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280618 (AR)BUILDING PERMIT / DEPARTMENT OF BUILDING & SAFETY t COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL -FEES y I ST FL 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 IAincuaD lel ITnI IMC ­ APPLIANCE JOBAD09Er z" -- _ SP -NO OWNER 2ND FL. FURNACE ❑ UNIT O WALL O FLOOR O SUSPENDED SO. FT. @ POR. AIR HANDLING UNIT SQ. FT. @ GAR. KITCHEN SINK SQ. FT. @ CARP. TEMP USE PERM SVC SO.FT. @ WALL HP SQ. FT. @ OwhtAele �^ SO. FT. @ 3�U ESTIMATED CONSTRUCTION VALUATION $ a. NOTE: Not to be used CIS property tax voluotion BOILER � B.T.U. MECHANICAL FEES SQ FT @ ¢ VENT SYSTEM ❑ FAN O EVAP. COOL O HOOD 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 IAincuaD lel ITnI IMC ­ APPLIANCE JOBAD09Er z" -- _ SP -NO OWNER GARBAGE DISPOSAL FURNACE ❑ UNIT O WALL O FLOOR O SUSPENDED keL LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY i HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. ROOMS SQ FT @ ¢ BATH TUB OFFICE SQ FT @ c WATER HEATER SQ FT RESID @ I a SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSESEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE ER IT 0. 1 TOTAL FEES 5; °=' MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE S, �°-JDBL.TS��_ DBL. ELECT. FEE TYPE E . FEE PLUMB. FEE29N - J F M A M J J A S ^O N D JOBAD09Er z" -- _ SP -NO OWNER 74 -- 7S .:Z3.3 S/a,v/%71y!�C� keL 75 76 USE OF PERMITF.C. Fu.V Roo x2�i8 � @A� JDATE 9tLU PE IT 0n 90618 cc ry, 411 76 MH PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE 30. MICROFILM FEE COPIES $ LEGAL DESCRIPTION ?A)#"417 -330 -®N 4k /q GA, OU10�,� . 66)F MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE C BY - / Q SR,3_XPLAN CHECK FEE $ AMT. PLAN NO. PLAN CHECKER FINAppL DATE INSPECTOR, J � (� CONSTRUCTIbN FEE _I DBL $ Q .�+ NAME OP CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CONTRACTOR Ge Y " j G $ ADDRESS ADDRESS FEE _ 7 j3 y+ (- l tt PLUMBING FEE DBL $ CITY ZIP CODE CITYZIPCOOE TOTAL FEES �. TEL. NO. TEL. NO. LICENSE CASH ❑ _ CHECK,f M.O. ❑ N.C. O THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 122'0 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 CORDANC€ WITH THE LAWS OF RIVERSIDE COUNTY. AND THE STATE OF CALIFORNIA, I ALSC RECEIVED BY %a.�� TREES REQUIRED 4 f SEWAGE SYSTEM T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES COMPLIANCE WITH THE I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. -10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.