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268361 (SATT)NO. BUILDING PERMIT : DEPARTMENT OF BUILDING & SAFETY 74 COUNTY OF RIVERSIDE GARBAGE DISPOSAL ]rj CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL. w SQ.FT: @ 6 O 1—,90 ". UNITS SO. FT. ROOF DRAINS 2ND FL. POR. >` �f SQ. FT. @ J� Q MOBILEHOME SVC. GAR. SO. FT. @ S� � r>t -^- POWER OUTLET CAR P. SOFT. @ KITCHEN SINK - -WALL SO. FT. @ ABSORPTION SYSTEM SQ. FT. @ FLOOR DRAIN ' TEMP USE PERM SVC VALUATION $ a �. C ESTIMATED CONSTRUCTION NOTE: Not to be used as property tax valuation SWIM POOL, PVT, MECHANICAL FEES SWIM POOL, COMM POLE, TEMP/PERM VENT SYSTEM O FAN ❑ NAP. COOL- HOOD I SIGN NO. 'FIELD OFFICE PLUMBING FEES DIST / ! 74 J 7 !�/`I ` '40 GARBAGE DISPOSAL ]rj YARD SPKLR•SYSTEM FURNACE 0 UNIT 0 WALL O FLOOf 0 SUSPENDED BAR SINK 76°1 ROOF DRAINS LAUNDRY TRAY DRAINAGE PIPING AIR HANDLING UNIT CFM DRINKING FOUNTAIN IDLE METER DST URINAL KITCHEN SINK VALUATION WATERPIPING ABSORPTION SYSTEM ] B.T.U. - FLOOR DRAIN ' TEMP USE PERM SVC WATER SOFTENER WATER CLOSET p/J WASHER (AUTO) (D1bhB HP APPLIANCE TO '360 OWNER . , . 74 J 7 !�/`I ` '40 GARBAGE DISPOSAL ]rj USE OF PERMIT6 Arra, oar FURNACE 0 UNIT 0 WALL O FLOOf 0 SUSPENDED P M N 76°1 LAUNDRY TRAY M H PERMIT FEE AIR HANDLING UNIT CFM IDLE METER DST UNITSROOMS KITCHEN SINK VALUATION LSO ABSORPTION SYSTEM ] B.T.U. - TEMP USE PERM SVC al WATER CLOSET p/J COMPRESSOR HP 60 POLE, TEMP/PERM MICROFILM FEE SJ LAVATORY s9 G HEATING SYSTEM FORCED •0 GRAVITY /40#1 AMPERESSERV ENT: $ SHOWER LOT SIZE ZONE O BOILER 0 B.T.U. GRP _ TYPE SQ FT @ a BATH TUB p SQ FT @ a WATER HEATER f b $ (t VG'L BOND AMT. SQ FT,RESID @ PLAN CHECKER FINAL DATE SEWAGE DISPOSAL ,J Gti i�� AISO SQ FT GARAGE @ 1 ' HOUSESEWER CONSTRUCTION FEE DBL PERMIT FEE ` e(' OFFICE NO LENDER INV04VED GAS PIPING .r,X, oD MOBILE HOME PERMIT FEE Is IPERMIT FEE O $ PERMIT FEE &vG PE MIT NO. 26361 TOTAL FEES ja° MOB. HM.FEE ::::,0,,,jEFEMECH. fEE DBL. PL. CK. FEE '��:',l CONST. FEE O�� DBL. ELECT.FEF DBL: SMIFEE FEE PLUMB. F� c�. DBL. J I F I M A M J I J I A 1 S O 1 N I D JOB ADDRESS n t SP NO ./ 1/ VA OWNER . , . 74 J 7 !�/`I ` '40 L(J��tcr/><% � • (�� ]rj USE OF PERMIT6 Arra, oar F.C. - DATE i- ��361 P M N 76°1 M H PERMIT FEE $ COMMUNt DST UNITSROOMS VALUATION SUPP. TO PERMIT OFFICE I MICROFILM FEE COPIES $ LEGAL DESCRIPTION / 84-77.? -00 ©/ i - oz a--. '/moi C Y_ fAl "A 64 02 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP _ TYPE CK BY I PLAN CHECK FEE $ (t VG'L BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR i�� CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV04VED ELECTRICAL FEE DBL $ ADDRESS C?) STATE a J J J A 64 , STRONG MOTION INSTRUMENTATION FEE $ - 1 Yo OWNER/AGENT'S SIGNATURE C A'CT } v -t/. ^t? / , ✓ 0 Al z 20,Al,'f�il � V� $ ADDRESS ADDRESS ' FEE 1� it PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. TELNO f E CASH p CHECK lyM.O. O N.C.' Q 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 O� I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN,ACG CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC AGREE TO CARRY SEWAGE SYSTEM /t7 /) p / �x�1Q. T LL P COMPENSATION INSURANCE UPON MY EMPLOYEES.- COMPLIANCE WITH THE 1 n AIC - TUC CT n TC - ! n1 IC-1iA lVll/CMA lYI 1 -n! -T ll IC n1-!`1. ' 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 j OF THE STATE OF CALIFORNIA.