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215668 (SATT)BUILDING PERMIT CONSTRUCTION ESTIMP IST FL. SQ. FT. 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ FIXTURE OR SOCKET SQ. FT. @ ESTIMATED VALUATION $ MECHANICAL FEES DEPARTMENT OF BUILDING & SAFET JS COUNTY OF RIVERSIDE 7Tid ELECTRICAL FEES —I NO. I I I I NO. MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. FIELD OFFICE PLUMBING FEES T 6713YC.71H X DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATG17 G(ICTCAICG VENT SYSTEM2M FAN ❑ EVAP.COOL �T'HOOD SIGN WASHER (AUTO ISH) 0G7 APPLIANCE Y -r - r TRANSFORMER OK•W• % GARBAGE DISPOSAL f FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY EL EC. F DBl AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK �Z! GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET C/ COMPRESSOR R E= HP POLE LAVATORY 00 APPLIANCE VENT AMPERES SERV. ENT. 5 SHOWER Q 0 SYSTEM OB.T.U. . BATHTUB ' D(% INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ a. WATER HEATER HEATING SYSTEM .In -FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 Q U SEWAGE DISPOSAL 40 BOILER E::= B.T.U. SQ. FT. GAR AGE @ z (r � HOUSE SEWER LEGAL DESCRIPTION PERMIT FEE 1 40 01 19ALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE $ 1 1 1 1 % IPERMIT FEE I =71OUl I PERMIT FEE J."'100 PERMIT NUMBER FEE OB. HOK FEE (a VENT E DBL Pl. CK. F,.F�E��C ONST. F&E_jDBLj EL EC. F DBl DATE PLUM BINCR DBL 0.4�d/a TT�3r JT+jOyTAL -7 75 1,.,HEAT96 COMMUNITY�.�L DST UNITS OOM VALUATION SUPP. TO PERMIT OFFICE I MOBILEHOME $ LEGAL DESCRIPTION J F M A M J J A S O N D JOB ADDRESS OWNER 72 % a- 9?�' o vl a !tifee Corp, 73 USE OF /BUILDING �1 F.C. DATE ERMIT NO. 215668 74 0.4�d/a TT�3r 75 COMMUNITY�.�L DST UNITS OOM VALUATION SUPP. TO PERMIT OFFICE I MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE /_0 f— 7 </4/f MECHANICAL FEE DBL $ a Q SET BACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY 7 F () S p R/& 7 d j ', f� c!/ / PLAN CHECK BOND AMT, PLAN NO. PLAN CHECKER FINAL DATE INSPECT FEE $ 1 v' 1 915 7 3 � � DBL NAME OF COINST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE 1 R1o.y 'L / DBL ADDRESS CITY STATE ELECTRICAL FEE $ $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. FEE 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 CALIF- DBL 7(f fJ ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANSAND $PECIFI- CATIONS HAS DONE SO IN ACCORDANCE WITH SECTpq TOTAL FEES $^) �'j �"7 j 55 CSF .TAND �i / / J PROFESSIONS CODE OF THE STATE OF CALIFORNIA. � eSINf;SS (� CASH F-1 CHECK 4�' M.O. ❑ N.C. a OWNER CONTRACTOR R@CBIVed ByADDRESS ADDRESS Sewage Systems T LL P CITY CITY Trees Required Yes No s " C INFORMATION TEL. NO. TEL. NO. LICENSE FORM 284-208 (REV. 4/71) d 49-14 v- "" /