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260445 (RR)BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Id I: NO. I ELECTRICAL FEES UNITS 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 IAUTOI (DISH) APPLIANCE CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO.FT. @ I WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTR CTION VALUATION $ NOTE: Not to be used as property tox voluation I MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD I: NO. I ELECTRICAL FEES UNITS 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 IAUTOI (DISH) APPLIANCE 'JOB ADDRESS SP NO `S 6.A 4_c.C-_ cl OWNER �0 P, GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 01.W r --D 7- LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. ROOMS SQ FT @ a BATHTUB OFFICE SQ FT @ a WATER HEATER SQ FT RESID @ 1 a SEWAGE DISPOSAL I SQ FT GARAGE @ 1/2a HOUSE SEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO. 260445 lL F�E�S ��- MOR. HM.FE.E MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE cft,4� DBL. ELECT, FEE DBL. SMI FEE FEE PLUMB FEE DBL. J I FM A M J J A S O N D 'JOB ADDRESS SP NO `S 6.A 4_c.C-_ cl OWNER �0 P, 74 01.W r --D 7- 75 USE OF PERMIT } fcJic jt rs /w F.C. DATE PERMIT NO. 76f „��r��T� <� -r��1260445_ M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE I MICROFILM FEE COPIES $ LEGAL DESCRIPTION ,GATS L '.3t 5cri'T (_Lc.c�3 f - TQC C-GvZ- MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY F 5 A`�a� PLAN CHECK FEE $ `= BOND AMT.IPLAN tN CHECKER FINAL DATE INSPECTOR / P. CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY _ S STRONG MOTION $;L OWNER/AGENT'S SIGNATURE INSTRUMENTATION FEE / isL c --TS C-3-0 57, $ ADDRESS ADDRESS FEE?rX i tJ -�;- f + -a G' [ PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ Y TEL. NO. TEL NO. LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSA TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY t TREES REQUIRED ric 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 FP AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI %ATC iI C TUC CT ATC l EI Al lC/IDAIIA!-/ %icmmr, nNITOAt rNOC IC A I Cnr-I IA DA AITCCII I I 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 L FORM 284-208 (Rev. 10-74) Qr L OF THE STATE OF CALIFORNIA.