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280049 (ADD)BUILDING, PERMIT CONSTRUCTION ESTIMATE' I ST FL. SQ.FT. @ 2ND FL. SO. FT. @ ! �` POR. SO. FT. @ GAR. SQ. FT. @ CAR P. SO.FT. @ WALL SQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation' mr-rHANH-AI FF -FC DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE r NO. .` ELECTRICAL FEES UNITS ` MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT CWIM Dnnl fr1MM FIELD OFFICE VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN NO. PLUMBING FEES` APPLIANCE PERMIT FEE YARD.SPKLR SYSTEM FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED BARSINK i. ROOF DRAINS IDLE METER DRAINAGE PIPING ABSORPTION SYSTEM B.T.U. DRINKING FOUNTAIN WATER CLOSET . URINAL POLE, TEMP/PERM WATER PIPING .,S FLOOR DRAIN SHOWER %A/ATFD ln9T9:NIFD SQ FT @ a VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE PERMIT FEE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED jIJ �� FEES LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET . COMPRESSOR HP / POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. SQ FT @ a BATH TUB OFFICE SQ FT @ a WATER HEATER SQ FT RESID @ 1 a SEWAGE DISPOSAL // SQ FT GARAGE @ '/]a HOUSE SEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE $ JOB ADDRESS �%� SP NO � PERMIT FEE'' 74 PERMIT FEE / o p Ci 2 _PE$MI®O._ 8 4 jIJ �� FEES MOB. HM.FEE MICRO FEE MECH. E� DBL. VWy^f L. CK.FEE 11 �T�IE� ,DBL. DBL. 5 E $ FEE PL DBI. UNITS ROOMS SUPP. TO PERMIT OFFICE /_A4)«i c, // t �UATION / s J I F I M A I M I J I J A 1 S 1 O 1 N D JOB ADDRESS �%� SP NO � OWNER 74 � I /0 !yk / o p Ci 75lS E OF PERMIT ` / DATE %—�3-7G P M N ' 049 ]b vpr as M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS SUPP. TO PERMIT OFFICE /_A4)«i c, // �UATION / s � MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK I LOT SIZE ZONE USE NO. GRP TYPE CK BY / / / f PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ j/ ADDRESS"- CITY STATE STRONG MOTION $ OW, 'R/AGENT SIGNATUR' `"rte. CONTRACTOR t INSTRUMENTATION FEE £ 3!; {r tel $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITt ZIP CODE CITY ZIP CODE TOTAL FEES $ / TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK M.O. p N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEI TREES REQUIRED t I HE BREBY 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 j; T LL P �J AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS .FORM 284-208 (Rev. 10-74) @L dl HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.