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260608 (PLBG)FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE r CONSTRUCTION ESTIMATE I ST FL. SO.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SQ.FT. @ WALLSO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuotion MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUT01 (DISH) �l APPLIANCE J,OB ADDRESS � �� SP NO c[.�� t OWNER GARBAGE DISPOSAL / •�- / FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 75 LAUNDRY TRAY F.C. JDATE AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK a :� — 1 15 ABSORPTION SYSTEM � B.T.U. TEMP USE PERM SVC WATER CLOSET COMMUNITY COMPRESSOR O HP POLE, TEMP/PERM LAVATORY SUPP. TO PERMIT HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER O B.T.U. t�')/�3r SQ FT @ ¢ BATH TUB =�a SQ FT @ ¢ WATER HEATER COPIES $ SOFT RESID @ 1 ¢ SEWAGE DISPOSAL fits SQ FT GARAGE @ 'h¢ HOUSE SEWER DBL PERMIT FEE SET BACK GAS PIPING MOBILE HOME PERMIT FEE $ TYPE PERMIT FEE PERMIT FEE ?� PERMIT NO, 26060 TOTAL FEES :-- MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE 1,�00 DBL. J f M A M J J A S O N D J,OB ADDRESS � �� SP NO c[.�� t OWNER / •�- / 75 USE OF PERMIT F.C. JDATE PERMIT NO. 260608 76 �L. E?! �w r31 C ta: c 0 5f i 7 a :� — 1 15 M H PERMIT FEE $ COMMUNITY r ST UNITS ROOMSVALUATION SUPP. TO PERMIT OFFICE t�')/�3r =�a MICROFILM FEE COPIES $ LEGAL DESCRIPTION .le 7 or MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE BY _ --L,> R F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR %U 'e, 7S- � EOL-c�.Y._Q ,f2 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE i STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE ,--v r%c-5 1y-.9 6.! it A- $ $ ADDRESS ADDRESS - f FEE12A7 11:1 PLUMBING FEE DBL $ CITY_✓ ZIP CODE CITY ZIP CODE fJ ,L TOTAL FEES $ � .,.''O^- f,J � TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r Y� /1�TR RECEIVED BEES REQUIRED "' I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC ,✓ SEWAGE SYSTEM CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA,' I ALSC T//.1//h LL P�S .Y/=I AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS 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.