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280338 (ELEC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL I UNITS MOBILEHOME SVC. POWER OUTLET .40 SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE SQ. . 2ND FL. 50. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SO.FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION Is NOTE: Not to be used as property tax valuation TEMP USE PERM SVC MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL O HOOD MOBILEHOME SVC. POWER OUTLET .40 SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE JOB ADDRESS I� } SP NO OWN 74 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED 75 USEERMITThl glec, J e Y v; c LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM � B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR � HP POLE, TEMP/PERM UNITS LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY Q AMPERES SERV ENT —4F 44 SHOWER BOILER 0 B.T.U. SQ FT @ C tki BATH TUB SQ FT @ C WATER HEATER MICROFILM FEE COPIES SQ FT RESID @ 1¢ SEWAGE DISPOSAL MECHANICAL FEE DBL SQ FT GARAGE @ 'he HOUSE SEWER PERMIT FEE USE NO. GRP GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE i PERMIT FEE 2 PERM 3 3 8 ,T�FEJS OB. HM.FEE ICRO FEE 71 MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. E ,, fF�E DBL. SMI FEE FEE PLUMB. FEE 108L. J I F I M A I M I J I J A I S 1 O 1 N I D JOB ADDRESS I� } SP NO OWN 74 75 USEERMITThl glec, J e Y v; c FCIDATf�., I �1.�/' PERMIT280338 76 M H PERMIT FEE $ CO ITY D12 -S DST 1� UNITS ROOMS VALUATION 300 SUPP. TO PERMIT OFFICE tki MICROFILM FEE COPIES $ LEGAL DESCRIPTION (0f7- v -mat po r c LV Sec3N-5--Tk 7 y- MECHANICAL FEE DBL $ SETBACK z LOT SIZE ZONE � USE NO. GRP TYPE Y 14. F S R / PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS CTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ �� (�d ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CON}'R J ) JAmcS N FEA60k FEE $ ADDRESS ADD y ' r. 61 fjCyK PLUMBING FEE DBL $ CITY ZIP CODEto ZIP CODE AGAPff & TOTAL FEES $ R�j V - TEL. NO. TE NO. LICENSE_ S�f� 5 t"� 4/ c, CASH ❑ CHECK M.O. O N.C. O �' t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BYFy TREES REQ UIREDION 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 SEWAGE SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I MAIC l C TUC CTATC^C PAI IC -11A r- %ICDIAIr_!' KITDA!T( DC IC AIC(1/'_IIADAAITCCn _ I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-,208 (Rem. 10-74) O► L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.