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SFD (259172)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE . NO. ELECTRICAL FEES UNITS 1 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO.I PLUMBING FEES BOILERL___, I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER // CONSTRUCTION ESTIMATE 1 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 !o be used as property tax valuation MECHANICAL FEES DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE . NO. ELECTRICAL FEES UNITS 1 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO.I PLUMBING FEES BOILERL___, I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER // V2 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHE=N 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 SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ le SEWAGE DISPOSAL SQ FT GARAGE @ '/,¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE 2 R IT O. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI fEE FEE PLUMB. FEE DBL. F I M A I M I J. II A I $ O N D JO ADDRESS_`c7 I SP NO p� j�d.36! ,� C `I{'��j f �Ct //�/C s7/�+ ✓C�'� ca 73 74 1 1 1 1 USE OF PERMIT `� �9�1� AJ 44 f.. r�W� F.C. JDATE .. 75 P NLA1��pJJ 1 � ae B 72 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION .mar 7 rq Q -XI 4 24, -TCT 7 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY a�IZ+CS F S R- PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER I FINAL DEN INSPECTOR J r CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ 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 THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5511 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. /'S�l6T G " FEE�p e - $ PLUMBING FEE DBL $ TOTAL FEES $�fJ / / OWNER/AGENT S SIGNATOR CONTRACTOR CASH CHECK ❑ M.O. ❑ N., ❑ ADDRESS 4. 1/ 0 ADDRESS y � RECEIVED BY SEWAGE SYSTEM T - LL P CITY ZIP CODE � CITY ZIP CODE INFORMATION "FORM 284.208 (Rev. 9.731 ©s vw� TEL. NO. TEL. NO. LICENSE V2