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248619 (SFD)
BUILDING PERMIT 'DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE AM COUNTY OF RIVERSIDE A CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION 1 $ NOTE: Not !o be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE NO. ELECTRICAL FEES NO. PLUMBING FEES UNITS AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK• BOILER � B.T.U. MOBILEHOME SVC. • BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL, COMM WATER SOFTENER SIGN WASHER(AUTO) (DISH) M08.HM. FEE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK• ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ l a SEWAG DISPOSAL SQ FT GARAGE @ 'ha HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO.��OTALS M08.HM. FEE MICRO FEE M'cCH. fEE H.I/Olt [. PL. CK. FEE CONST. F EFr- te r' ELEC . FF,E }`,r �B'BC: f SMI FEE ' J�/ FEE . 1 PLUM FEE . i ': J I F ..I M A.1 M I J I I A .. _S O • N I D JOB ADDRESS - — - - j --SP NO. • .OWN _ _.,....- �_.. %. 73 74 USE OF PERMIT F.C. DATE// P MI(/L�NO 6 -19 M H PERMIT FEE $ C MMUNITY DST Uy ROOMS VALUATION SUMP?P. TO PERMIT OFFICE' MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE —4*&, $ SET BACK LOT SIZE ZZ EE USE NO. GRP TYPE CK BY PLAN CHECK FEE. $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE NSPEC 'O CONSTRUCTION FEE ...... ''°• l�. $ NAME OF CONST. LENDER. BRANCH OFFICE NO LENDER INVOLV ' ELECTRICAL FEE $ l ADDRESS CITY STATE SMI FEE l $ THIS PER/y IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 [JAYS. CESSA. TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I 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 CALIFORNIAI 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 THAI -,THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCQR6ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STAT OF CALf ORNIA. ' FEE $ PLUMBING FEE �1 $ P TOTAL FEES $ ��'1 -OW y "/AG T'S SIGNA.'fU,BG,/',/' � t CONTRACTOR CASH ❑ CHECK - M.O. ❑ N.C. ❑ ADDRESS I,0, ADDRESS RECEIVED BY �� � TREES REQUIRED O SEWAGE SYSTEM T - LL P CITY ZIP CODE ��Il 4:�1 6 CITY ZIP CODE INFORMATION I; FORM 284.208 )Rev, 9.731 ©s TEL. NO.TEL. .,, � NO. LICENSE