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259806 (SFD) RenewalI BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ CAR P. SO.FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF. RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER Lj B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) 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 @ a BATHTUB SQ FT @ a WATER HEATER SQ FT RESID @ ,1 a SEWAGE DISPOSAL SOFT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE R T .o w 2 G TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FFA Ir PL. CK. FEE CONST. F�E,F� 'D'BC. ELECT. EF�E 17 !'BL. SMI FEE FEE PLUMB -FEE J I F I M A I M I J I J A I S 1 O N D 1O gDDRESS ~ y'^SP NO - �!` r'" ) J + { < /S IS O 73 74 USE OF PERMIT"7ia �, ��rJ( F.C. JDATE j 7 P N R 06 75 M H PERMIT FEE $ COMMUNITY v DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION �Vlhf'r4 ( ev GGJ1��w1� e� %/S - >i MECHANICAL FEE $ ++'q� SET BACKS LOT SIZE ZONE USE NO. GRP TYPE CK BY lye, Zi Rq_l),! PLAN CHECK FEE $ BOND AMT. TN NO. PLAN CHECKER I FINAL DATE JINSPECTOR 3 7S r CONSTRUCTION FEE `DSL Z $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE "®jj'B/�'t $rGty ADDRESS CITY STATE SMI FEE $ 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. • 1 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 STATEOF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I 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. ON' T' S GNT � R At� CONTRACTOR . sx1/�' t G FEE $ PLUMBING FEEi ' $ } i� 0 --^ TOTAL FEES CASH ❑ CHECK j M.O. ❑ N.C. ❑ ADDRESS 16 en; c-, ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE &AC -W 1 Cl"'S CITY ZIP CODE ' INFORMATION ��.�'� 'FORM 284.208 (Rev, 9-731 ©s vL��- TEL. NO. ,[ / - TEL. NO. LICENSE