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280666 (SPIN)BUILDING PERMIT { DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL. SQ.FT. @ IUNITS 2ND FL. • SQ. FT. @ POR. SQ. FT. @ MOBILEHOME SVC. GAR. POWER OUTLET .CAR P.� SQ.FT. @ WALL • SO. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION.• $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD 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 WATERSOFTENER WASHER (AUTO) (DISH) APPLIANCE JOB ADDRESS SP NO 77-0 CAfte Port MtJ)A GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED &)A) I LAUNDRY TRAY 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 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. COPIES SQ FT @ ¢ BATH TUB LEGAL DESCRIPTION SQ FT @ ¢ WATER HEATER 771,/- p7- -Ga ,5;- Zoe- SOFT RESID @ 1 a SEWAGE DISPOSAL $ ti `SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE GRP TYPE GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE - ER IT NO. 2��66 TOTAL FEES /41 a= MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI F E C FEE /o;�►� PLUMB. FEE DBL. T J I F I M. A I M 1J 1 A S Q N D JOB ADDRESS SP NO 77-0 CAfte Port MtJ)A 74 a &)A) I 75 76 USE OF PEkMIT , 5p-cr-w) I��I Spe�.t��N F.C. DATE 9 ,co1PE2'90'666 O M H PERMIT FEE $ A C``OMMUNITY- G� 014 1014 DDST / I UNITS ROOMS I VALUATION JSUPP.TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION 771,/- p7- -Ga ,5;- Zoe- MECHANICAL FEE DBL $ SETBACK LOT SIZEZONE / USE NO. GRP TYPE CK�Y C F j a S� ]1 �iy R z [J ��' . (l i\\ PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FI♦IINAL DATE I CTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ A NE T'S SI ATURE CONTRACTOR iJ �(J FEE $ lV ADDRE ADDRESS FC�hus'p 'e- G%1( PLUMBING FEE •• DBL $ CITY ZIP CODE L� ��u�I�fR: CITY ZIP CODE • TOTAL FEES $ /0 TEL. NO. :5 TEL. NO. LICENSE CASH ❑ CHECK M.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 BY TREES REQUIRED. J' 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 SYSTEM1 T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.