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200241 (SATT)EPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • 0 FIELD OFFICE REN. TRAILER FEE HEAVE�T�EE CONSTRUCTION ESTIMATE ELECTRICAL FEES f.� �� FFyfr Del. SPEC. INSP. FEE PLUMBING FEES DBL. I ST FL. ' 2ND Fl, POR. GAR. < CAR P. WALL SQ. FT. 0"� r NO. O� SQ. FT. @ NO. I�� SQ. FT. ± U MOTOR I OR LESS H.P. SO FT. @ I �' MOTOR 5 OR LESS H.P. J vi J - - J F SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ.FT. @ DRINKING FOUNTAIN A .-` "- .�. J - J - ..d.* _ A- - i O A M J J p S O SQ. FT' @ URINAL OK W. UNITS WATER PIPING j ESTIMATED VALUATION is ,d USE # JOB ADDRESS J OWNER FLOOR DRAIN MECHANICAL FEES d1) WATER SOFTENER VENT SYSTEM] FAN ❑ EVAP. COOL i1 HOOD SIGN - WASHER (AUTO IHSH) ) APPLIANCE f.i , #3 FORMER O K.W. PLAN CHECK FEE f GARBAGE DISPOSAL f ; '. ` FURNACE ❑ UNIT ❑ WALL CYFLOOR ❑ SUSPENDED OUTLETS f LAUNDRY TRAY CHECKED BY AIR HANDLING UNIT I CFM FIXTURE OR SOCKET N S � KITCHEN SINK f MECHANICAL FEE GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE , ""wry WATER CLOSET p. �j . COMPRESSOR HP F '� POLE DBL LAVATORY APPLIANCE VENT AMPERES SERV. ENT. LEGAL DES -RI ION - ,I SHOWER < jj"" ► ABSORPTION SYSTEM O B.T.U. SO. FT. @ Q �""jo BATH TUB .. I INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SO. FT. @ Q DBL % WATER HEATER HEATING SYSTEM 14- FORCED O GRAVITY SQ. FT. RESID. @ j SUPP. TO PERMIT ELECTRICAL FEE SEWAGE DISPOSAL f ,, .9 IJ BOILER 0 B.T.U. SQ. FT. GARAGE @/24 DBL HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE BONDS J GAS PIPING PIAN FILE p_ FINAL DATE TRAILER ISSUANCE FEE - PERMIT- FEE i PERMIT FEE f PERMIT FEE PER 0 � r REN. TRAILER FEE HEAVE�T�EE PL. CK. FEDEL CO��T. FF���e; DBL. f.� �� FFyfr Del. SPEC. INSP. FEE PLU �NG�F,�E DBL. GJ I�� J - - J F "___ M A .-` "- .�. J - J - ..d.* _ A- - i O A M J J p S O _ N D N D SET BACK LOT SIZE USE # JOB ADDRESS J OWNER d1) 4/3P— 790 - ZONE USE OF BUILDING DATE PLAN CHECK FEE f f ; '. ` , 3` f i s/ -y 'moi 07e /0" -7 f CHECKED BY COMMUNITY DISTRICT � N S � VAtI,UA�TyI.O�N rv�• �ll/ca. OF ICE MECHANICAL FEE t•� , ""wry p. �j . DBL GRO�IP TYPE LEGAL DES -RI ION - ERMIT NUM ER - CONSTRUCTION FEE f �°Id ` L �""jo .. 200 1 DBL PLAN CHECKER SUPP. TO PERMIT ELECTRICAL FEE f ,, t DBL BONDS BOND CASH PIAN FILE p_ FINAL DATE INSPECTOR PLUMBING FEE f q _ _D �3 � • �d- TRAILER PERMIT • f NAME OF. CONSTRUCTION LENDER - BRANCH OFFICE NLENDER ' 1, vOLV%D ISSUANCE FEEKZI r t ADDRESS CITY STATE ;� FEE f TOTAL FEES THIS PERMIT SHALL COME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION $ 1 OF WORK FOR 120 DA SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR- CASH Q CHECK M.O. N.C. Ej DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H•E STATE OF CALIFORNIA. I ALSO AGREE TO CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE , RECEIVED BY SEWAGE SYSTEM OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. LL 1324,115v IHEREBY CERTIFY THATTHEINDIVIDUALWHOPR RED E PLAVS AND SPECIFICATIONS HAS DONE ' SO IN ACCORDANCE WITH SECTION 5541 OF THE NE 'S D OIROFE 10 S COD F THE STATE f INFORMATION OF CALIFORNIA,i OWNER CONTRACTOR ADDRESS ADDRE _ 0 � - TEL. NO. '•� TEL. NO. �T L LICEN " FORM 284-208 (REV." 1-70) Os