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BLCK (272956)54180 Avenida Madero 272956 BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. I ELECTRICAL FEES I ST FL SO FT I UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHFR IAtITt711nISH1 DST APPLIANCE .JOB ADDREESS/ SP NO OWNER 2ND FL. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SO. FT. @ POR. AIR HANDLING UNIT SO. FT. @ GAR. KITCHEN SINK SO. FT. @ CAR P. TEMP USE PERM SVC ISO.Fl. @ WALL % HP SO. FT. @ % -^ LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax voluotion SO FT @ a MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHFR IAtITt711nISH1 DST APPLIANCE .JOB ADDREESS/ SP NO OWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED J LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM j B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. ROOMS SO FT @ a BATH TUB OFFICE ` SO FT @ a WATER HEATER SO FT RESID @ 1 a SEWAGE DISPOSAL SO FT GARAGE @ '/Ta HOUSE SEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE 2 729 'THS AL FEES I ! r MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE r . ONST, FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J A I S 1 O 1 N D .JOB ADDREESS/ SP NO OWNER 74 J 75 USE OF PERMIT F.C. PE I O. 76 ! /I i. r! _ l /%11. j JDATE// o ` — `Ci rr2956 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION P. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION C' f N/ MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPECK BY F _15 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER 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 CONTRACTOR INSTRUMENTATION FEE , $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ _ TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK 8" M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BYt, / r TREES REQUIRED •,. // . y- h f I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC 1' CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM — - , '' T LL P :nJ AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.