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272543 (SFD)BUILDING PERMIT • CON STRUCTION°ESTIMATE 1ST FL. LI �%� SQ,FT. @ A r t 2ND FL. SO. FT. @ POR. SO. FT. p -3 GAR. 92-% SO. FT. @ S�sv CAR P. SO.FI. @ WALL $O. FT. @ DRINKING FOUNTAIN SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation WATER PIPING d MFC•HANIC'AI FFFC DEF Ml v i-�F BUILDING & SAFETY COUNTY OF RIVERSIDE. . i NO. ELECTRICAL FEES., UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT. SWIM POOI. COMM FIELD OFFICE VENT SYSTEM ❑ FAN DST f OWNER NO. PLUMBING FEES • SIGN CJf> p.ft n/ t� 1 tt YARD SPKLR SYSTEM WASHER (AUTO) IDtSHI BAR SINK 00 ROOF DRAINS ! r4 DRAINAGE PIPING _ 68 DRINKING FOUNTAIN URINAL GARBAGE DISPOSAL WATER PIPING d FLOOR DRAIN 'FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED WATFR SOFTFNFR UNITS VENT SYSTEM ❑ FAN ❑ EVAP. COOL JYHOOD OWNER 0 SIGN CJf> p.ft n/ t� 1 tt 75 WASHER (AUTO) IDtSHI F.C. JDATE 00 APPLIANCE ! r4 .fir 68 M H PERMIT FEE GARBAGE DISPOSAL $ 'FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED DST UNITS ROOMS VALUATION SU PP. TO PERMIT LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER I KITCHEN SINK L t� ABSORPTION SYSTEM 0 B.T.U. LEGAL DESCRIPTION �7 TEMP USE PERM SVC WATER CLOSET jI li c COMPRESSOR HP 00 POLE, TEMP/PERM DBL $ LAVATORY SET BACK LOT SIZE ZONE HEATING SYSTEM FORCED El GRAVITY Cf%Jp �f.)f) AMPERES SERV ENT 94? CK' Y r SHOWER BOILER B.T.U. tt� SQ FT @ a / BATH TUB- PLAN CHECK FEE 04) $ BOND AMT. PLAN NO. SQ FT @ C / "7 INSP TOR WATER HEATER D o O O SO FT RESID @!X y SEWAGE DISPOSAL DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED �� QO SQ FT GARAGE @ HOUSE SEWER PERMIT FEE ELECTRICAL FEE DBL $ ADDRESS CITY GAS PIPING MOBILE HOME PERMIT FEE I TOTAL 212'904' 31 / J F M A M ) J A $ O N D JOB ADDRESS/ % SP NO �7u�! OWNER 74 fil CJf> p.ft n/ t� 1 tt 75 USE OF PERMIT moi F.C. JDATE 1 r� �1�.� 5 4 3 T M 76 u�/r'�# �7 •rt �� M H PERMIT FEE $ COMMUNITY, DST UNITS ROOMS VALUATION SU PP. TO PERMIT OFFICE I MICROFILM FEE COPIES $ LEGAL DESCRIPTION �7 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE No. GRP TYPE CK' Y r F .2Gi Ste/ � .y L'r tt� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP TOR ,41)o O O y CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE . STRONG MOTION INSTRUMENTATION FEE $ �iyC�°_•.--i%D OWNER/AGENT'S SIGNATURE i ! d' CONTRACTOR / L/ FEE• $ ADDRESS '' Piz. "7-J -' oj'-; ` Pi v1,4- l .4 ,�� ADDRESS f i-'-. • PLUMBI NGFEE DBL $ CITY ZIP CODE 6 CITY ZIP CODE sa hl : 7" r � � G .' - TOTAL FEES *I$ TEL. NO. TEL. NO. LICENSE CASH CHECK ❑ M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA RECEIVED BY TREES REQUIRED t1f�N `� 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 SEWAGE SYSTEM,�'"x�d,,jj}} CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC T7 -/v LL P tbJlr AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) QP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE L OF THE STATE OF CALIFORNIA.