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219631 (AR)BUILDING PERMIT SIGN DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE APPLIANCE FIELD OFFICE GARBAGE DISPOSAL CONSTRUCTION ESTIMJE OUTLETS ELECTRICAL FEES AIR HANDLING UNITI CFM PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL GAS PIPE ❑ NATURAL .❑ L.P.G. ❑ OIL SQ. FT. WATER CLOSET NO. POLE NO. SQ. FT. @ AMPERES SERV. ENT. SQ. FT. @ MOTOR 1 OR LESS H.P. ABSORPTION SYSTEM B.T.U. SQ. FT. @ MOTOR 5 OR LESS H.P. BATH TUB SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION $ PERMIT FEE BALANCE OF MIN. FEE GAS PIPING FLOOR DRAIN MECHANICAL FEES PLAN CHECK FEE $� WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP.COOL❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER [=K•W GARBAGE DISPOSAL FURNACE❑UNIT❑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 0 HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT. @ R BATH TUB INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM. SQ. FT.@ 4: WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 Q SEWAGE DISPOSAL BOILER O B.T.U. SQ, FT. GARAGE @ z ¢ HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE $' PERMIT FEE 1,,l p V I I PERMIT FEE PERMIT NUMBER TOL �jPF� MOB. HOOK FEE HEAT 6 VENT FEE DBl PK N9 631 DBL E�C. FFy6 DBL COMMUNITTY-.� PLUMBING FEE DBL0,6010 OOMJ VALUATION 7 6 SUPP. TO PERMIT OFFICE MOBILEHOME HOOKUP FEE $ J JPNST.�Eb J DBL $0 �� SET BACK J J F M A M J J A S O 72 N D JOB ADDRESS- ,y/�• y/ OWNER tt 73 74 USE OF BUILDING w F.C. DATE 7, PE 1T 1 N9 631 75 76 COMMUNITTY-.� DST Ir I UNITS OOMJ VALUATION 7 6 SUPP. TO PERMIT OFFICE MOBILEHOME HOOKUP FEE $ e + LEGA,�LL. DESCRIPTION v?h_a 6/ I H;a Gakf�S " MECHANICAL- FEE DBL $0 SET BACK LOT SIZE 1-/7j;- ZONE I USE NO. GRP TYPE lCKBY s R C3 PLAN CHECK FEE $� O BOND AMT. I PLAN NO. PLAN CHECKERFINAL DATE JIN ,/ r 3 PECTOR CONSTRUCTION FEE DBL ,�/�/ 6 0 NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED / ELECTRICAL FEE DBL $ ADDRESS_ CITY STATE 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. 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 - ORNIA. FALSO AGREE'TO CARRY COMPENSATION- INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS PLUMBING FEE DBL IS ALSO GUARANTEED. - I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI- CATIONS HAS DONE, SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE -OF CALIFOFWIA. TOTAL FEES $�� CASH ❑ CHECK tal- M.O. ❑ N.C. ❑ OWNER C T '17_ 4c ..P. p Received By ADDRESS ADDRESS Sewage System T LL. P • CITY CITY , Trees Required Yes NO mrvnlwralluN FORM 284-208 (REV. 4/7101 T ICEN5E lam"