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268779 (PLBG)BUILDING PERMIT DEPARTMENT OF, BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATENO. ELECTRICAL FEES UNITS 131 FL. 111..%ADDRESS SP NO SQ.FT. @ 2ND FL. J SQ. FT. @ POR. LAUNDRY TRAY SQ. FT. @ GAR. CFM SO. FT. @ CAR P. SO.FI. @ WALL TEMP USE PERM SVC SO. FT. @ F $ COMPRESSOR HP SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tox valuation HEATING SYSTEM ❑ FORCED ❑ GRAVITY MECHANICAL FEES SHOWER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOBILE410ME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI (DISH) DST /7 APPLIANCE 111..%ADDRESS SP NO OWNER J GARBAGE DISPOSAL J FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 75 LAUNDRY TRAY F. C. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET $ COMPRESSOR HP POLE, TEMP/PERM LAVATORY ROOMS HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER MICROFILM FEE COPIES SOFT RESID @ I¢ SEWAGE DISPOSAL LEGAL DESCRIPTION SQ FT GARAGE @ 1/2¢ HOUSE SEWER Pe- 4-17-y90 _00 _ �o7- VIAlr* (ry X75 PERMIT FEE DBL $ GAS PIPING a {� MOBILE HOME PERMIT FEE is NO. PERMIT FEE PERMIT FEE !1e PERMIT NO, TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J F M A M J J A S Q N D 111..%ADDRESS SP NO OWNER J J 75 USSEEi OF PERMIT F. C. DATE P f IT NO 268 779 76 !lG%�/sflLtl�. (,-45 £!1f/r14, •�—A7" M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE I MICROFILM FEE COPIES $ LEGAL DESCRIPTION Pe- 4-17-y90 _00 _ �o7- VIAlr* (ry X75 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INRTOR CONSTRUCTION FEE DBL $ NAME OF COUST. LENDER BRANCH OFFICE NO LENDER INVOLV ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR ""e,J INSTRUMENTATION FEE �//�f�% ��UN�}jA/1, FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE L3 TOTAL FEES $ TEL. NO. TEL. NO. CASH CNC M.O. ❑ N.C. ❑'�Tl HIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA OFWORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED f 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 ILL AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI T p I ALAK! ETUC CT A TC/ C/ AI ICn DAIIA lY k/CDIAIC IY KITDArT(lDC IC A I CYl/^I IA DA IJTCCr% I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208(Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 7 5