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290202 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY A FIELD OFFICE ^„ ,.,t" — I J F I M A I M J 1 A S O N D PERMIT NO. 9020 w %.VVIYI I Vr RIYCRJeur ♦ DST ll CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND FL. POR. GAR. ' CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN F.C. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) MICROFILM FEE APPLIANCE ❑ DRYER GARBAGE DISPOSAL $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY ' AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK MECHANICAL FEE ABSORPTION SYSTEM E::� B.T.U. TEMP USE PERM SVC WATER CLOSET $ COMPRESSOR � HP POLE, TEMP/PERM LAVATORY USE NO. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SET BACK BOILER B.T.U. SQ.FT. @ a BATH TUB GRP TYPE SQ. FT. @ a WATER HEATER I. SQ.FT.RESID @ 11/4a SEWAGE DISPOSAL 5 SQ.FT.GAR @ 3/4¢ HOUSE SEWER PLAN CHECK FEE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE PLAN CHECKER DBL. TOTAL FEESf 111011.HM,FEEI MICRO FEE MEC H. FEE PL, CK. FEE I CONST. FEE ELECT. FEE SMI FEE Fj PLUMB, FEE J F I M A I M J 1 A S O N D JOB ADDRESS!''' ( SP NO 77 COMM. N.- VALUAT. ON 1 $r DATE �q �♦ DST ! OFFICE 78 -WH PERMIT FEE $ USE O PERIT t ' Z/ j&290202- F.C. SUPP, TO PERMIT PERMIT NO. MICROFILM FEE COPIES $ B�OOK/ PAGE PAARcC1E'L LEGdrA/L7,ESrCRI�f.N MECHANICAL FEE DBL $ USE NO. ZONE -A SET BACK LOT SIZE GRP TYPE CKBY I. S 5 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN GTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS (/n►j CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENTS SIGNATU CONTRACTOR , t•• SPECIAL INSP DEMOLITION REGISTRATION FEE $ ADOR ADDRESS �0' �r �l PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ CASH ❑CHECK❑M.O.❑N.C. TEL. �NO. ,,I YI AREA CODE TEL, NO. AREA CODE LICENSE N -RECEIVED BY TREES RE IRE THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY rne�oewle w nnw SEWAGE SYSTEMI 4' T LL p UPON Mi EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. DEPARTMENT OF BUILDING AND SAFETY 'COUNTY JOB ADDRESS S ^^' �r+07� F/��� 50� OW e—����j ��.""~ • OF RIVERSIDE USE OF PERMIT_ • 5P NO. DATE ERMIT d0. MOBILEHOME MOBILEHOME INSTALLATION, INSTALLATION PERMIT COMMUNITY ve DST / o WA _ .. ©� �LEGAL lDESCRI PTION f y l c 711 t+ d Ft�'��I � 1 12 FILING FEE $ /!`3/ JGc `3'+J �� �"" SETBACK ZONE / } USE NO. CKnBYY :: F�ol S ;e' <'i :jG R PERMIT FEE S GL✓".,��I - , - FINAL DATEIN LECTOR 6. REINSPECTION FEE $ 5 ' rJ ;,�`lllh� TOTAL FEES ESCROW COMPANY -BRANCH OFFICE - CASH ❑ CHEC ADDRESS CITY ZIP CODE RECEIVED BY r% OWNER/AGENT'S SIGNATURE - CONTRACTO f r- c x5MH /�✓✓ fCi T MANUF 9''�f�^ • NEW! ❑RELOCATED ADDRESS r. ADDRESS SI ZE X . - CITY' - / ZIP CODE CI�j ZIP CODE ; SUPPORT STRUCT. PERMIT #4��nl% ' TEL. NO. - TEL. NO. CENSE r� (.RAC)INC; PFRMIT # UTILITIES PERMIT # WHITE-HO./- YEL L OW—AU DIT GREEN—OWNER PINK—FIEL D OFFICE 284-6 10-75 - • BEIGE -FIELD THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE T HAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL B E DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THEAAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. - -