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280940 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING .& SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO... ELECTRICAL FEES 1 ST FL. 7a' SQ.FT. /'' •- /� % 2ND FL. SQ. FT. @ FURNACE ❑ UNIT ❑ WALL ❑•FLOOR ❑ SUSPENDED ;POR. Q SQ. FT. @ 3' 'GAR. CARP. O 'SO.FT. SO. FT. @ ' @-3,Q'0 r%i WALL SQ. FT. @ - DRINKING FOUNTAIN ABSORPTION SYSTEM 0 B.T.U. URINAL WATER PIPING SQ. FT. @ j• . FLOOR DRAIN ESTIMATED CONSTRUCTION VALUATION $ a, ; NOTE: Not to be used as property tax valuation WASHER (AUTO) HEATING SYSTEM FORCED ❑GRAVITY MECHANICAL FEES ' I SHOWER VENT SYSTEM FAN •❑ EVAP. COOL ' XHOOD MOBILEHOME SVC. POWER OUTLET .SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE -. APPLIANCE 'O. e //N.O. PLUMBING -FEES . GARBAGE DISPOSAL ��p FURNACE ❑ UNIT ❑ WALL ❑•FLOOR ❑ SUSPENDED YARD-SPKLR SYSTEM USEOF PERMIT �jj� j{�/ Jj/�/�' ([//�`jel�Jj!�� /� �/} q BAR SINK A! /} `♦ //� ROOF DRAINS IDLE METER DRAINAGE PIPING KITCHEN SINK DRINKING FOUNTAIN ABSORPTION SYSTEM 0 B.T.U. URINAL WATER PIPING j• . FLOOR DRAIN POLE, TEMP/PERM WATER SOFTENER LAVATORY .. WASHER (AUTO) APPLIANCE 'O. e JOB ADDRESS SP NO""��" Pile //,e -/&c GARBAGE DISPOSAL ��p FURNACE ❑ UNIT ❑ WALL ❑•FLOOR ❑ SUSPENDED 75 ' USEOF PERMIT �jj� j{�/ Jj/�/�' ([//�`jel�Jj!�� /� �/} q LAUNDRY TRAY A! /} `♦ //� AIR HANDLING UNIT CFM IDLE METER �/ M! P 7 / • / • �•+,/ Imo^ C,/iK.. EJ� KITCHEN SINK .r ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR.3',�j.4) l� HP POLE, TEMP/PERM UNITS LAVATORY .. VALUAT ON D HEATING SYSTEM FORCED ❑GRAVITY S AMPERES SERV ENT ' I SHOWER COPIES BOILER B.T.U. SQ FT @ a LEGAL DESCRIPTION BATH TUB =-• $ % SQ'FT @ ¢ SETBACK LOT SIZE ZONE WATER HEATER GRP TYPE �Oy4� SQ FT RESID @ SEWAGE DISPOSAL G pZ °y© SQ FT GARAGE @ a HOUSE SEWER PERMIT FEE PLAN CHECK FEE J GAS PIPING MOBILE HOME PERMIT FEE $ FINAL DATE- PERMIT FEE PERMIT FEE 2 _PE$MIT 8 NO� 0 9 TOTAL �7.i� _..r MOB. HM.FEE MICRq FEE /jam �g MECH. F� �r/ DBL. PEE N'FEE 6 DBL. ELECT. SEE' V DBL. SMI F (j/ FEE PLUM,. FES •✓n{�S S C/ DBL. J I F I M A I M I ) I J I A I S 1 O 1 N I D JOB ADDRESS SP NO""��" Pile //,e -/&c 74 ��p Q � 0A,) i.. i f z 75 ' USEOF PERMIT �jj� j{�/ Jj/�/�' ([//�`jel�Jj!�� /� �/} q A! /} `♦ //� PMN 9 40 76 �/ M! P 7 / • / • �•+,/ Imo^ C,/iK.. EJ� 7 v M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUAT ON D SUPP. TO PERMIT I OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ % 1r-1 SETBACK LOT SIZE ZONE USE NO. GRP TYPE Y f I PLAN CHECK FEE $ BOND AMT.vJ PLAN NO. PLA/CHEC^ERr '>us4? FINAL DATE- INS CTOR CONSTRUCTION FEE DBL $ nfj NAME OF CONST. LENDER DRANCH ! OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ 'ADDRESS -CITY �j`%} f STATE y/)� STRONG MOTION INSTRUMENTATION $ / / W.�'�` OWNER/AGENT'S ,S�I,GNATURE ! CONTRA:, -TOR FEE ''-' FEE $ ADDRESS - PUS ADDRES! PLUMBING FEE DBL $ CITY %% %� y j �ZZIIPCODE AF.%%) f � �'4` oo zo CITY ZIP CODE TOTAL FEES $ '3 TEL. Nq ✓ 7+s+ TEL. NO. LICENSE CASH ❑ CHE M.O. ❑ N.C., 1❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NCT COMMENCED WITHIN 120 DAYS. CESSA TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY `��./ J �. TREES REQUIRED v , HEREBY AGREE THAT ALL WORK IN CONNECTION WITH. THIS PERMIT WILL BE DONE IN AC - CORDANCE DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM ��6 I �/ �l wil LL Pp AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE - I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OIL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.