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260202 (GRES)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES I ST FL. - SQ.FT. @ UNITS ! 2ND FL. SO. FT. @ _ POR. '~ t' SQ. FT. @ > MOBILEHOME SVC. GAR. SO. FT. @ +J "" �� p POWER OUTLET CARP. SO.Fl. @ WALLSQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ �,J E"' NOTE: Not to be used as property tax valuation SWIM POOL, PVT MECHANICAL FEES SWIM POOL, COMM VENT SYSTEM O FAN AEVAP.COOL O HOOD � L,) SIGN APPLIANCE I FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL DST / 13 u FURNACE O UNIT O WALL O FLOOR O SUSPENDED JOB ADDRESS ,r rrII SP NO OWNER LAUNDRY TRAY AIR HANDLING UNIT CFM F.C. IDLE METER PERMIT NO. KITCHEN SINK 7-� I' xf ,S. P4.1 ©a/ ABSORPTION SYSTEM 0 B.T.U. 2 6 0 2 0 2 TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP UNITS POLE, TEMP/PERM VALUATION LAVATORY OFFICE HEATING SYSTEM Cl FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER f� BOILER � B.T.U. J f��+��C� SQ FT @ ¢ BATH TUB COPIES $ LEGAL DESCRIPTION SQ FT @ ¢ WATER HEATER MECHANICAL FEE DBL SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL LOT SIZE ZONEj USE NO. GRP SQ FT GARAGE @ Ih¢ J- rb HOUSE SEWER PERMIT FEES �i U GAS PIPING MOBILE HOME PERMIT FEE$ F .! J S 5 -el / e RCA PLAN CHECK FEE / PERMIT FEE �� Q PERMIT FEE d'a PERMIT NO. 260202 TOTAL FEES 3� MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE s�} DBL. SMI FEE ,, FEE PLUMB. FEE DBL. J F M A M J J A S O N D JOB ADDRESS ,r rrII SP NO OWNER 75 USE OF PERMIT /1 f- 0 A 77 - e-.',4 JYA (- �l//�.�� F.C. DATE ' PERMIT NO. 76 7-� I' xf ,S. P4.1 ©a/ I ?'- 2 6 0 2 0 2 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE /1.4LnuJA,,7i4 f� � J f��+��C� �t'frQU�•� MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEj USE NO. GRP TYPE CK BY `ice �i U /J F .! J S 5 -el / e RCA PLAN CHECK FEE $ � BOND AMT. PLAN NO. f PLAN CHECKER FINAL DATE r� INSPECTOR / p'-8 / S :T . CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED / ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE .�'iS C cftl� �T'elCT�ai.f $ ADDRESS ADDRESS FEE -? "l, PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ f; '� w TEL. NO. TEL. NO. LICENSE .31116 /1/.2 t" �2 ye. f !-•' CASH O CHECK ( M.O. O N.C. ❑ 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. RECEIVED BYTREES REQUIRED 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 ALSC + SEWAGE SYSTEM T ILL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI %A IC^ E TI -IC CT ATE( EC AI IEl DN It lll\/COIN)/ (' NITD A rTr%DC IC A I Cn r I[ADA NIT CCn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 484-208 (Rei. 10-74) Or L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.