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272494 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL. 00 SQ.FT. @ / / y V 4; UNITS 2ND FL. SQ. FT. @ POR. SQ. FT: @ MOBILEHOME SVC. GAR. �`16 0 SQ. FT. @ �r�y �` � � J POWER OUTLET CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax valuation SWIM POOL, PVT MFCHANICAI FFFS SWIMPOOL _COMM " FIELD OFFICE ]NO.. PLUMBING FEES 1j SIGN ,EIF_ 1/1�`��SC'J i N YARD SPKLR SYSTEM USE OF PERIT/ BAR SINK APPLIANCE ROOF DRAINS DRAINAGE PIPING, DRINKING FOUNTAIN URINAL FURNACE ❑ UNIT ❑ WAIL ❑ FLOOR ❑ Sl1SPENDED WATER'PIPING i FLOOR DRAIN _ WATER SOFTENER VENT SYSTEM IX FAN ❑ EVAP. COOL HOOD roe g¢�Rss5. SP NO 60 SIGN ,EIF_ 1/1�`��SC'J i :�% �� (/t�lA/S 9•�s WASHER (AUTO) (E)FBfil USE OF PERIT/ F.C. APPLIANCE /)D GARBAGE DISPOSAL M H PERMIT FEE FURNACE ❑ UNIT ❑ WAIL ❑ FLOOR ❑ Sl1SPENDED $ COMMUNIT1 /h DST f UNITS ! LAUNDRY TRAY I VALUATION — SUPP. TO PERMIT AIR HANDLING UNIT CFM IDLE METER = KITCHEN SINK Cd: ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC COPIES $ WATER CLOSET LEGAL DESCRIPTION MECHANICAL FEE COMPRESSOR HP !�/ !% POLE, TEMP/PERM LOT SIZE - ZkONE LAVATORY GRP TYPE HEATING SYSTEM JYFORCED ❑ GRAVITY A` ,!o raj AMPERES SERV ENT l✓u D; / SHOWER BOILER 0 B.T.U. FC7` (� IS 5—/ f� R! 2J SQ FT @ ¢ / BATH TUB BOND AMT. Y� PLAN CHECKER FIN,L DATE I SPECTOR SQ FT @ ¢ WATER HEATER, r: 7 a :5 [/D SOFT RESID @0 DBL $ SEWAGE DISPOSAFT NAME OF CONST. LENDER BRANCH CFFICE NO LENDER INVOLVED GARAGE @� ,ri� m ��%YI4OIjSVWER PERMIT FEE ELECTRICAL FEE 1)L) $ I GAS PIPING STATE MOBILE HOME PERMIT FEE 2RT4 9 4 r; 7 J F M A M J J A S O N D roe g¢�Rss5. SP NO OVNEji? f` 74f ,EIF_ 1/1�`��SC'J i :�% �� (/t�lA/S 9•�s 75 USE OF PERIT/ F.C. DATE PE I O. 494 M H PERMIT FEE $ COMMUNIT1 /h DST f UNITS ! ROOMS I VALUATION — SUPP. TO PERMIT OFFICE call a>T.� S MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ S♦ETA BACK LOT SIZE - ZkONE USE NO. GRP TYPE CK BY l✓u y'1, FC7` (� IS 5—/ f� R! 2J PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FIN,L DATE I SPECTOR a CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH CFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ r OWNER/AGENT'S SIGNATURE CONTRACTOR / <2 $ ADDRESS ADDR=SS FEE �� �• PLUMBING FEE DBL $ J. a U CITY ZIP CODE CITY ZIP CODE Ifr/,-e E'r�T, C r TOTAL FEES $ TEL. NO. TEL. NO. LICENSE J 6 2 -- CASH ❑ CHECK M.O. ❑ N.C. ❑ v THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA RECEIVED BY E % TREES REQUIRED ''' TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE ?ERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE SEWAGE SYSTEM r�. t , T LL n¢ .c r C CTAT c i- I I _. _.___. __.. - _..__._...._._______..___.. ._..._._.._._..___--- ._....___. 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 I OF THE STATE OF CALIFORNIA.