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RPL (242963)
BUILDING PERMIT 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 to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING BOILER L ....... . j B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN !NATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ' ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN 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 @' C BATHTUB SQ FT @ ¢ WATER HEATER as SQ FT RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ '/2a HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING S MOBILE HOME PERMIT FEE S PERMIT FEE Gt% PERMIT FEE o PERMIT NO. TOTAL FEES mi L? f M08. HM. FEE MICRO FEE MECH. FEE DBL. PL.. CK. FEE=;IST�; ' / � 41 +s" DBL. ELECT: FEE moi% DBL. SMI FEE FEE PLUMB. FEE DBL. •J -1 F- I M A I M -J -J I A I .S O N D_1 JOB ADDRESS _ SP NO mlayvW.- AP OWNER 73 74 USE OF PERMIT - . .. • i/ F. C. P% DATE { '7r As PMI NO. 75. M H. PERMIT FEE $ COMMUNITY /-jI/ DST UNITS ROOMS VALUATION ©� t- SUPP. TO PERMIT- OFFICE MICROFILM FEE COPIES $ LEGAL DE CRIPTION ' MECHANICAL FEE. DBL $ SET BACK LOT SIZE.ZONE USE NO. GRP TYPE CK BY + F S./ B PLAN CHECK FEE $ ' %�'v_ BOND AMT. PLAN NO. s PLAN CHECKER FINAL DATE i`.� n; INS CTO f - CONSTRUCTION FEE DBL $ d9'C1 NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE '. DBL $ ADDRESS Cm STATE SMI FEE $ ` THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- TION OF WORK FOR 1`20 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 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. i FEE $ - PLUMBING FEE DBL $ TOTAL FEES $ ZOWNER/AGENT-S SIGNATURE CONTRACTOR CASH ❑ CHECK M.O. ❑ N C ❑ ADDRESS ADDRESS ( a • RECEIVED BY • TREES REQUIRED SEWAGE SYSTEM CITY ZIP CODE CITY - ZIP CODE s #fj[ INFORMATION FORIA 284.208 (Re, 97.31 05! TEL-. NO. - - TEL. NO. l// fLICENSE /�, � f•,�` '^` "