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260435 (SFD)A BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES I ST FL. UNITS 2ND FL. SQ. FT. @ POR. SO. FT., @ MOBILEHOME SVC. GAR. SO. FT. @ POWER OUTLET CAR P. SO.Fl. @ WALLSO. FT. @ --dSd. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as propeity tax voluotion MECHANICAL FEES VENT SYSTEM O FAN O EVAP. COOL O HOOD SWIM POOL, PVT SWIM POOL, COMM SIGN FPELfl'OFFICE NO. PLUMBING FEES YARD-SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHFR IAIITCII MIS Hl APPLIANCE r JOB ADDRESS SP No 6 ! Ski A/ M. � _—_ OWNER_ `� �' f �fle � 114,1051--W 75 GARBAGE DISPOSAL F.C. FURNACE ❑ UNIT O WALL O FLOOR O SUSPENDED P M N ��435 76 t.}� 4 AT.lCAr� LAUNDRY TRAY �-is-' AIR HANDLING -UNIT CFM M H PERMIT FEE IDLE METER $ KITCHEN SINK COMMUNITY ABSORPTION SYSTEM 0 B.T.U. I UNITS TEMP USE PERM SVC VALUATION WATER CLOSET OFFICE COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY - AMPERE5SERV ENT SHOWER MICROFILM FEE BOILER 0 B.T.U. $ SO FT @ ¢ LEGAL DESCRIPTION -BATH TUB SQ FT @ ¢ WATER HEATER ' A STs SQ FT RESID @ i; -Dfk-- . SEWAGE DISPOSAL SET BACK LOT SIZE ZONE SOFT GARAGE @ 1/2¢ GRPTYPE HOUSE SEWER CK BY PERMIT FEE /fI / (/L. GAS PIPING y:1 "/ MOBILE HOME PERMIT FEE Is • PERMIT FEE PLAN CHECK FEE PERMIT FEE $ PERMIT NO. 260435 TOTAL FEES ?-- MOB. HM.FBE MICRO FEE MEC.. FEEPL. 14"�44 CK. FEE CONST. FEE v ` DBt ELECT. FEE l�°°/; SMI FEE FEE PLUMB. F CB'r J F M A M J J A 5 O N D a JOB ADDRESS SP No 6 ! Ski A/ M. � _—_ OWNER_ `� �' f �fle � 114,1051--W 75 USE OF PERMIT �� i'/^/e^ G l` J�_ �'1` +� E F.C. DATE pa P M N ��435 76 t.}� 4 AT.lCAr� �-is-' M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION U 0 A STs MECHANICAL FEE -Dfk-- . $ SET BACK LOT SIZE ZONE USE NO. GRPTYPE CK BY F �.. S .CJS Rv V /fI / (/L. ,�✓ y:1 "/ • ,� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL TE .INSPECTOR CONSTRUCTION FEE bbt $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED r'7 ELECTRICAL FEE $ ADDRESS clTr srnr�E . STRONG MOTION $/¢ N /A S SIGNATURE t J CONTRACTOR INSTRUMENTATION FEE ( $ ADDRESS ADDRESS ' ' FEE PLUMBING FEE 88L� $ CITY ZIP CODE CITY ZIP CODE 1$TEL. TOTAL FEES ij NO. - _ LICENSE CASH p HECK M.O. O N.C. ❑ THIS PERMIT SHAWBECOME VOID IF WORK IS NOT'COMMENCED WITHIN 120 DAYS. CESSA t TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - RECEIVED BY TREES REQUIRED r �` 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 SEwAGESYSTEM / T - LL p tQi` AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES_ COMPLIANCE.WITH THI A/C lIC TUC CTATC /lC l•AI ILIII]AII'A l-ll\/CI]I AI P` -K1 -A/ -Tl - IC A I CA - I IT- 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 t OF THE STATE OF CALIFORNIA.