property tox valuotion MF("HANI('AI FF'FC NO. ELECTRICAL FEES UNITS Ci � "MOBILEHOME SVC. '3 U POWER OUTLET SWIM POOL, PVT SWIM Pnni (Y1MM NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN %A/GTFR Ch FTFNFD DST VENT SYSTEM ❑ FAN ❑ EVAP. COOL Z HOOD z0 u SIGN iii" f 1�1 S� �rJ f WASHER (AUTO) (&M M APPLIANCE 0, •,,77✓J' k�f/n�)'.'7 �Cf JDATE�r^�'"� 2656 M H PERMIT FEE GARBAGE DISPOSAL $ FURNACE ❑ UNIT ❑ WALL ❑ FLOORj0 SUSPENDED DST UN Is ROOMS VALUATION SUPP. TO PER LAUNDRY TRAY AIR HANDLING UNIT CFM i,-, 11 IDLE METER I 0 KITCHEN SINK t ABSORPTION SYSTEM B.T.U. LEGAL DESCRIPTION74 TEMP USE PERM SVC WATER CLOSET MECHANICAL FEE COMPRESSOR HP %tj POLE, TEMP/PERM - C LAVATORY TYPE CK BY HEATING SYSTEM E]. FORCED ❑ GRAVITY �,i I)o AMPERES SERV ENT a-; SHOWER !J BOILER B.T.U. PLAN CHECK FEE SQ FT @ ¢ BOND AMT. BATH TUB PLAN CHECKERFINAL J SQ FT C@ / a / WATER HEATER CONSTRUCTION FEE DBL $ SQ FT RESID I(y }FrA OFFICE NO LENDER INVOLVED SEWAGE DISPOSAL SQ FT GARAGE 'q;oc �� (j $ HOUSE SEWER ADDRESS CITY PERMIT FEE ') r; 41 3r� / qv 1 .f t GAS PIPING STRONG MOTION MOBILE HOME PERMIT FEE Is I I % PERMIT FEE' j PERMIT FEE _URIT NO. TOTAL FEES 'JMOB. HM.FEE MICRq.FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE I DBL. ELECT. FEE DBL. SMI FEE _ FEE PLUMB. 36.0 27265d/75;' J I F I M I A I M I J J A 1 $ 1 O N I D LOB ADDRESS SP NO OWNER 74512-`12-/ ,4,' F% iii" f 1�1 S� �rJ f PERMITSE OF u���I PEI` 76 •,,77✓J' k�f/n�)'.'7 �Cf JDATE�r^�'"� 2656 M H PERMIT FEE $ COMMUNITY ! DST UN Is ROOMS VALUATION SUPP. TO PER OFFICE i,-, 11 I I ?l X6 MICROFILM FEE COPIES $ LEGAL DESCRIPTION74 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEUSE 1p-/ NO. l GRP TYPE CK BY "7015 - - ,7 0 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE IINSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE/ ') r; 41 3r� / qv 1 .f t '/ STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONfR L..�',-*� Yk-- INSTRUMENTATION FEE C %1 CoL $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. TEL. NO. LICENSE CASH ❑ 5HECK;8 M.O. ❑ N.C. ❑"If ,rS THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 1120 DAYS. CESSA �!' TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY 1 TREES REQUIRED f 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 AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE SEWAGE SYSTEM n �' n / %! 1 F/ Ll P" I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (ReY. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE . 1 OF THE STATE OF CALIFORNIA.