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280449 (RPL)BUILDING PERMIT , DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE. NO. ELECTRICAL .FEES 1 ST Cl SQ FT UNITS.. MOBILEHOME SVC. POWER OUTLET 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 (AUTOI (DISH) GARBAGE DISPOSAL D/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESS SP NO '01-1-0 LAUNDRY TRAY 2ND FL. AIR HANDLING UNIT SQ. FT. @ POR. KITCHEN SINK SO. FT. @ GAR. 0 B.T.U. SQ. FT. W. CAR P. SQ.FI. @ WALL,SO. POLE, TEMP/PERM FT. @ C4N + R SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ 500r NOTE: Not to be used as property tax valuation UNITS MECHANICAL FEES VA ATION O ISUPP. VENTSYSTEM O FAN '❑ EVAP. COOL ❑ HOOD ' APPLIANCE COPIES MOBILEHOME SVC. POWER OUTLET 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 (AUTOI (DISH) GARBAGE DISPOSAL D/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESS SP NO '01-1-0 LAUNDRY TRAY 74 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK F. C. ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY $ HEATING SYSTEM O FORCED ❑ GRAVITY AMPERES SERV ENT- SHOWER UNITS BOILER B.T.U. VA ATION O ISUPP. SQ FT ' @ ¢ BATH TUB MICROFILM FEE FEE COPIES $ SQ FT @ ¢ WATER HEATER MECHANICAL FEE DBL $ SOFT RESID @ 1 ¢ SEWAGE DISPOSAL S12E ZONE USE NO. SQ FT GARAGE @ 'h¢ HOUSESEWER CK BY PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT 9 28044 �� ,L ��E$ MOB. HM.FEE MICRO FEE MECH. FEE DBL. PLOe.�E CONST. FEE DBL E�. fEE DBL. S; If,€): FEE PLU,M� F_EE DBI. J F M A I M I J I J A I $ 1 Q 1 N D JOB ADDRESS SP NO '01-1-0 OWNE - 74 /Q.k) o I ' V A'7A Q. A. j V., 75 USE OF PVRMIJ 61?e�yio 8�� l74c3/M` -Pod F. C. D 9// `CO &, 280449 76 v2 `2 M H PERMIT FEE - $ COMMUNITY , w 0f DST Il UNITS ROOMS VA ATION O ISUPP. TO PERMIT Tr MICROFILM FEE FEE COPIES $ LEGA DESCRIPTION - 30/ -017 • e�2 /A Qa �N AAa 1! e;, F ryk MECHANICAL FEE DBL $ SET BACKL{OpT S12E ZONE USE NO. GRP TYPE CK BY F S R D V -30/ /'1 PLAN,CHECK FEE ✓ • $OO BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN CTOR CONSTRUCTION FEE DBL $ Q �Q- �� NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ C(7 ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE C FRAC 9R` ¢ 1 r �+ q # FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ oco CITY ZIP CODE s� Y • Z/IP CODE TFI1lia TOTAL FEES - $ ,�+ L�(•_� -TEL. NO. TNO. I �"•� ..-7746� lP CASH ❑ CHECKX M.O. ❑ N.C. ❑ J�•-,}/ 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. j/ I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC VALSC RECEIVED BY TREES REQUIRED jog # SEWAGE SYSTEM TP CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, T LL AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rei. 10-74) pL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.