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260771 (CP)
BUILDING PERMIT 7-.- -,- - - - DEPARTMENT OF BUILDING & SAFETY I COUNTY OF RIVERSIDE 3 * •CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO " I ST FL- '0 f UNITS .,cry-- � -,� F. 2NDfL. SQ iFT i@ POR. - SQ" fT. p MOBILEHOME SVC. GAR. SQ. FT. @ POWER OUTLET CAR P. SOFT. @ !WALLSO. FT. @ G 6i'imo %?nn SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ 7"-,6;0 NOTE: Not to be used CIS property tax valuation SWIM POOL, PVT MECHANICAL FEES SWIM POOL. COMM 1J !? VENT SYSTEM O FAN ❑ EVAP. COOL O HOOD SIGN r#3 FIELD OFFICE PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING 2 U FLOOR DRAIN t �� WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE 108 ADDRESS-- SP NJ UWNtH - 7a ,,rre.y' W-%G!J f bite/i�� %i!Z GARBAGE DISPOSAL 75 USE.IOF PERMIT e' FURNACE O UNIT ❑ WALL ❑ FLOOR O SUSPENDED P M N X0771 76 e f->.� LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER COMMUNITY �Iia.a/TA KITCHEN SINK ROOMS ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET T '4 COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY MICROFILM FEE COPIES HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT LEGAL DESCRIPTION SHOWER BOILER 0 B.T.U. MECHANICAL FEE SQ FT @ ¢ $ BATH TUB LOT SIZE ZONE USE NO, GRP SQ FT @ ¢ CK BY WATER HEATER j <J SQ FT RESID @ 1¢ SEWAGE DISPOSAL F 3(S IR PLAN CHECK FEE SQ FT GARAGE @ 'h¢ BOND AMT. HOUSE SEW -SP -7-", J" UG PERMIT FEE FINAL DATE INSPECTOR (r, GAS PIPING MOBILE HOME PERMIT FEE $ / % PERMIT FEE 00 $ PERMIT FEE Lr4) PERMIT NO. 260771 TOTAL FEES . MOB. HM.(CE MICRO FEE MECH. FEE DBL. PL. CK. FEE G= CONST. FEE 1�{)F=u DBL. ELECT. FEE flrl; DBL. SMI FEE 419 FEE PLU MB�,EE ' JDBL. J I F I M A I M I J I J A I S 1 Q 1 N I D 108 ADDRESS-- SP NJ UWNtH - 7a ,,rre.y' W-%G!J f bite/i�� %i!Z ,.�; l�ri/Th �t/I �j'r/I!✓.TA 75 USE.IOF PERMIT e' F.C. DATE P M N X0771 76 e f->.� M H PERMIT FEE $ COMMUNITY �Iia.a/TA DSTUNITS ROOMS VALUATION ISUPP. `u TO PERMIT OFFICE T '4 d1 � MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO, GRP TYPE CK BY F 3(S IR PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR (r, nv / CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER VED /4 00 F ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ �� OWNER/AGENT'S SIGNATURE CONTRACTOR %�Q%���° P no FEE $ ADDRESS ADDRESS ' ?;? `D© tat PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE II N'01 L3 4 t TOTAL FEES $ J TEL. NO. �4% TEL. NO. LICENSE 1 .ne.��fJ -� -�. •+ / CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BYTREES 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 r SEWAGE SYSTEM T ILL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE AlA/C II C T IJ C CT A T C /1 C f Al lC 11 D 11A!' %/ fin[!`/-AITnDC IC Al Cnr AOAKITCCn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284.208 (Rev. 10-74) @L HAS DONESO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.