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259497 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE I NO. ELECTRICAL FEES t1 —� UNITS MOBILEHOME SVC. POWER OUTLET w VM SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. CONSTRUCTION ESTIMATE f ' 1 ST FL. SQ.FT. @ 2ND FL. ROOF DRAINS SQ. FT. @ POR. �°� � SQ. FT. @ 2! ` GAR. URINAL SQ. FT. @ CAR P. &2S 2 C -O SQ.FT. @ � -7 " WALL WATER SOFTENER SQ. FT. @ 5ra.IG % p v PERMIT NO. TOTAL FEES SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DBL. ELECT. FEE MECHANICAL FF DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE I NO. ELECTRICAL FEES t1 —� UNITS MOBILEHOME SVC. POWER OUTLET w VM SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. PLUMBING FEES APPLIANCE 10 YA� 6 Ll GARBAGE DISPOSAL BOILER O B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER u VENT SYSTEM `J X FAN ❑ EVAP. COOL HOOD 17401SIGN % WASHER IAUTOI ISH) � �) Q APPLIANCE 10 YA� 6 Ll GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER 7 KITCHEN SINK(J ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET 60 COMPRESSOR / 0 HP POLE, TEMP/PERM LAVATORY plj HEATING SYSTEM FORCED OGRAVITY .r nC AMPERES SERV ENT SHOWER f SG} SQ FT @ a BATH TUB SQ FT @ a f WATER HEATER / !� SQ FT RESID @ I a f („ fj % SEWAGE DISPOSAL %L 40 SQ FT GARAGE @ 'ha , Ls ;I_ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ % PERMIT FEE U PERMIT FEE G G PERMIT NO. TOTAL FEES MOB. HM. FEE MIC FEE MECH. FE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBI. J I F I M A I M I ) I J A I S 1 O N D J08 ADDRESS a�� SP NO OWNER c'.fJUAi _. 73I� 74 USE OF PERMIT F ,E .AW '90 F. C. JDATE - - P NO 20949.. 75 M H PERMIT FEE $ CO/MMUNIT4 X ('I,l i Al TsF DST //1, UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ .Y�.l SETBACK LOT SIZE ZONNEj' % USE NO. GRP TYPE CK BY r F �2Q S Rao PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ /040 NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED c_ -- ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ t / t THIS PERMIT SHALL BECOME VOID IF WORK ISNOT 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. 1 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 /OWNER/AGENT'S / ,7v 12— SIGNATURE �;� // A4 Ift.J151,44- 1-1, C.' ,_ CONTRACTOR CASH ❑ HECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY Qlr TREES REQUIRED+i -SEWAGE SYSTEM T /�� LL P / , / �C' x !Y CITYtt�Y ZIP CODE CITY ZIP CODE INFORMATION FORAM 284-208 (Rev. 9.731 ©s TEL. NO. TEL. NO. LICENSE u