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268510 (SFD)BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SOFT. @ f 2ND FL. SO. FT. @ POR. 02 SO. FT. @ GAR.SO. FT. @ CAR P. SO.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tax voluotion MECHANICAL FEE! VENT SYSTEM ❑ FAN ❑ EVAP. COOL DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE .18 FIELD OFFICE 2A Y'c2 02 NO. ELECTRICAL FEES NO. PLUMBING FEES ,, E x UNITS USE OF PERMIT � '� � C� �pQgeT 601 F.C. DATE �'s - %� YARD SPKLR SYSTEM 76 - MOBILEHOME SVC. BAR SINK LAUNDRY TRAY POWER OUTLET ROOF DRAINS D J DRAINAGE PIPING COMMU IT 4Oiv IDLE METER DRINKING FOUNTAIN KITCHEN SINK VALUATION Nn iia URINAL OFFICE ,9 -- WATER PIPING SWIM POOL. PVT FLOOR DRAIN WATER CLOSET SWIM POOL. COMM WATER SOFTENER HOOD SIGN WASHER (AUT(*DISH) DST I/. J F M A M J J A S O N D APPLIANCE 2A Y'c2 00 ij u� /�fFNDU.� ,, E x GARBAGE DISPOSAL USE OF PERMIT � '� � C� �pQgeT 601 F.C. DATE �'s - %� FURNACE ❑ UNIT ❑ WALL ❑ FLOOR SUSPENDED 76 , LAUNDRY TRAY M H PERMIT FEE AIR HANDLING UNIT CFM COMMU IT 4Oiv IDLE METER UNITS KITCHEN SINK VALUATION Nn iia (� OFFICE ABSORPTION SYSTEM 0 B.T.U. -TEMP USE PERM SVC I Al WATER CLOSET 7 b ;LI /o COMPRESSOR HP l3fJ POLE, TEMP/PERM $ LAVATORY O HEATING SYSTEM FORCED ❑ GRAVITY D SD AMPERES SERV ENT 00 SHOWER iii $ 17 BOILER � B.T.U. SET BACK LOT SIZE ZO SQ FT @ ¢ USE NO. BATH TUB Gt'J 5 SQ FT @ a XD �3 WATER HEATER O PLAN CHECK FEE . SQ FT RESID $ y SEWAGE DISPOSAL D PLAN NO. PLAN CHECKER FINAL DATE I ECTOR ,?90 SQ FT GARAGE @ ¢ .7 HOUSE SEWER PERMIT FEE aQ CONSTRUCTION FEE r----'..... $ GAS PIPING NAME OF CONST. LENDER BRANCH OFFICE MOBILE HOME PERMIT FEE $ 1 a p 040 3 19DI PERMIT FEE '. 10 2 PER6L0.1 E�j /FT? MOB. HM.FEE MICRO FEE M�'p FnE IDBL.lWtol � OONS .FbE a to DBL ELECT. €fj ;27 DBL. � MI F,F� FEE;L�U�Q.F3E STRONG MOTION INSTRUMENTATION FEE DBL. J F M A M J J A S O N D .IOB ADDRESS 1� SP NO �•�~l3 �D OWN 7a ij u� /�fFNDU.� ,, E x 7rj USE OF PERMIT � '� � C� �pQgeT 601 F.C. DATE �'s - %� PE IT O. � 8 510 76 , M H PERMIT FEE $ COMMU IT 4Oiv DST , /l UNITS ROOMS VALUATION Nn iia SUPP. TO PERMIT OFFICE I Al / ;LI /o MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ 17 Ov SET BACK LOT SIZE ZO E -/ USE NO. GRP TYPE BY 5 XD �3 PLAN CHECK FEE . ADo $ y av BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I ECTOR aQ CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 1 a p 040 '. ELECTRICAL FEE DBL $ ADDRESS CITY STATE a7 1y STRONG MOTION INSTRUMENTATION FEE $ / J OWNER/AGENT'S SIGNATURE CONTRACTOR J' $ ADDRESS�� ADDRESS FEE 111 — V I 'Q //A--- A _,OWE PLUMBING FEE DBL $ CITYCODE /%w t CIT v ZIP CODE TOTAL FEES $ TEL NO. TEL. NO. LICENSE CASH ❑ C ECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA AN OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED (3 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 /(J� t� TP �X )Y T LL AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI 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 J OF THE STATE OF CALIFORNIA.