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260065 (RER)10 APPLIANCE FIELD OFFICE OWNER BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY GARBAGE DISPOSAL COUNTY OF RIVERSIDE USE OF PERMIT .. F.C. DATE LAUNDRY TRAY DST AIR HANDLING UNIT CFM v.�� IDLE METER CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES f' ABSORPTION SYSTEM B.T.U. I ST FL. g* 4-;-Z SQ.FT. @ </ / 3 �!� -- UNITS TEMP USE PERM SVC 1 2ND FL. SO. FT. @ YARD SPKLR SYSTEM COMPRESSOR !tKHP I POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK ✓ GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS HEATING SYSTEM K FORCED ❑ GRAVITY I CAR P. SQ.FT. @ DRAINAGE PIPING WALL SQ. FT. @ DRINKING FOUNTAIN BOILER � B.T.U. // perjl2%�C NASO. FT. @ .`1 Ccs < b URINAL ESTIMATED CONSTRUCTION VALUATION $ x,WATER PIPING ' NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN ' MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER $ VENT SYSTE .I?lf FAN ❑ EVAP. COOL A HOOD SIGN Vb (AUTO) (DISH) SEWAGE DISPOSAL 10 APPLIANCE JOB ADDRESS SP NO OWNER 74 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED USE OF PERMIT .. F.C. DATE LAUNDRY TRAY 76 AIR HANDLING UNIT CFM v.�� IDLE METER KITCHEN SINK f' ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC 1 WATER CLOSET VALUATION COMPRESSOR !tKHP OFF%JGE POLE, TEMP/PERM ✓ LAVATORY HEATING SYSTEM K FORCED ❑ GRAVITY old AMPERES SERV ENT SHOWER !/ BOILER � B.T.U. SQ FT @ a BATH TUB SQ FT @ a WATER HEATER COPIES $ SQ FT RESID @ l a' a r SEWAGE DISPOSAL SQ FT GARAGE @ '/7¢ DBL HOUSE SEWER PERMIT FEE 4,4 1 USE NO. GAS PIPING TYPE CK BY MOBILE HOME PERMIT FEE Is IPERMIT fJ Y FEE //00 PERMIT FEE PERMIT NO, 26006 TOTAL FEES > MOB. HM.FEE MICRO FEE MECH. FEE yM DBL. PL. CK. FEE / .� CONST. FEE �� � DBL. ELECT. FEE DBL. SMI FEE � FEE PLUMB. FEE iso DBL. J F M A M J J A S O N D JOB ADDRESS SP NO OWNER 74 .. O Y.S` eA I -/ 4 Lair I 1121 75 USE OF PERMIT .. F.C. DATE PERMIT NO. 260065 76 ,c-��►-o ,�s�vz i� tdr v.�� - z M H PERMIT FEE $ COMMUNITY DST UNITS UNITS ROOMS VALUATION SUPP. TO PERMIT OFF%JGE MICROFILM FEE COPIES $ LEGAL DE CRIPTIONI��r E5 f,"t C'/u� MECHANICAL FEE DBL $ SET BACK SIZE ZONE USE NO. GRP TYPE CK BY - fJ Y F .wLOT -1 R./ 0 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS ECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ Lf k3 OW/N-E�R/A ENT'S SIGNATURE (�`/ CONT TO ?k ��/ FEE $ ADDRESS -2,f? ADDRESS PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ V r S TEL. NO. TEL. NO. LICENSE S 2 V CASH ❑ CHECK M.O. ❑ N.C. Cl HIS PERMIT SHALL BECOME VOID IF WOR CN C,OM f 20 DAYS. CESSA 4fN OF WORK FOP 120 DAYS SHALL ALS USE PERI,,j/f0 BECOME ID. RECEIVED BY TREES REQUIRED 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 P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I AEA/C (IC TUC CTATC nc rAI IC(lDKI1A rn\/CDIKI(_ ('(IKITDA(Tn DC IC AI C(l (_I IA DA I\ITFFr) I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE 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 OF THE STATE OF CALIFORNIA.