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248457 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ.FT. @ UNITS SQ FT @ ¢ BATH TUB SQ. FT. @ BOILER � B.T.U. MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SOFT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used os property tox valuotion SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMM WATER SOFTENER SMI FEE VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) J I F I M A I M I J IJ A I S 1 Q N D APPLIANCE OWNER ''!. ^r fd'r Gf.A j% f A, GARBAGE DISPOSAL 74 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 Cl GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ I¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is 11 PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEESMOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J IJ A I S 1 Q N D JOB ADDRESS / J I SP NO � _)AJ�rA /J I OWNER ''!. ^r fd'r Gf.A j% f A, 73 74 USE OF PERMIT �g���j 6X 4 G hGE'h:' dA�/fF F.C. JDATE ` B75 W08 4 &J M H PERMIT FEE $ COMMUNITY IA 01.v ni DST I UNITS ROOMS VALUATION 11UP1. TO PERMIT OFFICE z MICROFILM FEE COPIES $ LEG/AL DESCRIPTION %d --o// MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE fi}t,,;� i USE NO. '. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATENSPECTOR /n I � W � ! Liv CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDEANNVOLVEO 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 DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES %`' OWNER/AGENT'S SIGNATURE t CONTRACTO yr` ✓l_.yy. J! ..i i„t' n -':�'` / }} CASH 0 CHECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY TREES REQUIRED k.%' SEWAGE SYSTEM LL P CITY - •' ZIP CODE CITY ZIP CODE INFORMATION y I ORAS 284.208 1Rev. 9.731 ©s TEL. NO. TEL. NO. •:✓ /' LICENSE _