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242763 (RER)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY, FIELD OFFICE FURNACE ❑ UNIT O WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY COUNTY OF RIVERSIDE DST' ABSORPTION SYSTEM 1B.T.U. TEMP USE PERM SVC WATER CLOSET CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES O. PLUMBING FEES' 1 ST FL. SQ.FT. @ UNITS SQ FT @ a WATER HEATER B.T.U. 2ND FL. SQ. FT. @ SQ FT GARAGE @ 'h¢ HOUSE SEWER BOIL POR. $Q. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ.FT. @ MECH. FEE DRAINAGE PIPING SQ. FT. @ CONST. FEE �a _ DRINKING FOUNTAIN WALL +•- *' Vc' SQ. FT. @ DBL. URINAL. ESTIMATED CONSTRUCTION VALUATION $ 9Qe FEE PLUMB. FEE WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER F.C. 42% VENT SYSTEM n FAN n FVAP_ CC)ni I-1 HOnD SIGN WASHFR IAI ITCH InIc.1-II APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT O WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHFN SINK ABSORPTION SYSTEM 1B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM O FORCED 0GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ a WATER HEATER ' SOFT RESID @ I ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEES r *? s - MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE �a _ DBL. ELECT. FEE DBL. SMI FEE L .� FEE PLUMB. FEE DBL. J F I M q I M I J JI A I S O N D JOB ADDRESS r± J i SP NO `,tom /A ff!?� I OWNER ��� % 5 ,73 74 USE OF PERMIT .�; .�•� -� `; r/"AI.k' 407-0 r1A, .,L {I� <'/h�' F.C. 42% DATE �/ �- �'–/-7 P IT NO. 75 M H PERMIT FEE $ COMMUNITY f%y% vc <c"dr DST % UNITS OMS VALUATIONSU �%G'�` PP. TO PERMIT JFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE Z�ONE LYS, ►it I ! USE NO. GRP TYPE �CK BYYF ^Y,6:' SR PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPE TOR j CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE Nb LENDER INVOUED 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. THEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AG CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH TI -E LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIOI`S HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PR F S 1NS COCE OF THE STATE OF CALIFORNIA. ,y FEE $ PLUMBING FEE DBL $ TOTAL FEES $ 71 . y� OWNER/AGENT'S SIGNATURE CONTRACTOR Cr, jam- CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS ov / `ZIP RECEIVED BY •' TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE ./� CITY 'ODE /f r�+f • INFORMATION TEL. - f / FORM 284)208 (Rev. 9.731 ©S ! NO. TEL. NO. LICENSE �,(� � ;"j ;P