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215667 (SATT)BUILDING PERMIT _ CONSTRUCTION ESTI fF 1ST F. f SQ. FT. @19 2ND FL. SQ. FT. @ POR. SQ. FT. GAR. _ SO. FT. @ V "^ CAR P. SQ. FT. @ WALL SQ. FT. OUTLETS SQ. FT. @ ESTIMATED VALUATION $ MECHANICAL FEES DEPARTMENT OF BUILDING & SAFET J& I COUNTY OF RIVERSIDE E t�/ ,, ELECTRICAL FEES I tO' , 1 a N0. I I I I NO. MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. 17­7__� K.W. UNITE FIELD OFFICE PLUMBING FEES 3>' a t vs A DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR eOFTFNFR VENT SYSTE FAN ❑ EVAP.COOL [�lj HOOD E%V SIGN PERMIT FEE c014001 j WASHER(AUTO)ISH) OC9 APPLIANCE 1 TRANSFORMER OK•W• TOTAL FEE OB. HOQK FEE HEAT & VENT F.EE �.!/ GARBAGE DISPOSAL PL. CK.-iy F.E+^ FURNACE❑UNIT ❑WALL❑FLOO ❑SUSPENDED' OUTLETS BL FEE^'f LAUNDRY TRAY DBL AIR HANDLING UNIT CFM FIXTURE OR SOCKET a / KITCHEN SINK 55667 GAS PIPE E) NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE ��� WATER CLOSET DST COMPRESSOR HP POLE - SUPP. TO PERMIT LAVATORY (p' !i(9 APPLIANCE VENT AMPERES SERV. ENT. yis 02 SHOWER , Q ABSORPTION SYSTEM �.B.T.U. SQ.FT.@ (t BATH. TUB d0 INCINERATOR ❑ DOMESTIC ❑ INDUS.OR•COMM. SQ. FT.@ Q: MOBILEHOME WATER HEATER i HEATING SYSTEM FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 ® SEWAGE DISPOSAL BOILER B.T.U. SQ. FT. GAR AGE@ i a DBL HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE ZONE USE NO. GAS PIPING CK SY MOBILEHOME HOOKUP FEE $ f PERMIT FEE c014001 PERMIT FEE 7 1 PERMIT NUMBER 5667 TOTAL FEE OB. HOQK FEE HEAT & VENT F.EE �.!/ DBL PL. CK.-iy F.E+^ CONST. F DBL ELEC. F BL FEE^'f PLUMBING-,,.E,EF 5+/4Yrj DBL . ..V11VF%BUILDING �_�,�,- . gC% dY�4 a ��7� G- 55667 ��� COMMUNITY DST UNy1 - SUPP. TO PERMIT OFFICE 76 �OOMJVALUATION I J F MIA M J J A S O N D JOB ADDRESS l` + �D� OWNER / 72 7 1 � � Y 73 USE O,y F.Ct. DATE Ritf� 74 . ..V11VF%BUILDING �_�,�,- . gC% dY�4 a — G- 55667 75 COMMUNITY DST UNy1 - SUPP. TO PERMIT OFFICE 76 �OOMJVALUATION I MOBILEHOME $ 'LEGAL DESCRIPTION HOOKUP FEE a -",r DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK SY MECHANICAL FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IM PEC TORT PLAN CHECK FEE $ :5.17 g _// .� 1I ! DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE $�,� G. Z�o b'! DBL - ADDRESS CITU STATE ELECTRICAL FEE $ �� �Q ca $ 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. d 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 PLUMBING FEE I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. jORNIA. V COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLA AND SP CIFI- CATIONS HAS DONE SO IN ACCORDANCE WITH SECT 55 OF T%I l'NE,5AND TOTAL FEES $ 7 fF� PROFESSIONS CODE OF THE STATE OF CALIFORNIA.• p CASH 0 CHECK grIll, M.O. 0 N.C. O OWNER CONTRACTOR ra c Received By ADDRESS DDRESS Sewage System 7 LL P CITY CITY Trees Required Yes No f ` / INFORMATION TEL. NO. TEL. NO.. LICENSE FORM 284-208 (REV. 4/71)