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248300 (SATT)
WILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE A& COUNTY OF RIVERSIDE A CONSTRUCTION ESTIMATE ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ )OR. SQ. FT. @ 3AR. SQ. FT. @ :AR P. SQ.FT. @ MALL SQ. FT. @ SQ. FT. @ :STIMATED CONSTRUCTION VALUATION $ DOTE: Not to be used as property tax valuation MECHANICAL FEES VFNT SYSTFM n FAN n FVAP_ COOL ❑ HOOD NO. ELECTRICAL FEES ;'±', UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN NO.I PLUMBING FEES BOILER L j B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) 11 C 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 @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1¢ SEWAGE DISPOSAL SOFT GARAGE @ 'hcr. HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE PERMIT FEE TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL, SMI FEE FEE PLUMB.2 FEE DBL 4RRj*0 i ()3. Lel I J I F I M A I M I J IJ A I S 1 O 1 NOB JO ADDRESS. _ SP.NO OWNER > f1 I f r, 73 74 LrSITIOF PERMIT F. c.DAT P2408 3 0 d ri 44 75 M H PERMIT FEE $ _ OMM NITY DST NIT ODMS I VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ -1 2-10199 LL& D MECHANICAL FEE DBL $ SET BACK OT SIZE ZONE NO. GRP TYPE CK BY [USE F s R Kar r� 'LAN CHECK FEE Ii BO AMT. PLAN NO. PLAN CHECKER FINAL A INSPE , OR ZONSTRUCTION FEE DBL F$5 NAME 0= CONST. LENDER BRANCH OFFICE N LENDER INVOLVED ELECTRICAL FEE DB4' All0ftS CITY STATE SMI FEE $ -T 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 FEE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS PLUMBING FEE DBL $ i / HAS DONE SO IN ACCORDANCE WITH SECTION 554}�0�,'THE BSISINE Ai NN - 9,,1` SCIONS CODE OF THE STATE OF CALIFORNIA. .� `•-"erg' -r -is OWNER/AGENT'S SIGNATURE CONTRACTOR e TOTAL FEES LIS 103, lac. CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESS A s RECEIVED BY TREES REQUIRED Bcm 164 CITY ZIP CODE ZIP CODE SEWAGE SYSTEM T T LL 'Palm a ort INFORMATION TEL. NO. TEL. NO. LICENSE r 'ORM 284.208 [Re, 9.731 ©S .S C