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242961 (RPL)
BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. ' SQ.FT, @ WALL SQ. FT. @ _ 6 SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not io be used as property tox valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL Cl HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OFAIVERSIDE FIELD OFFICE NO. • ELECTRICAL FEES NO. PLUMBING FEES AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Uf,ITS ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY BOILER O B.T.U. HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS 1 ' SQ FT RESID @ ]a SEWAGE DISPOSAL ' DRAINAGE PIPING PERMIT FEE TEMP ELEC SVC GAS PIPING ��- DRINKING FOUNTAIN PERMIT FEE �t PERMIT FEE YMECH. PERMIT NO. URINAL MOB. HM. FEE MICRO FEE - WATER PIPING DBL. SWIM POOL, PVT FLOOR DRAIN DBL. SWIM POOL, COMM WATER SOFTENER a . SMI FEE . SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE '❑ UNIT, O WALL Cl FLOOR O SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 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 @ a BATH TUB .. ` SQ FT @ C J WATER HEATER ._e ' SQ FT RESID @ ]a SEWAGE DISPOSAL I 'SQ FT GARAGE @ '/i¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING ��- MOBILE HOME PERMIT FEE -. PERMIT FEE �t PERMIT FEE YMECH. PERMIT NO. TOTAL FsEyES MOB. HM. FEE MICRO FEE - FEE DBL. PL. CK. FEE CONST. FEE - DBL. ELEEC�T. FEE DBL. . SMI FEE . FEE PLUMB, °FEE DBL. 429611- S 7 i•✓ I F M M J• J A S • O N D JOB ADDRESS,* T ` _SP NO OWNER ' 73 74 USE OF PERMI F.C.DATE P MTNO. 75 p -p/ 1. 192 -ly6l- 79d 1 MH PERMIT FEE $ COMMUNITY- DST UNITS ROOMS VALUATION �a • PERMIT . OFFICE JSUPP.TO I MICROFILM FEE, , COPIES $ - LEGALDE CRIPTION ' MECHANICAL FEE DBL $ SETBACK LOT SIIE iZONE USE NO.GRP TYPE CKBY . � c � � %.L•/i La F S R PLAN CHECK FEE • $ B ND AMT. PLAN NO: PLAN CHECKER FINAL DATE INSP TOR _xp�red. CONSTRUCTION FEE DBL$. 'vo NAME OF CONST. LENDER BRANCH OFFICE N ENDER INVOLVED CC , c ELECTRICAL FEE' ` DBL $ ADDRESS �y CITY f STATE- • SMI FEE $ i .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- C-FEE $ FEE. - 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. PLUMBING FEE DBL $ Jb I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS NJ .,.. HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PRQF SSIONS CODE -OF'THE STATE OF CALIFORNIA. $ OWNER/AGENT'S SIGNATURE CONTRACTOR•�—'� TOTAL FEES 7.7 • CASH ❑ CHECK M.O. O N.C. ❑ ADDRESS • •. ADDRESS + ! �l s/ } • RECEIVED BY TREES REQUIRED t ,,' SEWAGE SYSTEM A + LL Pwyn CITY ZIP CODE" CITY 1 (. ZIP CODE INFORMATION TEL. NO. - TEL. NO. - LICENSE JFORM 284.208 (Rev. 9.731 ©s ^ • • /) �"•F`" s�✓ ��I ✓� fi-� 1. +,,,.