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260701 (BLCK)BUILDING PERMIT 0 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE a FIELD OFFICE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ABSORPTION SYSTEM 0 B.T.U. 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL 7 ESTIMATED CONSTRUCTION SOFT. @ UNITS POLE, TEMP/PERM SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO.FT. @ DRAINAGE PIPING i SO. FT. 7 DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ " WATER PIPING NOTE: Not to be used as property tox valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER j I VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑HOOD SIGN WASHER (AUTO) (DISH) PERMIT NO. `26070 APPLIANCE MOB. HM.FEEMICRO GARBAGE DISPOSAL 0 tJ FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED JOB ADDRESS r SP NO LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 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. SQ FT @ ¢ BATH TUB COMMUNITY SQ FT @ ¢ WATER HEATER ROOMS SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL OFFICE SQ FT GARAGE @ 1/7¢ HOUSE SEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO. `26070 TOTAL FEES �� MOB. HM.FEEMICRO FEE MECH. FEE DBL. PL CK. FEE CONST. FEE DBL. ELECT. FEE JDBL. SMI FEE- FEE PLUMB. FEE JDBL ' J F M A M J J A S Q N D JOB ADDRESS r SP NO OWNER 35 OF PERMIT F.C. DATE P 76 L� fT_N 0701 �� — 26 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE D YZ - c. MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE1777 P TYPE 'y BY I ;x `" F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER F A A SPECTOR %6 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BR CH OFFICE NO LENDERINVO/L !� i� r✓ ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR " f INSTRUMENTATION FEE (-J& �� •�`� $ ADDRESS ADDRESS FEE �_r� ✓' Y' CJ PLUMBING FEE DBL $ clrY ZIP CODE CITY `ff ZIP CODE I� '7 T r r ^U TOTAL FEES $ / �o �j TEL. NO. ! TEL. NO. LICENSE z CASH ❑ CHECK [e M.O- ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA /TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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 /1 AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI f - TC LIC 1llCll01.II A 11\/CD11.1111AIT.A 111.1Z If A I f111 IA DA AITCC1l I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE �I OF THE STATE OF CALIFORNIA.