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245891 (RER)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SO.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ ' GAR. SQ. FT. @ CAR P. SQ.FT. @ 14;FE4D�NSTRUCTION SQ. FT. @ SO. FT. @ VALUATION $ NOTE: Not`to be used as property tax valuation MECHANICAL FEES VENT SYSTEM 0 FAN O EVAP. COOL 0 HOOD A DDI I—irC DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE ]=ELECTRICAL FEES UNITS UW MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER L I B BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI (CISHI GARBAGE DISPOSAL !1 FURNACE O UNIT O WALL O FLOOR O SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 1�� B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM 0 FORCED 0GRAVITY AMPERES SERV ENT SHOWER SOFT @ a BATH TUB SQ FT @ a WATER HEATER SOFT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/2a HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ t PERMIT FEE PERMIT FEE PERMIT NO. 24522 TOTAL FEES .31 a ,2l' MOB. HM. FEE MICRO FEE MECH. FEE I DBL. I PL. CK. FEE l ��" I CONST. FEE « 4f -- DBL. ELECT. FEE DBL. SMI FEEL i PLUMB. FEE DBL J I F I M A I M I J I i A I S 1 O 1 N D JOB ADDRESS i SP NO OWWN, 4''� / 74 USE OF PERMIT F.C. DATE P MI NQS M H PERMIT FEE $ COMMUNITY JDST UNITS ROOMS VALUATION a SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR j CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NIS LENDER INVOLVED 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 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. FEE $ PLUMBING FEE DBL $ TOTAL FEES/ $ CIV �i 6 J OWNER/AGENT'S SIGNATURE CO Ile CASH 0 CHECK Cr-, M.O. 0 N.C. O ADDRESS CITY ZIP CODE ADDRESS CITY IP CODE f RECEIVED BY �� . TREES REQUIRED SEWAGE SYSTEM LL P INFORMATION �(//( FORM 284-2081Re, 9731 ©s TEL. NO. TEL. NO. LICENSE /� 7 7 _) ' .� c✓