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215669 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE FIELD OFFICE VENT SYSTE FAN ❑ EVAP.COOL HOOD CONSTRUCTION ESTIMATE t�r� ELECTRICAL FEES TOTAL FEES_ MOB. NOOK FEE 6 9 P77 PLUMBING FEES T 1ST FL. 2ND FL. POR. GAR. CAR P. WALL t� I SQ. FT. � NO. NO. GARBAGE DISPOSAL 73 SQ. FT. Co) U FURNACE❑UNIT ❑WALL❑F OR❑SUSPENDED' SQ. FT. @ MOTOR 1 OR LESS H.P. OUTLETS SQ. FT. @ MOTOR 5 OR LESS H.P. �✓ IY► LAUNDRY TRAY SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL J �K.W,UNITS � WATER PIPING ESTIMATED VALUATION $ �% GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL FLOOR DRAIN WATER CLOSET MECHANICAL FEES UNITS1 COMPRESSOR 2^� HP WATER SOFTENER POLE VENT SYSTE FAN ❑ EVAP.COOL HOOD OO SIGN TOTAL FEES_ MOB. NOOK FEE 6 9 P77 WASHER (AUT ISH) DBL OO APPLIANCE tz �- r GU TRANSFORMER =K•W• PLUMBING F� `,,�� ._..� GARBAGE DISPOSAL 73 FURNACE❑UNIT ❑WALL❑F OR❑SUSPENDED' F.C. OUTLETS R RL71 N 'J/�J 15669 LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET J KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET DST UNITS1 COMPRESSOR 2^� HP 0a POLE OFFICE LAVATORY UL! APPLIANCE VENT AMPERES SERV. ENT.SHOWER�C% �' 01? ABSORPTION SYSTEM B.T.U. SQ. FT. @ It .Z BATH TUB / D U INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ q. / WATER HEATER $ HEATING SYSTEM FORCED ❑ GRAVITY 9d SQ. FT. RESID. @ 1 y �U SEWAGE DISPOSAL fQ Gi BOILER B.T.U. SQ. FT. GARAGE@ 'z q HOUSE SEWER SET BACK LOT SIZE PERMIT FEE 1019 1BALANCE OF MIN. FEE TYPE GAS PIPING MECHANICAL FEE Z> MOBILEHOME HOOKUP FEE I$ I I I I f IPERMIT FEE I I / I PERMIT FEE I -" ] Q U PERMIT 215 NUMBER 6 TOTAL FEES_ MOB. NOOK FEE 6 9 P77 HEAT & VENT ;EE 9_ �-V DBL PL. CK . -�^� " ON5T. �1(v ` DBL ELEC. F DBL o FEE •sem, PLUMBING F� `,,�� ._..� DBL J F M A M J J A S O N D JOB ADDRESS OWNER 72 v GsQ44al Dr, A CI► � l_;;la ee r 73 USE OF,fBUILDIN. F.C. DATE R RL71 N 'J/�J 15669 74 ,,y�s�{,�.� ._ ,p [i !! `�✓ ti�%/c:. 0 ®1 +� T `sI'sll �t*w. 75 COMMUNITY- DST UNITS1 OOM VALUATION SUPP. TO PERMIT OFFICE 76 T �' 01? v H I;a) / c MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE YL// r V,—// DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $� of © S R �Q BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR PLAN CHECK FEE $�• I DBL NAME OF CONST. LENDER BRANCH OFFICE/r NO LENDER INVOLVED CONSTRUCTION FEE $ //G / Cd kf 1 DBL ADDRESS CITY STATE ELECTRICAL FEE $ 1 D CG $ 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. 5 FEE' 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 $� ORNIA. 1 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 PlI,-ANS ANO ECIFI- TOTAL FEES $ - CATIONS HAS DONE SO IN ACCORDANCE WITH SEC pN 5 1 TF►E Ily S AND � PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -- .1 KT CASH F-1 CHECK lf� M.O. ❑ N.C. OWNER CONTRACTOR LI T Received By ADDRESS ADDRESS Sewage System T LL P CITY CITY Trees Required Yes No INFORMATION TEL. NO. TEL. NO. L�•I'�CEENSE �J /Q,�� ��� % 1 5_;F6 FORM 284-208 (REV. 4/71)f7 M�"N` YV