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245805 (CRES)
P, BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS W12 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ G VA R. 029 SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ - SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS W12 MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISHI APPLIANCE 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 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ C BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE 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. D J I F I M A I M I J I J A I S 1 O 1 NOB J ADDRESS 4 SP NO ,�-11/Q C111.r";/�. 10,21_061 OWNER A/ 73 74 USE OF PERMIT vA1 i(6,T 7' /7 J 11 ? ra C. 6A e F.C. 0-2 DATE j ��(/ JP�I h , i -7/ N b805 75 M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION .407 ZR. OYJ MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE I? USE NO. GRP TYPE CK BY F 5 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE JINSPECT —✓V CONSTRUCTION FEE DBL $ p NAME OF CONST. LENDER BRANCH OFF(CE N LENDER INVOLVED iI!/ ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ Q�' 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 $ os �.- OWNER/AGENT'S SIGNATURE A,�[✓ ~t'r w ,/� � � 10 41 CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESS ` -- DDRESS [CITY RECEIVED B f TREES REQUIRED SEWAGE SYSTEM CITY ZIP ODE Z•/ ZIP CODE INFORMATION y FORh1 284.208lkm 9.73, ©s TEC. NO. 1 TEL. NO. LICENSE