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214634 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET O, 0 COUNTY OF RIVERSIDE FIELD OFFICE VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL GARBAGE DISPOSAL SQ. FT. @ NO. NO. SQ. FT. FIXTURE OR SOCKET SQ. FT. @ MOTOR i OR LESS H.P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL SQ. FT. Ca MOTOR 5 OR LESS H.P. WATER CLOSET SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL �K.W.UNITS WATER PIPING ESTIMATED VALUATION Is INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. FLOOR DRAIN WATER HEATER MECHANICAL FEES SQ. FT. RESID. @ 1 R WGTFR C0FTFNFR VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER OK•W• GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR HP POLE Or, LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM E:= B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ Q. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 R SEWAGE DISPOSAL BOILER E== B.T.U. SQ. FT. GARAGE @ i ¢ HOUSE SEWER PERMIT FEE -BALANCE OF MIN. FEE GAS PIPING MOBILEHOMEHOOKUP FEE ,�$ I I 'MOB. I I IPERMIT FEE I -SI OC4 I PERMIT FEE PERMIT NUMBER T.eO�+T`�AL FEES NOOK FEE HEAT & VENT FEE DBL PL, CK, FEE CONST. FEE DBL EL EC.,fE.E✓ DBl FEE PLUMBING FEE n p f 5V 75 COMM NITY DST 4 OOM VALUATION SUPP. TO PERMIT JDBL 76 JUNITS MOBILEHOME $ J F M A M I J J A S O N D JOB ADDRESS OWNER 72ZA-454 Call- C AT 73 USE OF BUILDING F.C. DATE I PEP IT NO•� 3.4 214 74 n p 75 COMM NITY DST OOM VALUATION SUPP. TO PERMIT I OFFICE 76 JUNITS MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE Tr -44"R __ _ DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $ F 5 R BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP CTOR PLAN CHECK FEE $ DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVO VED CONSTRUCTION FEE DBL ADDRESS CITY STATE I ELECTRICAL 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. 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 PLANS AND SPECIFI- TOTAL FEES $ /"� CATIONS HAS DONE SO IN ACCORDANCE WITH SEC N 1 F �E B SIl�f SS AND 7 Lrr/ PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ?9N-!&14 CASH M CHECK (' O. ❑ N.C. 0 OWNER CONTRACTOR «�w- Received By ADDRESS ADDRESS ! T Sewage Syste T LL P� CITY CITY {�Acir1 Trees Required Yes No INFORMATION ty fi'tiXZLCJ TEL. NO. TEL. NO/. LICENSE �6✓l'%� Y �J" FORM 284-208 (REV. 4/71)/,�. 'f -1 ""� -