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272677 (SATT)
BUILDING PERMIT JOB ADDRESS _ SP NO Y� DEPARTMENT OF BUILDING & SAFETY GARBAGE DISPOSAL NO. PLUMBING FEES F.C. COUNTY OF RIVERSIDE . PE I O. 76 YARD',SPKLR SYSTEM'." CONSTRUCTION ESTIMATE �w vim' /FJ NO. -ELECTRICAL FEES ' 1ST FL: � SOFT. 61;7" /s tp PIC,- �- UNITS 2ND.FL. SO. FT. @ ABSORPTION SYSTEM 0 B.T.U. ROOMS POR. %' SO. FT. @ 7 "'� 4 MOBILEHOME SVC. d / WATER PIPING POWER OUTLET AR. SO. FT. @t CAR P. SO.FI. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax voluation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ©. HOOD -3 SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE APPLIANCE/j L €s y - r JOB ADDRESS _ SP NO Y� DST GARBAGE DISPOSAL NO. PLUMBING FEES F.C. FURNACE ❑ UNIT Q WALL ❑ FLOOR d SUSPENDED PE I O. 76 YARD',SPKLR SYSTEM'." LAUNDRY TRAY �w vim' /FJ BAR SINK AIR HANDLING UNIT CFM ROOF DRAINS `ry KITCHEN SINK 'DRAINAGE PIPING ABSORPTION SYSTEM 0 B.T.U. ROOMS DRINKING FOUNTAIN SUPP. TO PERMIT WATER CLOSET URINAL d / WATER PIPING s� 5 LAVATORY FLOOR DRAIN [VALUA-ION HEATING SYSTEM `=-t FORCED ❑ GRAVITY WATER SOFTENER f U /• WASHERIAUTOIi0I&FW- 1 "y APPLIANCE/j L €s y - r JOB ADDRESS _ SP NO Y� JOWNER ^ 4_daI. 5-' GARBAGE DISPOSAL USE OF PERMIT F.C. FURNACE ❑ UNIT Q WALL ❑ FLOOR d SUSPENDED PE I O. 76 I.i?t. �I Y�'r . 37 r ri r !" LAUNDRY TRAY �w vim' /FJ AIR HANDLING UNIT CFM IDLE METER `ry KITCHEN SINK DST ABSORPTION SYSTEM 0 B.T.U. ROOMS TEMP USE PERM SVC SUPP. TO PERMIT WATER CLOSET F : COMPRESSOR a P—' HP ;��) POLE, TEMP/PERM LAVATORY [VALUA-ION HEATING SYSTEM `=-t FORCED ❑ GRAVITY <� O � � AMPERES SERV ENT f U SHOWER w BOILER 0 B.T.U. SO FT @ a BATH TUB e1 tJ �r SO FT @ r¢ i WATER HEATER o u SET BACK SO FT RESID @�2�1✓¢ J!� / SEWAGE DISPOSAL USE NO. GRP TYPE �f 4 () SO FT GARAGE @ rl!f¢ '% f p HOUSE SEWER f PERMIT FEE �, !; GAS PIPING MOBILE HOME PERMIT FEE Is PLAN CHECK FEE f PERMIT FEE' 1 PERMIT FEE ,) r JR IT NO. 2267• TOTAL FEES �; /7u: OB. HM.FEE MICRO FEE �" ���' MECH. FEE DBL. PL. CK. FEE CONST. FEE ���, DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE _.: DBL. J I F I M I A I M J I J 'A S r O 1 N I D 74lfEaLiJ JOB ADDRESS _ SP NO Y� JOWNER ^ 4_daI. 5-' 75 USE OF PERMIT F.C. DATE PE I O. 76 I.i?t. �I Y�'r . 37 r ri r !" `� 1*/ �w vim' /FJ M H PERMIT FEE $ COMMUNITY �y DST UNITS ROOMS SUPP. TO PERMIT OFFICE [VALUA-ION MICROFILM FEE COPIES $ LEGAL DESCRIPTION �r MECHANICAL FEE DBL $ SET BACK SIZE ZONE USE NO. GRP TYPE ICKBY /LOT 57 f PLAN CHECK FEE $ BOND AMT. IPLANNO. PLAN CHECKER FINAL DATE INSPECTOR •A3 J CL�Lu., -. q - a8 b CONSTRUCTION FEE DBL $ NAA""' ^^•' T •'^_^ - — BRANCH OFFICE NO LENDER INVOLVED AD CITY STATE O� CONTRACTOR ELECTRICAL FEE DBL $ STRONG MOTION $ INSTRUMENTATION FEE ��% '' n J .