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230121 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO TOTAL FEES 1216 MELD OFFICE CONSTRUCTION ESTIMt>TE;,,� �..--_ DBI. ,..ELECTRICAL„FEE..S,..: ELECT. FEE DBL. PLUMBING FEES DST I ST FL. g2 0 A SQ. FT. @ i 2ND FL.SD. FT. @ SQ. FT. GAR. 1iCE SQ.FT. @ z . CAR P. SQ. FT. @ WALL SQ.FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NO. 4 MOTOR I OR LESS H.P. fPOR. MOTOR 5 OR LESS H.P. ' MOTOR 20 OR LESS H.P. O K.W. UNITS NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING i 1 W .; NOTE: Not to be used as property tox valuation 01 74 1 1+ FLOOR DRAIN USE OF BUILDING Cond.El .% att/ ara MECHANICAL FEES C. DATEPERM 6-4-73 N (� 1 U P 21 75 WATER SOFTENER VENT SYSTEM.- "©HOOD $ SIGN COMMUNITY La 4vinta WASHER (AUTOjfDISH) UNITS .1 APPLIANCE •0 FORMER D K.W. / GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ SPENDED OUTLETS MECHANICAL FEE LAUNDRY TRAY $ •- AIR HANDLING UNIT I CFM SET BACK FIXTURE OR SOCKET — KITCHEN SINK GRP GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CK BY . CONST. SERV. ENTRANCE PLAN CHECK FEE WATER CLOSET COMPRESSOR HP POLE PLAN NO. LAVATORY fi APPLIANCE VENT CONSTRUCTION FEE AMPERES SERV. ENT. °' SHOWER ” ABSORPTION SYSTEM B.T.U. OFFICE .NO SO. FT. @ Q ` BATH TUB w _ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. T//� SQ. FT. @ d 0 WATER HEATER SMI FEE _ HEATING SYSTEM ILFORCED ❑ GRAVITY too SQ. FT. RESID. @I SEWAGE DISPOSAL j FEE _ BOILER 0 B.T.U. $'THIS SQ. FT. GARAGE @11,1 PLUMBING FEE HOUSE SEWER $ PERMIT FEE O BALANCE OF MIN. FEE i GAS PIPING p MOBILE HOME HOOKUP FEE Is I PERMIT FEE r PERMIT FEE �sl3 2.IT JU NO TOTAL FEES 1216 MOB. HK. FEE MICRO FEE MECH. FEE DBI. PL. CK. FEE CONST. FEE DBL. % ELECT. FEE DBL. I SMI FEiE FEE PLUMB. FEE DBL. '39 J I F I M- _A I M I J I J A I S 1 O 1 N I D JOB ADDRESS_ — 78-060 .Lao Circle OWNER - -- ELI= Co" 73 74 1 1+ USE OF BUILDING Cond.El .% att/ ara F. �01 C. DATEPERM 6-4-73 N (� 1 U P 21 75 M.H. HOOKUP FEE $ COMMUNITY La 4vinta DST 11 UNITS .1 ROOMS VALUATION 35 -149. CC SUPP. TO PERMIT OFFICE MICROFILM FEE 'COPIES $ LEGAL DESCRIPTION Lot -17 01` Tr' -3941 MECHANICAL FEE DBL- $ •- SET BACK LOT SIZE ZONE — USE NO. -I VAV-_ -n1hj GRP TYPE CK BY . F S R PLAN CHECK FEE $• BOND`AMT. PLAN NO. PLAN CHECKER FINAL DA E INSPECTOR Cep o?, - 'LJ CONSTRUCTION FEE DBL $, NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED ELECTRICAL FEE DBL $�/� T//� ADDRESS CITY STATE /I9sP7- 3 SMI FEE $ -PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 60 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 LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAR��EaTHE PLANS AN PECIFICA'ONS HAS DONE SO INE CCORDAONNEpE WITH SECTION 5541 C(F�HFif J_SI SS FS ONS CQDF OF THE STATOWNER, FEE $'THIS PLUMBING FEE DBL $ TOTAL FEES $ ,° 7 CASH ❑ CHECK Qa.- M.O. ❑, N.C. ❑ CONTRACTOR R RECEIVED BY P ADDRESS A RE95• ! t � SEWAGE SYSTEM T LL P TREES REQUIRED YES NO CITY - _ CITY - INFORMATION FORM 284-208 (Rev. 111721 TEL. NO. - TEL. `N_O.. y� ^a g,LICENSE 346-6002 225368 '