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214624 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & .SAFET IO • COUNTY OF RIVERSIDE FIELD OFFICE VENT SYSTEM [XFAN [3EVAP.COOL HOOD CONSTRUCTION ESTIMATEELECTRICAL FEES PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL o d a(% SQ. FT. @� -� � NO. NO. SQ. FT. @ FURNACE ❑ UNIT ❑WALL❑FLOOR❑SUSPENDED SQ. FT. @ V " MOTOR 1 OR LESS H.P. JDBL ELEC. FEE SQ. FT. @ LX MOTOR 5 OR LESS H.P. FEE SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION is X,Z UNITSOOM FLOOR DRAIN POLE MECHANICAL FEES LAVATORY WATFa Cr1F7FNFR VENT SYSTEM [XFAN [3EVAP.COOL HOOD SIGN FEE I WASHER (AUT ISH) I PERMIT FEE APPLIANCE Ile -IT -.- TRANSFORMER F---JK.w. MOB. HOOK FEE GARBAGE DISPOSAL DBL FURNACE ❑ UNIT ❑WALL❑FLOOR❑SUSPENDED OUTLETS JDBL ELEC. FEE LAUNDRY TRAY FEE AIR HANDLING UNITI I CFM FIXTURE OR SOCKET KITCHEN SINK g! GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE COMMUNITY WATER CLOSET UNITSOOM COMPRESSOR N HP POLE SUPP. TO PERMIT LAVATORY �-- APPLIANCE VENT AMPERES SERV. ENT. 17-1 SHOWER �- ABSORPTION SYSTEM B.T.U. SQ. FT.@ g BATH TUB INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM. SQ. FT.@ ¢. LEGAL 13ESCRIPTION WATER HEATER HEATING SYSTEM FORCED E]GRAVITY SQ. FT. RESID. @ 1 ¢ 1—ar yo moi? 3Y A? SEWAGE DISPOSAL 1,9 BOILER O B.T.U. SQ. FT. GARAGE@ z q SET BACK HOUSE SEWER IZONE PERMIT FEE BALANCE OF MIN. FEE TYPE GAS PIPING MECHANICAL FEE MOBILEHOME HOOKUP FEE .I$ I I I I IPERMIT FEE I JI i= I / I PERMIT FEE I 1(I PERMIT NUMBER TOTAL FLj 2J4,2 MOB. HOOK FEE I HEAT 6 VENz.XEE DBL PL. CN. FEE I CONST. FEE JDBL ELEC. FEE DBL FEE PLUMBING EE DBL t�- 7� 214624 75 COMMUNITY DST UNITSOOM V�AAL�UfATIOyNN SUPP. TO PERMIT OFFICE 76 I - i4 Lq 17-1 J F M A M J J A S O N D JOB ADDRESS SAGLE OWNER II Sohl AG7y 72 7S -46S-,? ,r stir -- 73 USE OF BUILDING F.C. DAT PERMIT/ o. 74 d✓�G�.l�TT. t�- 7� 214624 75 COMMUNITY DST UNITSOOM V�AAL�UfATIOyNN SUPP. TO PERMIT OFFICE 76 I - i4 Lq 17-1 :K MOBILEHOME $ LEGAL 13ESCRIPTION HOOKUP FEE 1—ar yo moi? 3Y A? DBL SET BACK LOT SIZE IZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $ S� -3 C :3 F IS R !� PLAN CHECK FEE $ /amu S BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS ECTOR �, -O 1� %•J' CONSTRUCTION FEE DBL q NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBLADDRESS $ ?.f' CITY STATE Ji $ G THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. `1111 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 .... ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE ANS ND SPECIFI- TOTAL FEES $ U3' CATIONS HAS DONE SO IN ACCORDANCE WITH SECT N 541 EYSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. = CASHED CHECK[ -M.0.0 N.C. F -I OWNER CONTRACTOR 7,311, -.7U Received By ADDRESS ADDRESS 41n Sewage System T 0 LL PSS ? CITY CITY Trees Required Yes No INFORMATION TEL. NO. TEL. NO. LICENSE ) - ��Y 3 (o 13 FORM 284-208 (REV. 4/71) �.+