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217663 (PLBG)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET 0 COUNTY OF RIVERSIDE FIELD OFFICE VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL GARBAGE DISPOSAL SQ. FT. @ NO. NO. SQ. FT. @ FIXTURE OR SOCKET SQ. FT. @ MOTOR 1 OR LESS H.P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL SQ. FT. @ MOTOR 5 OR LESS H.P. i- pi«r SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL K.W. UNITS WATER PIPING ESTIMATED VALUATION $ /! /*� r! FLOOR DRAIN WATER HEATER MECHANICAL FEES SQ. FT. RESID. @ 1 (r e. IWATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER K.W. GARBAGE DISPOSAL FURNACE❑UNITE] WALL❑FLOOR❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNITI CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR E:m= HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM C:� B.T.U. SQ. FT.9 Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ T. WATER HEATER HEATING SYSTEM ❑ FORCED [:)GRAVITY SQ. FT. RESID. @ 1 (r e. SEWAGE DISPOSAL BOILER B.T.U. SQ. FT. GARAGE @ 'z ¢ ctlio HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ I I I I /' IPERMIT FEE I ..7�L'�/ I PERMIT FEE I A11711% 1 PERMIT NUMBER � � MOB. HOOK FEE HEAT & VENT FEE DBL PL. CK. FEE CONST. FEE DBL E�C. F DBL FEE PL�BIN�FEE DBL J J J F I M I A M J J A S O N D JOB ADDRESS OWNER 7249-012 Coachella Drive Huber . Ted 73 USE OF BUILDING F.C. DATE PEIjrAI� Ng 74 Sprinkler teats 10-24-72 7 6 6 3 75 COMMUNITY DST UNITS�ROMJLU O ATION�..b SUPP. TO PERMIT OFFICE AT0 76 int MOBILEHOME $ LEGAL DESCRIPTION HOOKUPFEE Lots $ — 1 in ! Golf itf I• DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $ I I I F 5 R _ Avers BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPPTOR PLAN CHECK FEE $ I ;LI -75 i L CONSTRUCTION FEE DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER 114; IO ..VED 1.// DBL ADDRESS CITY STATE ELECTRICAL FEE $ $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF- DBL PLUMBING FEE /� I ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. c. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO. PREPARED THE PLANS AND SPECIFI- FEES j j TOTAL $ / ©11 iJ CATIONS HAS DONE SO IN ACCORDANCE WITHAECTION 5541 QF THE OUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. J CASH CHECK � M.O. [DN.C. OWNER NTR°AGO Received By / ADDRESS ADDRESS G ,l! Sewage System T LL P , 1 Trees Required Yes No CITY CITY /,� � L /10.5 r 3/.- CCAS �'4 INFORMATION TEL. NO. TEL. NO. LICENSE / 477Z,114v � FORM 284-208 (REV. 4/71) a a e/ eQ,