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269936 (SFD)
FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY IIIIIIIIIIIIIIIIIIIIIIIII 01 COUNTY OF RIVERSIDE to - IE DST CONSTRUCTION ESTIMATE p^ NO. ELECTRICAL FEES f�"O. LTJMB'I'Iv'Ctes—� 1 ST FL.�' f SQ.FT. @ . lrt ""' UNITS 2ND FL. SQ.FT. @ YARD SPKLR SYSTEM POR. SQ.FT. @�^' """" G `° ' " MOBILEHOME SVC. ` BAR SINK �v GAR. ' /T�^'^ 50.FT. @0_��_jo ' POWER OUTLET ROOF DRAINS CAR P. SQ.FI. @ DRAINAGE PIPING WALL SQ.FT. @ DRINKING FOUNTAIN SQ:FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION ,;2 WATER PIPING NOTE:Not to be used as property tax voluation SWIM POOL,PVT FLOOR DRAIN MECHANICAL FEES?,. SWIM POOL.COMM WATER SOFTENER VENT SYSTEM?'- FAN ClEVAP. COOL 't HOOD U SIGN WASHERIAUTQ�(bI5H1 �✓ C) APPLIANCE y-y.,e?Y- cr Jft GARBAGE DISPOSAL FURNACE ❑UNIT ❑WALL ❑FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK G C) ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC 7_ WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM I LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY I.AMP51ES SERV ENT 490 SHOWER � - SCJ BOILER B.T.U. SQ FT @ ¢ BATH TUB VV SQ FT @ ¢ WATER HEATER v? f t7 ;0 SQ FT RESID @ 1¢ ���., SEWAGE DISPOSAL {.) 04.) 34 SQ FT GARAGE @ 'h¢ ' HOUSESEWER PERMIT FEE ^+ V i GAS PIPING (J MOBILE HOME PERMIT FEE $ / PERMIT FEE c U f PERMIT FEE Jf�J ER IT O. TOTAL FEES B.HM.FEE MICRO FEE MECH.4FiEu DBL. PL.CK.Ef FEE DBL. ELECT.FEE DBL. SMI FEE„ FEE PLUMB.FEE JDBL. co 62 693 . G� -'t �'CONST. 4 •� 4:41 Y J F M A M J J A S Q N D JOB ADDRESS SP NO OWNER / 74 - 75 USE OF PERMIT F.C. DATE PE IT 0. 76 f ,�- ��I-Gz)r,:�� 0� �-����� X68936 M H PERMIT FEE COMMUNITY DST T UNITS I ROOMS I VALUATIONSUPP.TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY / .6 Fµ'Y S 1..�3�y F 1 1 1 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER I FINAL DATE INSPECTOR % J CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE { STRONG MOTION $ OWNER/AGENT'S SIGNATURE YRINSTRUMENTATION FEE l.'\ S f ? i C $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TEL.NO. TEL.NO. LICENSE TOTAL FEES $ !/ � 31 e/ ���? CASH ❑ CHECKrb M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF"WORK IS NOT COMMENCED WITHIN 120 DAYS.CESSA- RECEIVED BY ,�. TREES REQUIRED O „r,,. 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 SEWAGE SYSTEM t�J AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE T LL P LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74)©L HAS DONE SO IN ACCORDANCE-WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.