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260131 (ELEC)
`FIELD JOB A-DDDRESS 'P SP NO OFFICE BUILDING PERMIT Y ": ? DEPARTMENT OF BUILDING & SAFETY ]OWNER • COUNTY OF RIVERSIDE AIR HANDLING UNIT L CFM h. %�• . - - `� - h •.. - DST ABSORPTION SYSTEM B.T.U. TEMP USE PERM -SVC _ •PL'UMBING CONSTRUCTION:ESTIMATE NO. ELECTRICAL FEES NO` : FEES l LAVATORY . HEATING SYSTEM ❑ FORCED ••❑ GRAVITY .Y ' 52,00 UNITS otl 2ND FL. SQ. FT. BOILER 0 B.T.U. YARD SPKLR SYSTEM ' I POR. SOFT. @ MOBILEHOME SVC. -BAR'SINK. GAR. SO. F.T. @ POWER OUTLET . . ROOF DRAINS CAR P.. SOFT. @ SQ FT RESID @' 1 ¢' DRAINAGE:PIPING .WALL' SO. FT. @ _ MICRON L FEE' DRINKING FOUNTAIN i SO. FT @ r URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING_' NOTE: Not to be•used as property tax valuation SWIM POOL•• PVT r FLOOR DRAIN " MECHANICAL FEES SWIM POOL! COMM- WATER SOFTENER TOTAL FEES ©�= VENT SYSTEM O FAN O EVAP..000L ❑ HOOD . I I,...I SIGN', t WASHER (AUTO) (DISH) L APPLIANCE JOB A-DDDRESS 'P SP NO •• ` GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALLS ❑ FLOOR ❑ SUSPENDED ' . ]OWNER LAUNDRY TRAY AIR HANDLING UNIT L CFM IDLE METER, KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM -SVC M H,PERMIT FEE.•; .• { WATER CLOSET COMPRESSOR 0 HP .: POLE, TEMP/PERM COMMUNITY .. .j LAVATORY . HEATING SYSTEM ❑ FORCED ••❑ GRAVITY .Y ' 52,00 .AMPERES SERV ENT' otl SHOWER ' BOILER 0 B.T.U. $Q FT ' @ ¢: BATHTUB a. SO FT.' @ a WATER HEATER SQ FT RESID @' 1 ¢' SEWAGE DISPOSAL ' MICRON L FEE' SOFT'GARAGE @=.'ha•. = HOUSE SEWER PERMIT -FEE I GAS PIPING - -MOBILE HOME PERMIT, FEE - -is PERMIT FEE G PERMIT.FEE PERMIT NO' 26013 TOTAL FEES ©�= MOB..HM.FEE MICRO FEE MECH. FEE DBL. PL: CK. FEE CONST. FEE DBL. ELECT, FEE �o DBL. -SMI FEE FEE1. •. PLUMB. FEE 1787. J„ F •M 1, A ,-M.,. ' J J , +'A I S O 1 N I D JOB A-DDDRESS 'P SP NO •• ` ]OWNER USE OF ` - • F.C. �1 IT O.76__ �PtERMIT i C %✓ / tom' )' JDATE,ERm 31 .5 . 2o M H,PERMIT FEE.•; .• { $ ' • COMMUNITY .. .j D T UNtTS.. ROOMS VALUATION ISUPP.TOPERMIT N OFFICE MICRON L FEE' COPIES, $` LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE' ZONEUSE NO. - GRP TYPE CK gggY ;rj� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER `E ]FINALOATE ]INSPECTOR CONSTRUCTION FEE. • �` DBL - $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL`FEE DBL. $ ADDRESS CITY STATE STRONG MOTION $'V °r OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE 1& • $ - - AOURESS ADDRESS + ' • _t.. FEE ... -11:7 PLUMBING FEE- DBL $ CITY ZIP CODE CITY '. ZIQ CODE 'TEL TOTAL FEES $ NO. .- ✓ TEL. NO. '� LICENSE .� + k hs < CASH CHECK ❑ AlM.O. ❑ N.C. ❑THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12.0 DAYS: CESSA ON OF WORK FOR) 20.DAYS SHALL CAUSE PERMIT TO -BECOME VOID. " RECEIVED BY d TREES REQUIRED+.. -,e a -%* I HEREBY AGREE THAT ALL WORK IN CONNECTION.WI.TH THIS- PERMIT .WILL BE DONE IN AC COR DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, -,,I ALSC �" SEWAGE SYSTEM e'; (Q AGREE TO CARRY' COMPENSATION INSURANCE UPON•MY EMPLOYEES' COMPLIANCE WITH THI T LL P A.A IC.�C TUC CTATC nC rAI ICn DnuA r(I%/CDIKIr] rn KITDArTn DC IC AI en GI IA DA NITFCn I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM '284-208 (Rev. 1`0-74) ©L w HAS DONE SO IN'ACCORDANCE WITH SECTION 554'1 OF THE BUSINESS AND PROFESSIONS CODE ,,,- a, OF THE STATE OF CALIFORNIA.