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280789 (SATT)BUILDING PERMIT CONSTRUCTION: ESTIMATE S7 FL. SQ.FT. zqlu 2ND FL. SQ..FT. @ POR. 5Q. FT. @ GAR. �� SQ. FT. @% CAR P. SOFT. @ . WALLSQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tox voluotion MECHANICAL FEE`. VENT -SYSTEM XFAN ❑ EVAP. COOL DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE 32. NO. ELECTRICAL FEES NO. PLUMBING FEES f Q. UNITS USE OF PERMIT U �'h'�: `� FURNACE ❑'UNIT O WALL ❑ FLOOR ❑ SUSPENDED DATE 1Q ! YARD SPKLR SYSTEM 76 MOBILEHOME SVC. BAR SINK 4 5z POWER OUTLET ROOF DRAINS IDLE METER $ DRAINAGE PIPING COMMUNITY 1 IT DRINKING FOUNTAIN ROOMS TEMP USE PERM SVC URINAL WATER CLOSET � �..... WATER PIPING COMPRESSORHP SWIM POOL, PVT FLOOR DRAIN " SWIM POOL. COMM WATER SOFTENER ,OD SIGN WASHER (AUTO) MIMII DST J F M A M{' J J A S O N D APPLIANCE 32. 74 J l �%� / l7b5_C6 GARBAGE DISPOSAL 75 USE OF PERMIT U �'h'�: `� FURNACE ❑'UNIT O WALL ❑ FLOOR ❑ SUSPENDED DATE 1Q ! PE MIT O 0 789 76 LAUNDRY TRAY AIR HANDLING UNIT CFM M H. PERMIT FEE IDLE METER $ KITCHEN SINK COMMUNITY 1 IT ABSORPTION SYSTEM j B.T.U. ROOMS TEMP USE PERM SVC SUPP. TO PERMIT WATER CLOSET COMPRESSORHP POLE, TEMP/PERM LAVATORY HEATING SYSTEM OFORCED ❑ GRAVITY AMPERES SERV ENT MICROFILM FEE SHOWER $ � BOILER 0 B.T.U. SQ FT @, a BATH TUB ✓ MECHANICAL FEE DBL $�'gj SQ FT @ : a J WATER HEATER USE NO. GRP TYPE SK SOFT RESID @ i SEWAGE DISPOSAL r� /� F;26 I J SQ FT GARAGE @ 07 HOUSE SEWER PLAN CHECK FEE PERMIT FEE BOND AMT. PLAN NO. PLAN CHECKER GAS PIPING CTOR MOBILE HOME PERMIT FEE $ PERMIT FEE Q PERMIT FEE -- ER IT TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL.ft I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rei. 10-74) OIL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA. JOB ADDRESS -/ �+ —SP NO— OWNE.7 — GDe<16 74 J l �%� / l7b5_C6 A.% C✓! 75 USE OF PERMIT U �'h'�: `� F.C. / DATE 1Q ! PE MIT O 0 789 76 M H. PERMIT FEE $ COMMUNITY 1 IT UNITS ROOMS VALUATION SUPP. TO PERMIT OF C MICROFILM FEE COPIES $ � LEG7L DESCRIPTION �� 77 -/ -62-2-oz /a /5 /a .5,4.( A).e MECHANICAL FEE DBL $�'gj SET BACKLO^TJS�IZE ZONE USE NO. GRP TYPE SK r� /� F;26 I J PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATEIN CTOR CONSTRUCTION FEE DBL' $�0 CAMEO F- ENDER }' BRANCH OFFICE NO LENDER INVOLVED r ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ r.+� OWNER/AGENT'S SIGNATURE CONTRACTOR / s e, -f•- ,0&rkjo a FEE $ ADDRESS ,? / Pdi '30)( �l ADDRESS PLUMBING FEE DBL$ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ � TEL. N7 /j ._ 00 TEL. NO. LICENSE CASH ❑ . CHECK M.O. O N -CO, 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 TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I'ALSC AGREE TO CARRY COMPENSATION SEWAGE SYSTEM �L✓1 �1 LL Pte` INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE 1 nLAIC! CTUC CTA -TE- /-•AI IEl1Dn11A /f1V LDln1I•`!'lI n IT A(TI C IC AIC! l`1 IA — nITEEM I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rei. 10-74) OIL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.