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258086 (SFD)
BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. :;.A SQ.FT. 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @� CAR P. ' SO.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VFNT SYSTF FAN n FVAP. COOL X HOOD DEPARTMENT OF BUILDING & SAFE' COUNTY.OF RIVERSIDE NO. ELECTRICAL FEES + 3�UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I 1 BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUT IDISF 11 APPLIANCE Ihj/e' GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK o ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET QCJ 0 COMPRESSOR V ` 0 HP I.1 ' POLE, TEMP/PERM LAVATORY HEATING SYSTEM ''6 FORCED ❑ GRAVITY & AMPERES SERV ENT ` !l.% SHOWER SOFT @ C . j BATH TUB SQ FT @ (E pL WATER HEATER SQ FT RESID @ I¢ SEWAGE DISPOSAL Li G) SQ FT GARAGE @ 'ha . ,1 :Z HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is, IPERMIT FEE -fP PERMIT FEE 5R T TOTAL F,,EE FgS q(37 vP E MICRO FEE � ECH. FEE 7`1,�ST. DBL. PL `GK FEE FEE DBL. ELECT. FB DBL. SMI FE - FEE PLUMB. FEE / . DBL2 J I F I M I A I M I J I A I S O 1N D JOB DR7 iR ' $P NO 7$'iJl wNB orr�/�/ J� 73 74 USE OF PERMIT f 1`t -� �Cll C�j�� F.C. DATE Icy P 5 8 o8 pJ 7517Gf M H PERMIT FEE $ COMM UN DST UNITS ROOMS VALUATION fad SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION V07-. MECHANICAL FEE DBL $ ,�J ) " (O` Q!� SET BACK LOT SIZE ZONE USE N0. GRP TYPE C�( BY J,9 r Ali Q R{`j 0 PLAN CHECK' FEE $ '. BOND AMT. PLAN NO. /sR 3 PLAN CHECKER FINAL DATE INSPE 3--2/- ��' OR CONSTRUCTION FEE DBL $ ) �/ / L3 }� C'4 NAME OF CONST. LENDER BRANCH - OFFICE N LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ t� 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 LAWSOF 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 J J }rf / OWNER/A T'SSIG'NATURE *F CONTRACTOR CASH C3 CHECKJ M.Q. ❑ N.C. ❑ ADDRESS er' 4 ADDRESS RECEIVED BY TREES REQUIRED •SEV.AGESYSTEM LL P CITYr� ZIP CODE ",'�j�+ V A. CITY ZIP CODE INFORMATIONI/°del} FORM 284.208 (Rev. 9-73) ©s C'/rE'PbsP{ TEL. NO. ,.� TEL. NO. LICENSE