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240928 (RPL)
BUILDING PERMIT DEPARTMENT'OF BUILDING & SAFETY FIELD OFFICE . COUNTY, OF RIVERSIDE CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ Vi(ALL IP2 SQ. FT. @ L L t `J ! •5 ' SQ. FT. @ ESTIMATE CONSTRUCTION VALUATION $ 1 NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED NO. I ELECTRICAL FEES JNO.J. PLUMBING FEES UNITS DST. 1. BOILER I I B.T.U. MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL. COMM WATER SOFTENER SIGN WASHER (AUTO) (DISH) P R GARBAGE DISPOSAL TOTAL FEESM08. L� 7....7!ice, LAUNDRY TRAY DST. 1. kri 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 BATH TUB SOFT @ C WATER HEATER t SQ FT RESID @ le SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING % MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE P R IT TOTAL FEESM08. L� 7....7!ice, IiM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE i DBL. SMI FEE FEE PLUMB. FEE DBL , J I F I M A I M I J IJI A I $ 1 O N D JOB ADDRESS r.� .�.� SP NO OWNER 73 74 USE OF PERMIT �1sials1 if/f F.C. DATE ..� NO. 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION J ; { .3 t. rel A IR -2</ 7-, ?, 6 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE ) USE NO. GRP TYPE CK BY / PLAN CHECK FEE $ BOND AMT.P LAN NO. PLAN CHECKER FINAL DATE ogy I� I INSPEC ^ OR ff CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ 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. 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 LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I,HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS ONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF E STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ ` TOTAL FEES 7'/ OWNER/AGENT'S SIGNATURE CONTRACTOR_ err _7 zi 1.5 CASH CHECK ❑ M.O. ❑ N.C. ❑ ADDRESS ADDRESS +// / r l �3/',—, r�y�7 f t ' �-' C• , RECEIVED BY TREES REQUIRED SEWAGE SYSTEM LL P CITY ZIP CODE CITY ZIP CODE INFORMATION FORM 284.208 (Rev. 9.73) ©s TEL. NO. TEL. NO. _ LICENSE kri