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272798 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE /� NO. ELECTRICAL FEES I ST FL. !r 1!Y 55Q.FT. @-!q ! 'r ✓t /. 8�e/aF"' UNITS 2ND FL. SQ. FT. @ ,� ��� ( POR. � � SQ. FT. @ MOBILEHOME SVC. _ _ GAR. SQ. FT. 7• f ? r�, Oji POWER OUTLET CAR P. SQ.FT. @ WALLSQ. FT. @ SQ. FT. @ ' ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tax voluation MECHANICAL FEES VENT SYSTEM 9FAN ❑ EVAP. COOL 0 HOOD APPLIANCE Li'y�IC� SWIM POOL, PVT SWIM POOL, COMM 00 SIGN � 1v FIELD OFFICE NO. PLUMBING FEES JOWNER_ &l 74 i �i V R 5�� YARD SPKLR SYSTEM 75 BAR SINK AIR HANDLING UNIT ROOF DRAINS P�M�Q.� � ^ A ') 9 8 L DRAINAGE PIPING ;:- r1 7T c i i�%'/AG DRINKING FOUNTAIN KITCHEN SINK URINAL ABSORPTION SYSTEM WATER PIPING $ FLOOR DRAIN COMMUNITY WATER SOFTENER / WASHER (AUTO*SHI VALUATION GARBAGE DISPOSAL DST I) eo FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑'SUSPENDED .JOB ADDRESS ti SP NO �fSfl� St1a/"vl� �}'f JOWNER_ &l 74 i �i V R 5�� LAUNDRY TRAY 75 USE OF PERMIT �,/ �/_ 1• ))ti / 6 AIR HANDLING UNIT CFM P�M�Q.� � ^ A ') 9 8 L IDLE METER ;:- r1 7T c i i�%'/AG KITCHEN SINK 0 - ABSORPTION SYSTEM B.T.U. $ TEMP USE PERM SVC COMMUNITY ;g WATER CLOSET .00 VALUATION COMPRESSOR 0 HP MICROFILM FEE POLE, TEMP/PERM $ 3 471 LAVATORY J• HEATING SYSTEM OFORCED ❑GRAVITY�� GiFJ w -G AMPERES SERV ENT r" LOT SIZE ZONEUSE SHOWER 4.4 BOILER 0 B.T.U. TYPE CK BY SQ FT @ C BATHTUB �) l SQ FT @ C .F1lE F � ;1 s '« 7.13 R,3, WATER HEATER_ i31T BOND AMT. (tri SQ FT RESID @/. Q FINAL DATE SEWAGE DISPOSAL oz J t� SQ FT GARAGE @* HOUSE SEWER CONSTRUCTION FEE DBL PERMIT FEEriolJ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED GAS PIPING loo MOBILE HOME PERMIT FEE Is I I PERMIT FEE DBL / PERMIT FEES ADDRESS CITY 2 _pEFjMIO._ TOTAL FEE OB. ...FEE MI RO FEE MECH. FEE DBL. PEE CONST. FEE DBL. EL �T. E DBL SMI FEE FEE PLUM/B FEF DBL. U 7 J F M A M J J A S O N D .JOB ADDRESS ti SP NO �fSfl� St1a/"vl� �}'f JOWNER_ &l 74 i �i V R 5�� �2 /� 1</e41F' . 75 USE OF PERMIT �,/ �/_ 1• ))ti / 6 F.C. JDATE/ 7 1 .'/ P�M�Q.� � ^ A ') 9 8 L 76 ;:- r1 7T c i i�%'/AG c-` .ir M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES l� $ 3 Ga LEGAL DESCRIPTION P;v-:/7 05-1--4�2,7 DoT 'C/!'/- ih!I' MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY �• � I l .F1lE F � ;1 s '« 7.13 R,3, PLAN CHECK FEE$ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPE OR rx� J t� 3 -J/ -� ✓_ " CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE 3.1 9k STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR ` INSTRUMENTATION FEE FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ CITY ZIP CODE CIT ZIP ODE TOTAL FEES * $ O- J / TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK M.O. O N.C. C) , i F� 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 ALSC AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE RECEIVED BY TREES REQUIRED �,V SEWAGE SYSTEM %/) A X/'N T LL P I A\A/C nr TLIC CTATC r)r ('AI Irn DAIIA rn%1CDINl2 r nKITOA(Tr)DC IC AI C(1 GI IA DA AITFFr) I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OO L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.