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290575 (RIV CNTY)48900 Avenida Anselmo A& DEPARTMENT OF RLJILDING A SAFETY Aft FIELD OFFICE J F M AIM J J A S O N D BUIL NEO. COUNTY OF RIVERSIDE -I IIIIIIIIIIIIIIIIIIIIIIIII 75 [- IE OST R I PERMIT 2905751 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IOU ltl(y 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS ,`M H PERMIT FEE $ SQ. FT. @ YARD SPKLR SYSTEM USEOFPER IT `'- SQ. FT. @ MOBILEHOME SVC. BAR SINK MI SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ R?rD URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVTG% FLOOR DRAIN 4y MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN MECHANICAL FEE • WASHER (AUTO) (DISH) $ APPLIANCE ❑ DRYER ZONE / SET BACK GARBAGE DISPOSAL GRPTYPE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK /j I ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC R WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY BOND AMT. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT FINAL DATE INSPECTOR SHOWER BOILER B.T.U. SQ.FT. @ a BATH TUB J CONSTRUCTION FEE DBL SQ.FT. @ a WATER HEATER O NO LENDER INVOLVED F SQ.FT.RESID @ 11/4a SEWAGE DISPOSAL SQ.FT.GAR @ 3/4a DBL HOUSE SEWER ADDRESS CITY STATE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE - pd DBL. I TOTAL FEEEEE.S p4. / l.irr jMOB.HM,FEE MICRO FEE MECH. FEE PL. CK. FEE ©- CONST. FEE / Q'..r ELECT.FEE SM FjEE f I / i✓ / w. x FEE PLUMB. FEE YTS J F M AIM J J A S O N D JOB ADDRESS SP NO OWNER i 76 77 COMMUNITY A-4 VALUATION DATE DST / O FICA L IOU ltl(y ,`M H PERMIT FEE $ USEOFPER IT `'- F.C/. SUPP, TO PERMIT PE MI NO. 0575 MICROFILM FEE COPIES $ BOOK PAGE DESCRIPTION- :;; LEGAL -,.-4 9,04 , &sus MECHANICAL FEE • DBL $ USE NO. ZONE / SET BACK LOT GRPTYPE CK BY /j I 5 5 R S/IZE / [ i / "FLAN CHECK FEE$ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED F w `ELECTRICAL FEE DBL $ ADDRESS CITY STATE "STRONG MOTION $ OWNER/AGENTS SIGNATURE Yj•Y '' t?j K INSTRUMENTATION FEEJAS[^ 'SPECIALINSP $ ADDRESS AODRE55 -DEMOLITON FEE -REGISTRATION PLUMBING FEE DBL $ 9 CITY ZIP CODE CITY ZIP CODE } 0/ TOTAL FEES $ % TEL. NO. AREA CODE TEL. NO. AREEAA CODE LICENSE c CASH❑CHECK .O.❑ N.C.❑ zo -- ` . / / RECEIVED BY jg44 TREES REQUIRED THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM } HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY .c vrviv iwl unr LvlCCJ. LvmruHrvl-. Ill.. II 111. LHWJ VI' IIll- JIHIC Vr• CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.