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241102 (SFD) Permit RenewalBUILDING PERMIT DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO.I PLUMBING FEES BOILER E BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER // I CONSTRUCTION ESTIMATE 1ST FL. SQ.FT. @ i 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SO. FT. @ SO. 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 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO.I PLUMBING FEES BOILER E BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER // I VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL Cl 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 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/r¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I PERMIT FEE PERMIT FEE P R IT O. 021 TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE 9 D'E� SMI FEE FEE PLUMB. FEE DEL J I F I M A I M I J I J A I S 1 O 1 N D JOB ADDRESS SP NO �� - 3 ra Avr r� r �;.a,v�A I 0wI'* ,l N - 4 /Alit 73 74 U//SE OF PERMIT -1-2 i� �% ce ! /L �fl J- 1 F.C. DATE ) �y !� fJ� ` P` ;Z ` / PERS T NO. 11-0.2 75 M H PERMIT FEE $ COMMUNITY ,a 4&1A1 -1A DST U TS ROOMS VALUATION SUPP. TO PERMIT OFFICE 9y2 r MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE D$Lr $ SET BACK LOT SIZEZONE USE NO. GRP TYPE CK BY PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE /1,KP' ) �Ml INSPECTOR CONSTRUCTION FEE Qj $ NAME OF CONST. LENDER /�tBRANCH �� OFFICE LENDER INVOLVED ELECTRICAL FEE gam+ $ ADDRESS CITY STATTEEb C..�4- 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 5541 OF THE BUSINESS AND PROFESSIONS CODE OF;HE;TEQFCALIF FNIA. FEE $ PLUMBING FEE $ " TOTAL FEES $ � 04YNR IGN�? �'r `�-/ �.�—` RY ' M ,g r /AORr CONTRACTOR CASH ❑ CHECK M.O. ClN.C. ❑ ADDRESS !; y cl, 1 �—y r ei� I• J i r ADDRESS RECEIVED BY G41!i TREES REQUIRED SEWAGE SYSTEM T LL CITY i1 ! ZIP CODE 7,7 1'3 CITY ZIP CODE INFORMATION E(((( � f J FORM 284-208 'Rev9731 Os ,..LNO. TEL. NO. TEL. NO. LICENSE