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272096 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES I I UNITS al MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAi SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST VENT SYSTEM O FAN O EVAP. COOL AHOOD CONSTRUCTION ESTIMATE %o ISTFL..> PERMIT FEE SQ.FT. @ /JI=- WASHER (AUTOT ISH) 2ND FL. 4 SQ. FT. @ -77 E MIT O. 212096 POR. %'e SO. FT. @ DBL. GAR. CONST. FEE ��G� SQ. FT. @� _ ` 1 CAR P. SMI FEE SO.FT. @ FEE WALL LAUNDRY TRAY SO. FT. @ OFFICE AIR HANDLING UNIT CFM IDLE METER SQ. FT. @ 11 ESTIMATED CONSTRUCTION VALUATION $ a NOTE: Not to be used os property tax valuation ABSORPTION SYSTEM 0 B.T.U. z MFCHANIC_AL FEES al MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAi SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST VENT SYSTEM O FAN O EVAP. COOL AHOOD Il %o SIGN PERMIT FEE / WASHER (AUTOT ISH) y 4 APPLIANCEJ--` E MIT O. 212096 ? MOB. HM.FEE MICRO FEE MECH. F E � " DBL. GARBAGE DISPOSAL CONST. FEE ��G� DBL. FURNACE O UNIT O WALL O FLOOR O SUSPENDED DBL. SMI FEE DST FEE PLUMB F E 4 LAUNDRY TRAY TO PERMIT OFFICE AIR HANDLING UNIT CFM IDLE METER ,� .►,u JA/7_ 11 KITCHEN SINK a OO ABSORPTION SYSTEM 0 B.T.U. z MICROFILM FEE TEMP USE PERM SVC $ WATER CLOSET MECHANICAL FEE U� COMPRESSOR ��w� HP F SET BACK POLE, TEMP/PERM USE NO. LAVATORY y �Q HEATING SYSTEM (FORCED Cl GRAVITY ,Q 10DI AMPERES SERV ENT l) SHOWER O0 BOILER 0 B.T.U. SQ FT @ a PLAN CHECK FEE BATH TUB. /%a PLAN NO. PLAN CHECKER FINAL DATE SQ FT @ a ! WATER HEATER U V t -"-:SQ FT RESID @ I �, DBL SEWAGE DISPOSAL /,9 l3 OFFICE NO LENDER INVOLVED FT GARAGE @ �S HOUSE SEWER PERMIT FEE DBL j% ADDRESS P,41m��- GAS PIPING MOBILE HOME PERMIT FEE Is JOWNER j /?��l 74 PERMIT FEE f" ".0 A/, l) . G USE OF PERMIT J Da/ ����. G'�����*�- ��� PERMIT FEE I � Q r/ E MIT O. 212096 TOTAL 19� = MOB. HM.FEE MICRO FEE MECH. F E � " DBL. �L. CK. FEE CONST. FEE ��G� DBL. ELECT. F E �l ` DBL. SMI FEE DST FEE PLUMB F E 4 DBL. TO PERMIT OFFICE ,� .►,u JA/7_ 11 a �� J F M A M J J A S O N D JUB ADDHESS f SP NO �.3A Alzme,E/: JOWNER j /?��l 74 v.E A f" ".0 A/, l) 75 USE OF PERMIT J Da/ ����. G'�����*�- ��� F. C. DATE P M 272096 76 .:�-��-�� M H PERMIT FEE $ COMMUNIT DST UNITS ROOMS VALUATION9,91SUPP. TO PERMIT OFFICE ,� .►,u JA/7_ 11 a �� z MICROFILM FEE COPIES $ LEGAL DESCRIPTION j/th r� l � /1f -"i -`I `D/�/ JA% /�- dY7S441'ACie JI-7/ir,Q ,•2-, MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEJ USE NO. GRP TYPE C Ys F i D S R//;I PLAN CHECK FEE $B OND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR �� CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS P,41m��- Z"4,.' �- 1`� 7 l STRONG MOTION INSTRUMENTATION $ 7 OWNER/AGENT'S SIGNATURE CONTRACTOR Ir r I �' FEEi 1 6,A t FEE $ ADDRESS ADDRESS J'-, PLUMBING FEE DBL $ 1� CITY ZIP CODE CITY // ZIP CODE /A �T�1n1T/t, 6` 4 TOTAL TOTAL FEES�ll� $ / �7 TEL. NO. TEL. '0. LICENSE .j!/ /' LICENSE CASH O CHECK M.O. O N.C. O THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA li� OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY , TREES REQUIRED O) 1 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 AGREE TO CARRY COMPENSATION INSURANCE MY EMPLOYEES. COMPLIANCE WITH THE SEWAGE SYSTEM I r T / ✓-V LL P (1 UPON I A\A/C nC TUC CTATC nC r'AI Irn0KII A r'n\/CDIKI/- r'rlKITDAiTn DC IC AI Cn r_I IA DA KITrrn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) Q► L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.