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PAT (280616)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE -4 ,CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES I ST FL SQ FT @ I IUNITS 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P.SQ.FT. @ WALLS� 11 ��// 32 SQ. FT. @ SQ. FT. @13 ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES COMPRESSOR VENT SYSTEM O FAN ❑ EVAP. COOL ❑ HOOD "C" MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE r.& NO. PLUMBING FEI YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER U/Af WrD 1AI ITnl Inl4ZUl /DST APPLIANCE .JOB ADDRESS j� / SP NO �"t� JOWNER /_ P�Zd GARBAGE DISPOSAL FURNACE Cl UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED C:. K Auto u-) / t LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. ROOMS SQ FT @ a BATH TUB OFFICE SQ FT @ ¢ WATER HEATER u ��f� SOFT RESID @ 1¢ SEWAGE DISPOSAL 83 3, °° SOFT GARAGE @ 1/7a HOUSESEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME'PERMIT FEE $ PERMIT FEE PERMIT FEE 2 _PE$MIT NO_ 6 8061 TOTAL F� g MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE q v° DBL. ELECT. FEE DBL. SMI FEE r b F.EEJ PLUMB. FEETBL. F I M A I M I J I ) I A I S 1 Q 1 N I D 74 .JOB ADDRESS j� / SP NO �"t� JOWNER /_ P�Zd J 5 /T ✓L�%k Aoldoz'4 C:. K Auto u-) / t 75 US OF PERMIT �� Coller .. PAS 17 F.C. DATE % /`/ 76 la x ly' 7412'8N0616 M H PERMIT FEE $ Co MUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE u ��f� 83 3, °° MICROFILM FEE COPIES $ LEGA DESCRIPTION lPi1'7-73-N3-664 -/at/9 el- //a S19AA) MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE C Y F S R /- > ,S— f PLAN CHECK FEE $ BOND AMT. PLAN CHECKER FINAL DATE I PECTOR IPLANNO. 3 .a -s. � 7 J- - :% CONSTRUCTION FEE DBL $ x.10 w NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY h STATE STRONG MOTION $/ OWNER/A($ENT-S'8tGN*W ;. - CONTRACTOR INSTRUMENTATION FEE , ab � 0� f kf' Cl AJ FEE $ ADDRESS LPs 0, rr% ADDRESS ,Jn b I S PLUMBING FEE I DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ h {7J OC L T� NO. T TEL. NO. LICENSE CASH ❑ CHECK.( M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSARECEIVED PTIN OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. BY(a 6el TREES REQUIRED 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 SEWAGE SYSTEM T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE 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.