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SFD (268528)• BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. < * 6� 2ND FL.SO. POR. GAR. CARP. WALL SQ.FT. @ l `f 27 UNITS DATEPE SO. FT. @ YARD SPKLR SYSTEM FT. @ % MOBILEHOME SVC. BAR SINK SO. FT. @ !Jt/ POWER OUTLET ROOF DRAINS SO.FT. @ DRAINAGE PIPING _ SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $a o z URINAL WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMM WATER SOFTENER COMPRESSOR VENT SYSTEM ❑ FAN ❑ EVAP. COOL dlloc,7731001SIGN Q WGSHFR IGI IT lcw DST APPLIANCE R cQ, 3 --ep, a A_'J GARBAGE DISPOSAL 75 768528 USE OF PE MIT FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED DATEPE IT O. J LAUNDRY TRAY QIJ AIR HANDLING UNIT CFM DST IDLE METER / KITCHEN SINK SUPP. TO PERMIT ABSORPTION SYSTEM B.T.U. $ TEMP USE PERM SVC LEGAL DESCRIPTION / WATER CLOSET %f.7 COMPRESSOR HP Q POLE, TEMP/PERM w4 LAVATORY GRP TYPE CK BY } HEATING SYSTEM FORCED ❑ GRAVITY 7 it AMPERES SERV ENT 700 SHOWER .0 BOILER 0 B.T.U. �./ / SQ FT @ a L BATH TUB $ of�j BOND AMT. PLAN NO. SQ FT @ a FINAL DATE WATER HEATER C7 /D SQ FT RESID @/ j SEWAGE DISPOSAL �p e_e- CONSTRUCTION FEE DBL $ 4/ SQ FT GARAGE @,414 w3 P HOUSE SEWER NO LENDER INVOLVED PERMIT FEE Ho,l14. I GAS PIPING (i MOBILE HOME PERMIT FEE Is ADDRESS) PERMIT FEE dD PERMIT FEE 26"692 TOTAL FEE 79 MOB. HM.FEE MICRO FEE MECH. F E DBL. PL. CK. FEE �.� CONST. FEE a� DBL. ELECT. E6 , DBL. SM EE f� FEE P}Lum B. J ! . JDBL, J I F I M A I M I J I J q IS 1 O IN D .JOB ADDRESS SP NO ✓ / 5 � 14l/ /%�ipa OWNER/ /• ' 4 a A_'J /'IAIAI IT 0 AI 75 768528 USE OF PE MIT F. C. DATEPE IT O. M H PERMIT FEE $ COMMUNI- Y A 417A DST UNITS VALUATION SUPP. TO PERMIT -ROOMS OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION / MECHANICAL FEE DBL $ aV �W SETBACK LOT SiZE Z�OONQNE USE NO. GRP TYPE CK BY } F S R .0 ✓r �l ♦1 �./ / L PLAN CHECK FEE $ of�j BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN E TOR CONSTRUCTION FEE DBL $ 4/ ©� NA OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED Ho,l14. ELECTRICAL FEE DBL $ � ADDRESS) ST�� 9�j9 �lts� R7• C..+� ! STRONG MOTION INSTRUMENTATION FEE $�� OWNER/AGENT'S SIGNA R CONTRACTOR ,70 " Al FEE $ ADDRESS 7� !7--? — 63 r% /Ja�01�r!✓ �/2/�© ADDRESS PLUMBING FEE DBL $CITY ;39 S"C ZIPCODE C41M DZ;S Ew T �A CITY ZIP CODE t TOTAL FEES $ �� TEL NO/. 3�Iro — TEL. NO. LICENSE CASH ❑ CHECK M.O. O N.C. ❑ 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 ALSC RECEIVED BY �s TREES REQUIRED SEWAGE SYSTEM !% + n yf1� !T T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.