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260564 (SFD)BUILDING PERMIT DEPARTMENT OF: BUILDING & SAFETY -COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL, —2 < SQ.FT. � UNITS 2ND FL. SO. FT. @ MOBILEHOME SVC. POR. 50. FT. @ _ ' i GAR.' � SO."'"'" POWER OUTLET CAR P.' SQ.FI. @+ WALL SQ. FT. @ SQ. FT. @ ` ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax voluotion MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SWIM POOL, PVT SWIM POOL; COMM SIGN FIELD OFFICE NO. PLUMBING. FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST 1� APPLIANCE JOB ADD ESS SP NO �% 13 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Cl SUSPENDED .. 3"-%S/ ` 41v t3f o LAUNDRY TRAY' AIR HANDLING UNIT CFM IDLE METER w KITCHEN SINK ABSORPTION SYSTEM O;B.T.U. TEMP'USE PERM SVC WATER CLOSET COMPRESSOR. HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY ' AMPERES SERV ENT SHOWER BOILER B.T.U. SQ FT @ a BATH TUB DST SQ FT @ a WATER HEATER VALUATION SQ FT,RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ '/7a HOUSESEWER PERMIT FEE ,UNITY f 01NJ� GAS PIPING .MOBILE HOME PERMIT FEE Is IPERMIT FEE PERMIT FEE PERMIT NO. 26-0564 TOTAL FEESMOB, a 4a-= HM.FEE MICRO FEE MECH, FEE DBL. PL. CK. FEE " CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J F M A " MJ J A S O N D JOB ADD ESS SP NO �% 13 OWNER j f 74. 3"-%S/ ` 41v t3f o 75 USE OF PERMIT . F.C. J DATE P M N MH PERMIT, FEE $ COM DST UNITS ROOMS VALUATION TO PERMIT OFFICE ,UNITY f 01NJ� ISUPP. 'MICROFILM FEE COPIES $ LEGAL DESCRIPTION F MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE. USE NO. GRP TYPE K BYQ_ ) PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J o f� ci 0 7`S 7 . CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNERJAGENT.'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE $ ADDRESS • ADDRESS FEE, PLUMBINGFEE DBL $ CITY ," ZIP CODE CITY ZIP CODE /1 ?1,5 Il .¢Al - TOTAL FEES � $ /;� ��� TEL. NO. '" _ �• �, � � .�� TEL. NO. LICENSE CASH CrECK ❑ M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIREDTION yv L' 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 SEWAGESYS7EM 1p T LL (n AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE ,C—r EcrnrC --n— — iC A -- 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 I OF THE STATE OF CALIFORNIA.