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248620 (SFD)BUILDING PERMIT CONSTRUCTION ESTIMATE I 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 $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST F , APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR C3 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 SOFT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL ♦ SO FT GARAGE @ 'h¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE P R T TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE .ABt:: ELECT. FEE •B9L: SMI FEE FEE PLUMB. FE 1 -. J I F I M I A I M I J J I A I S O 1 N D JOB/3ADDRESS y J� SP NO 9S3.°tEj' ,r� / f { /✓ 73 74 USE OF PERMIT Gc%• L/!:`l i 1 - 1.�1e�fPy F.C. JDATE •��i •> r%=� 17062075/k�i/e M H PERMIT FEE $ COMMUNITY DST UNIT ROOMS I VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE _/B/s_ $ SET BACK LOT SIZE ZONE /1 USE NO. GRP J TYPE CK BY PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE� INSPECTOR J CONSTRUCTION FEE 14)ft, $ s Vic" NAME OF CONST. LENDER BRANCH tS- /_ z co. OFFICE NO LENDER INVOLVE '>__,, ELECTRICAL FEE r $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 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 CALIFORNIA, 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 TI16J.JHE INDIVIDUAL WHO PREPARED THE PLANS AND SPEC IFICATION$` HAS DONE SO IN ACCO)ZOANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STAft'QF CALIFORNIA. FEE $ PLUMBING FEE .88t"" $ TOTAL FEES off Cly O /.G NT' SIG[JA,' „y' �n CONTRACTOR CASH ❑ CHECK M.O. ❑ N.C. ❑��/� ADDRESS f,0, J p >� �xs--j ADDRESS RECEIVED BY -4— TREES REQUIRED SEWAGE SYSTEM ' T LL I P CITY ZIP CODE f CITY ZIP CODE I INFORMATION FORM 284.208 (Rev. 9731 ©s yLy+Ls�i �. TEL.NO. ..7 :! J "� TEL. NO. LICENSE /'� ~� �` ✓ O Q .L�.