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268028 (AR)J I F I M A I M I J I J A 1 S 1 O 1 N I D r FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY -GARBAGE DISPOSAL USE OF PERMIT A O jo I..-AA4� , y 1� 7 F.C.. COUNTY OF RIVERSIDE P M N 76 Jat��°l� �e� cT'To�r��Z: 601 - //`A-/-% DST AIR HANDLING UNIT ' CFM $ ID -E METER CONSTRUCTION ESTIMATE NO. 'ELECTRICAL FEES • NO. PLUMBING FEES Il ABSORPTION SYSTEM y e> 33 O LNITS � TEM USE PERM SVC WATER CLOSET 4 014.47-,+ // / 2ND FL SO. FT. @ - YARD SPKLR SYSTEM POLE,'TEMP/PERM POR. SO. FT. @ MOBILEHOME SVC. BARSINK P 00 _ GAR SO. FT. @3= / f00'� P•DWEROUTLET ROOF DRAINS AflPERES SERV ENT C—*R`P, SOFT. , @ !% Q 40 DRAINAGE PIPING MECHANICAL FEE WALL SO. FT. @ ISO.,FT. $ 1 % DRINKING FOUNTAIN SQ FT @ a @ BATH TUB URINAL' GRP ESTIMATED CONSTRUCTION VALUATION $ / WATER PIPING %y SQ FT @ C NOTE: Not to be used as property tax valuation S'VIM POOL, PVT FLOOR DRAIN MECHANICAL FEES S!NIMPOOL. COMM _ WATER SOFTENER SQ FT RESID @1W VENT SYSTEM Q FAN Q EVAP. COOL HOOD 1 3 IW SIGN I WASHFR ItAT l IDI';H1 lift J I F I M A I M I J I J A 1 S 1 O 1 N I D APPLIANCE MOWNER r -GARBAGE DISPOSAL USE OF PERMIT A O jo I..-AA4� , y 1� 7 F.C.. FURNACE Q UNIT Q WALL Q FLOOR Q SUSPENDED P M N 76 Jat��°l� �e� cT'To�r��Z: 601 LAUNDRY TRAY , //`A-/-% ��028. AIR HANDLING UNIT ' CFM $ ID -E METER COMMUNITY DST KITCHEN SINK CY L VALUATION ABSORPTION SYSTEM B.T.U. TEM USE PERM SVC WATER CLOSET 4 014.47-,+ // / COMPRESSOR _17 0 • HP 5,0 POLE,'TEMP/PERM MICROFILM FEE LAVATORY $ HEATING SYSTEM FORCED Q GRAVITY O© AflPERES SERV ENT SHOWER MECHANICAL FEE BOILER B.T.U. $ 1 % /� SQ FT @ a LOT SIZE ZONE' BATH TUB USE NO. GRP TYPEhCK BY/%_ {'�, F O S 5 '� R/ %y SQ FT @ C f WATER HEATER U./�/i4 SQ FT RESID @1W SEWAGE DISPOSAL BOND AMT. NO. PLAN CHECKER FINAL DATE !%,✓/� SQ FT GARAGE @ ¢ �j 0 HOUSE SEWER G PERMIT FEE [PLAN �j 60 GAS PIPING DBL MOBILE HOME PERMIT FEE $ NAME OF CONST. LENDER BRANCH OFFICE PE 'MIT FEE b PERMIT FEE d 2 _Pg Io O_ 8 6 8 2 TOTAL FE�� 3J �_ MOB. HM.FEE MICRO fEE ECj �� DBL � ..FEE G7 CO�T�� 08L. ELECT. FE 13 t/O_ DBL. SMI FEE OT��j FEE PLUMB. EE DBL. J I F I M A I M I J I J A 1 S 1 O 1 N I D .JOB ADDRESS SP NO MOWNER r 75 USE OF PERMIT A O jo I..-AA4� , y 1� 7 F.C.. DATE P M N 76 Jat��°l� �e� cT'To�r��Z: 601 //`A-/-% ��028. M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE' 4 014.47-,+ // / j/ 'i �� MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ 1 % /� SETBACK LOT SIZE ZONE' 1 USE NO. GRP TYPEhCK BY/%_ {'�, F O S 5 '� R/ f {/ D U./�/i4 PLAN CHECK FEE $ BOND AMT. NO. PLAN CHECKER FINAL DATE NSPECTOR • [PLAN CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL l Vin© 00. 1 L.--- ELECTRICAL FEE DBL $ ADDRESS' CITY STATE STRONG MOTION $� � OWNER/AGENT'S SIGNATURE C NTRACT,OR ti' „ �`=-• INSTRUMENTATION FEE �, /%i q r•� J�U42I 0,,4 All> FEE $ ADDRESS ADDRESS %% �?. 6'4117,001V ,j I PLUMBI NGFEE DBL $ CITY ZIP CODE CITY F� % ZIP CODE t- 0,4 6 14 %I./!- i..�/$ .' TOTAL FEES $ / 3S`' ��v TEL. NO. TEL. NO. jLICENSE / e/' f �e� �J 7 7 CASH Q CHECK M.O. Q N.C. Q THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN'l20 DAYS. CESSA TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIREDr` s `f 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 Z-OMPENSATION SEWAGE SYSTEM 11 TP LL P AGREE TO CARRY INSURANCE`UPON MY EMPLOYEES. COMPLIANCE WITH THI \A/C - TUC CTAIC (lC (-nI IE -11A (-!1\/CDL nI!'/' KITDAI-Tl DC IC AIC! r IA DA AITCCh I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284.208 (Rev. 10-74) OP L HAS DONE SO IN F.000RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.