- JG2A` �7`� �f.. A§ I ADDRESS $ FEE , ZIP CODE CI v �. f CODE CITTYY PLUMBING FEE DBL $ TOTAL FEES � $ % � � � TEL. NO. TEL. ""t'"✓� �� . NO'. LICENSE �{�'Z�� �C) � �� � i�Y CASH Q HECK 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 % TR7P;7�f �'_� •° I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC SEWAGE SYSTEM CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC TO Ti , LL AGREE CARRY COMPENSATION INSURANCE UPCN MY EMPLOYEES. COMPLIANCE WITH THE i n nic �c Tu CTn -1 rni icr�nnn n r r.:icnini� r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 1,1 EPARTM12;BUILDING FIELD BUILDING IT U LDi I co'okiy OF -RIVERSIDE 75, ,761, AIR 'RANDLING UNIT IDLE CFM-' M-' 'LIT H �,USE OF PERMIT' PE �i tel— DS C NST_ NQo' R ECTRIC'A� �E'H;' NCQ FEES,'� C6MMUNIT I DST UNITS' SUPP. T Y ROOMS'l VALUATION .0 PERMIT rr ;JOFFICE BOILfRB.T.U.- -A, FT BATHTUB-� 2ND Ft ,MICROFILM FEE ,'COPIES 'AAw" -m6134EHOME'SV MR SINK % GAR. SO. FT. :POWER OUTLET:,;. -_�OOF DRAINS CA IT.0 TOTAL -1 Rp..HM.FEE FE- MST.f�E,j PIP NG L tr-)r.; "ORIN RA IN r 3C tOUNTA PLAN CHECK FEE' - 'ESTIMATED CONSTRUCTIONVALUATION F:l f, ?,J Y4 Tw PIPI . G N NOTE :'.Not 'to be-' 'perty160t, .tcfx va ion.:—,yf _2�TER FLiZOR DRAINS W. PLAN NO t!' k 4-4�',,xMECHANICAL; �Swtm Po OL--CQMM't�,:°� ATER.SPFTEW(Rgl VENT SYSTEM 0,'itA 7 FANS Q. EVA CO• SI -64' s t„rE WASHER (AUT. t 1,1 A. APPLIANCE4'r.. VK F".4 "0 - 4i 'GARBAGE DISPOSAL. � -4 Hc i 5�511 TC� 6WNEr7 0,lt� *- - 4 - - FURNACE0 , - UNIT.” 0'-WXii 0FibOR'jo.'SUSPENbt6 1;'I:m=s- zc� 75, ,761, AIR 'RANDLING UNIT IDLE CFM-' M-' 'LIT H �,USE OF PERMIT' PE �i �'ABSORPTION SYSTEM vF7 t i bwlusi PERM SVC TER61LOSEf', TV [POLE HP �TEMP/PERM- CANATORY >.- H PERMIT FEE HEATING SYSTEM-. EORCED ,6RAv(TY,;, -t ao Zo 46 tAMPERES St 's C6MMUNIT I DST UNITS' SUPP. T Y ROOMS'l VALUATION .0 PERMIT rr ;JOFFICE BOILfRB.T.U.- -A, FT BATHTUB-� V' :SQ WATER ,HEATER,,,-- ,MICROFILM FEE ,'COPIES -SQ FT iSEWAGE DISPOSA�(-s-I , SQFT GARAGE .19�W� AO*SEWER PERMIT FEE'k` p, -`7 q.',GAS-PIPWG' .MOBILE HOME.PERMIT FEES" -1$ FE :PERMIT - PERMIT FEE- - IT.0 TOTAL -1 Rp..HM.FEE FE- MST.f�E,j MICROFE '�MECH, F!E I DBL. -fl CK. 'FEET 7� -��jsoN DBL. SMI FEE.,i EPLUMB: Fefirte'lDBI DBC-.-,ELEC 4z J�v A. I 'J:v�.l S�"J'O'kN'liD � -4 Hc i 5�511 TC� 6WNEr7 0,lt� *- - 4 - zc� 75, ,761, pi �,USE OF PERMIT' PE �i :-7 H PERMIT FEE A C6MMUNIT I DST UNITS' SUPP. T Y ROOMS'l VALUATION .0 PERMIT rr ;JOFFICE 41 ,MICROFILM FEE ,'COPIES MECHANICAL FEE" -:1 DBL $ SETBACK , LOT SIZEr r ZONE USEN6. GRP TYPE CK,B J PLAN CHECK FEE' - 'BOND AMT: ,, PLAN NO t!' ?LAN CHECKER,,, DATE NSPECTORe 41 [FIINAL CONSTRUCTION FEE DBL, $ -NAME OF CONST. LENDER BRANCH OFFICE., NO LENDER INVOLVED ELECTRICAL FEE DBL' A ADDRESS CITY is STATE i3? STRONG MOTION - OyVNER/AGENT'S SIGNATURE 0.Tv CONTRACTOR INSTRUMENTATION F�E -ADDRESS FEE . ESS w` ADDRESS r. PLUMBING FEE DBL CITYZIPCODE,,:: 5: CITY ZIP CODE Z,— TOTAL FEES TEL. -NO: TEL. NO. LICENSE .r lo CASH 0 fHECK M.O. 0 N.C'o , THIS PERMIT BECOMifVOID IF WORK,IS NOT COMMENCED WITHIN 120 DAYS. CESSA- J -1w TIjONOF WORK'FOR 120,DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVE�D BY TREES REQUIRED I HEREBY AGREE'THAT ALL,wbRK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- EW S AGE SYSTEM ILL CORDANCE- WITH, THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I'ALSO Tj AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH TH& - , - - ... I I - - - - - v 1 1-1. - IJ/12J I CCU. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS Fr)RAA'?AA-?nR (R— 1n -7A) n. HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE