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258061 (BLCK)BUILDING PERMIT 6 CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SO.FT. @ WALL�A;OAIPY SO. FT. @ SQ FT @ a BATH TUB SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VFNT IV -,TPM 1-1 FAN Fl FVAP. UnOI n HOOD DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER L I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTOi(DISH) // EIA APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY 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 SQ FT @ a WATER HEATER SQ FT RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ '/,a HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I I PERMIT FEE PERMIT FEE PERMIT NO. 2580R11 TOTAL FEES IMOB. HM. FEE L7> MECH. FEE DBL PL. CK. FEE �S. EEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M I A I M I J i I A I SO N D BsADDR S on - QSAA47A P/f �% h�S1J�>� -- i Ow EA _ t% ,AF rz 'l hell c-4 73 73 74 UUrS�E OF PERMIT t )l f�'d� .�j,%fiei"° a. J 9 F.C. JDATE i 7••;;,V P NO KJ9 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION 4ye SUPP. TO PE�RM1y7IT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION /.I�r.-//-/-440wla.r,4 t%�r:��i �'C�9�f��v��a�a.l� MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE a USE NO. GRP TYPE BQY _ F —IS PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINALDATE JINSP / ��✓ �� TOR' -. Un/ru 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. CEStA• 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. - 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE.SO'IN ACCORDANCE WITH SECTION 55A OF THE BUSINESS AND PROFESSIONS CODE OF TH ,$TA�T'E OF CALIFORNIA:.% FEE $ PLUMBING FEE DBL $ TOTAL FEES $ q (j OWNER . GEy;_ S�TUR"E .i��l/r� l' �I/� /%J /�" ✓ CONTRACTOR CASH CHECK ❑ M.O. ❑ N.C. ❑� ADDRRE/ESg�S ADDRESS RECEIVED BY ,�� TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE .> �i ' J'Ar'S,Ir�:- � 7—j CITY ZIP CODE ' INFORMATION /� FORM 284-208 1Rev. 9731 ©1 " 17o'ri/f�Y/� TEL. NO. / .5 �CU - f?41 �`/ TEL. NO. LICENSE _ EIA