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304256 (SATT)
R1 MECHANICAL FEES Job Address _ - Space Zip -BUILDING PeaMrr DEPARTMENT` OF'BUILDING & SAFETY. _> ' " "�, FIELD OFFICE PERMIT NO. COUNTY OF RIVERSIDE 304256 " A' _ . i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. % SQ. FT. $ UNITS Dist./ 2ND FL., .. SQ.,FT. ® YARD SPKLR SYSTEM SQ. FT. @ 0i fV MOBILEHOME SVC. BAR SINK A POR. SQ. FT. @ POWER OUTLET ROOF DRAINS GAR:. SQ. FT.- @ IDLE,METER °'=- DRAINAGE PIPING CAR P: SQ. FT. Construction Fee DRINKING FOUNTAIN - WALL SQ. FT.. Cai S URINAL ' VALUATION $ OO'. WATER PIPING ESTIMATED CONSTRUCTION NOTE: Not to be used as'property tox voluotion SWIM POOL, PVT % FLOOR DRAIN, R1 PERMIT NO. MECHANICAL FEES Job Address _ - Space Zip SWIM POOL, COMM Owner WATER SOFTENER 1304256 VENT SYSTEM. ❑ FAN ❑ EVAP. COOL - ❑ HOOD " A' SIGN c // 1 WASHER (AUTO) (DISH) Commupiry -eQiii APPLIANCE ❑ DRYER Date 71 t-71 Dist./ Off. GARBAGE DISPOSAL FURNACE C] UNIT ❑WALL •❑ FLOOR ❑SUSPENDED Micro Film Fee Cop $ - se o Permit T.; _. . - - LAUNDRY TRAY Use No. AIR HANDLING UNIT CFM t IDLE,METER °'=- Set Backs KITCHEN SINK - Construction Fee ABSORPTION SYSTEM 0 B.T.U. L'e of Description /'' TEMP USE PERMIT SVC. S WATER CLOSET Zone COMPRESSOR '/ 0 HP Type POLE, TEMP/PERM LAVATORY Q SMI Fee HEATINGSYSTEM`A FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER , BOILER B.T.U. . Dbl $ T td SQ. FT. @ ¢ Fiinnal Dore BATHTUB p Sp. Insp. Fee $ SQ. FT. (a} ¢ / —� SCJ WATER HEATER aa Demos. Fee $ 'SQ. FT. RESIO p. 1'Ait Registr. Fee $ SEWAGE DISPOSAL <5 Reinsp. Fee $ ♦ Owner/Agent. .. . SQ. FT. GAR Ca Y,c /' HOUSE SEWER rTotal Fees- $ Address " City - - Zip ' 1 M.O. ❑ N.C. ❑ Cash ❑ ' Checkj,..- GAS PIPING , j Received by f PERMIT FEE z ��" 1 PERMIT, FEE d PERMIT FEE Address City Zip Workers' • DBL. TOTAL -FEES MOB. HM. FEE MICROFEE _ .. CH. FEE r© .PL.. CK. FEE CONST: FEE" E CT: FEE SMI FEE . �.-FEE PLUMB. FEE E.+0 PERMIT NO. Supp. Permit Job Address _ - Space Zip Owner } 1304256 G - c // 1 9,��,� Commupiry -eQiii Valuation r ,. Date 71 t-71 Dist./ Off. F.C. �MH Permit Fee $ Micro Film Fee Cop $ - se o Permit T.; _. . - - Parcel No.. Use No. k.by )Meth. Fee Dbl $- PI.•Ck. Fee $ Set Backs Lot Size - Construction Fee Dbl $ L4 L'e of Description /'' F U S Zone Grp Type Unit - Electrical Fee Dbl $ •.•^ SMI Fee $ , Plumbing Fee Dbl $ T td and Amt. Plan No.. Plon Checker Fiinnal Dore Inspector Sp. Insp. Fee $ $ evs / —� SCJ Demos. Fee $ Const. Lender Branch 'I certify that in the performance of the whiichihfs permit is issued 1 shall ' not employ any person in any manner so as 1 - coi ti subject to the.woikmen s cont. pensat ion laws of Col ifornio. - Address - City Zip - Owner Signature - - Builder S( nature Registr. Fee $ Mileage Fee $ 'Witness Fee $ Reinsp. Fee $ ♦ Owner/Agent. .. . Tel. i ' Zip rTotal Fees- $ Address " City - - Zip ' 1 M.O. ❑ N.C. ❑ Cash ❑ ' Checkj,..- j Received by f Contractor >'= t/� Tel License # 1 .Trees required ti ' Sewage System -. Address City Zip Workers' Comp. .. yes no ❑{ `LL -. j T THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF vended by, i Sewer aaia - WORK'FOR I'@0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -- I 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 HEREBY 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 Form 284.2081Rev. 4.771 ©s CALIFORNIA. - '