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259734 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. (.> POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES BOILER � B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL % WATER PIPING FLOOR DRAIN WATER SOFTENER n_ WASHERIAUTOOtDISHI '.j 10e-1 CONSTRUCTION i r `;�D (ESTIMATE i ST FL. SQ.FT. IJ 2ND FL. COMPRESSOR ^7 - 0 HP 27 POLE, TEMP/PERM LAVATORY SQ. FT. POR. SQ. FT. @ GAR. -1 41 SQ. FT. "� 2 CAR P. SQ.FT.@ /U >S' WALL R T 25 SQ. FT. @ MOB. HM. FEE MICRO FEE SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DBL. ELECT. FEE MECHANICAL FEES (( bICA IT CVCTC1A'1'Ni CA- 71 r:%/ AD rnnl Hnnn DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. (.> POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES BOILER � B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL % WATER PIPING FLOOR DRAIN WATER SOFTENER n_ WASHERIAUTOOtDISHI '.j 10e-1 APPLIANCE 'j,�� �_�! (� GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR ^7 - 0 HP 27 POLE, TEMP/PERM LAVATORY HEATING SYSTEM kfFORCED ❑ GRAVITY : D AMPERES SERV ENT 0 G7 f SHOWER SOFT @ a f BATH TUB SCJ SQ FT @ a WATER HEATER SQ FT RESID @ la % ya SEWAGE DISPOSAL SQ FT GARAGE @ 'ha „2 ? HOUSE SEWER O!a PERMIT FEE O TEMP ELEC SVC GAS PIPING f 1 MOBILE HOME PERMIT FEE $ PERMIT FEE 1f �`�' 77 PERMIT FEE i/l3 R T 25 TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FES,,. FEE PLUMB. FEE DBL J I F I M A I M I J I J I A I S Q 1 N D JOB ADDRESS ��^^ SP NO 1`/_ _9-:1 0 60',c_fr's Df2 i OWNER i l�L�NTr4' /�A IIIA17 73 %4 USE OF PERMIT F. C, E75��.�•��r..:���JDAT ��. M H PERMIT FEE $ COMMUNITY /l �4 �j7 t,' L'7,M T.:a F;T[7;:I-ROOMS VALUATION JSUPP. TO PERMITOFFICE MICROFILM FEE COPIES $ LEG/AL DESCRIPTION MECHANICAL FEE DBL $ I^ i CK SETBACK LOT SIZE ZONE % USE NO./ GRP TYPE CK BY / F 1 4) S�T PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN $'-'ao �b ECTOR CONSTRUCTION FEE DBL $ 1 NAM OF CONST. LENDER BRANCH / i 11 rA0,VA N/t OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ /2llD JADDRESS/CITY STAT SMI FEE $ THIS fsERM1T'SHALL BECOM 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 TH PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 F T BUSI S AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ Ci G? TOTAL FEES � $ ;2 Pt�j �. / OWNER/AGENT'S SIGNATURE C AC R 1 / 4 y� ^ � OIA/TA PI V CASH �] CHECK ] M.O. ClN.C. ❑ ADDRESS ADDRESS 3 ge g P-3/lP, e"I RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE CITY ZIP CODE / ,�FL:,i7r'D R r• I�Cf#Cf/ C: 14 INFORMATION FOIFM284d71081Rev. 9-731 ©s 'r-� Al � / TEL. NO. TEL. NO.J / .y LICENSED ��"��7 S 2. � oZin 0. .l^