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248591 (CSCS)
'KING PERMIT Y ESTIMATE ����CIIONNSTRUCTION I ST FL. J SQ.FT. @ 2ND FL. [GAR. SQ. FT. @ POR. SQ. FT. @ ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET `j pgy SQ. FT. @ CAR P. SQ.FT. @ WALL SQ.FT. @ SQ FT @ C BATH TUB SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY h COUNTY OF RIVERSIDE MECHANICAL FEES VENT SYSTFM`Z&FAN ❑ FVAP. COOL ❑ HOOD s J NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE DST NO. PLUMBING FEES FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK BOILER O B.T.U. ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET `j pgy BAR SINK COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY fJf ROOF DRAINS ' HEATING SYSTEM O FORCED ❑GRAVITY ,t1ft `�1 AMPERES SERV ENT �� SHOWER DRAINAGE PIPING SQ FT @ C BATH TUB DRINKING FOUNTAIN SQ FT @ C WATER HEATER URINAL SQ FT RESID @ 1 a % SEWAGE DISPOSAL WATER PIPING SQ FT GARAGE @ V2 / HOUSESEWER !j" "0 FLOOR DRAIN PERMIT FEE 'j Q TEMP ELEC SVC GAS PIPING WATER SOFTENER PERMIT FEE A11,001 PERMIT FEE U i1 WASHER (AUTO) (DISH) TOTAL FEES APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET `j pgy COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY fJf HEATING SYSTEM O FORCED ❑GRAVITY ,t1ft `�1 AMPERES SERV ENT �� SHOWER SQ FT @ C BATH TUB SQ FT @ C WATER HEATER SQ FT RESID @ 1 a % SEWAGE DISPOSAL SQ FT GARAGE @ V2 / HOUSESEWER !j" "0 PERMIT FEE 'j Q TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE A11,001 PERMIT FEE U i1 PERMIT NO. TOTAL FEES MOB. HM. FEE MICRO FEEEE` MECH. FEES DBL. PL.CK. FEE C%0N�jST. FEE DBL, ELECT. Fj� DBL. SMI FES FEE PLUMB. FEE DBL J I F I M A I M J IJ - A I- S 0 F.N,I 'D- 'JOB ADDRESS SP NO `%-:2-pe) At_- [.ale ' ahSI OWER'', fA#i/7f: 73 74 USE OF PERMIT F.C. J DATE P MI NOp M H PERMIT FEE $ COMMUNITY I DST UNITS I ROOMS VALUATION f SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES I $ LEGAL DESCRIPTION �r+T",j ^ iz / `i' ~ '. `/ � tl `� `% i `.2 fr x . /• � J' MECHANICAL FEE ' DBL $ 73 SET BACK LOT SIZE /ZOONEE 4 /05 USE NO. t GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR �S I� CONSTRUCTION FEE DBL $ ij 4 NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLV} 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. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- CORDANCE 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 THE STATE OF CALIFORNIA, r FEE PLUMBING FEE DBL $ TOTAL FEES $ [ f a� ,t/ OWNERAN7, FfSl6_ TJf(E� 7 / CONTRACTOR CASH ❑ CHECK M.Q. ❑ N.C. ❑ ADDRESS o. d x ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM LL P CITY ZIP CODE 0 tf f!' A f� j� , f i/ CITY ZIP CODE INFORMATION FORM 284.208 (Rev. 9.731 ©s /� TEL. NO. �t/�j '� (�q 0 z...�— TEL. NO. LICENSE