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258230 (BLCK)I BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CARP SQ.FT. @ WALL`7�� SQ. FT. @ WATER PIPING SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not ?o be used as property tax valuation WASHER (AUTO) (DISH) MECHANICAL FEES GARBAGE DISPOSAL VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD �. ek5 6a..e APPLIANCE MICRO FEE DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES INO.1 PLUMBING FEES UNITS BOILER L j 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) MOBILE HOME PERMIT FEE Is I 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 @ ¢ BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I I I PERMIT FEE PERMIT FEE 5R T2,30 �. ek5 6a..e MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE FCS 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 S O D .Ioa�ABDR/S55... G4'/%���/T�SciLA 73 . 74 US SOF PERMIT/ &M"p0 F.C. 1//-Al�'-"" DATE �P�g ��ooryry]]� �MN w75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION r. SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION v ILA yvIAjr44 r MECHANICAL FEE DBL $ SETBACK LOT SIZE.ZOONNEE.J / \ 7 USE NO. GRP TYPE CK BY gry F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR F CONSTRUCTION FEE DBL $ (,,.ID NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVE 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHOP GRED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION,554I F THE4BI SINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ✓✓ ��-j f [ FEE $ PLUMBING FEE DBL $ • TOTAL FEES $ OWNER/AGENT'S SIGNATURE / f • CONTRACTOR CJE1,J1��C�/� ��✓� CAS CHECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS .Z �l 11! r RECEIVED BYI TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE CITY ZIP CODE INFORMATION -FORM 284.208 IRev. 9731 ©S wy�+7�,� ' TEL. NO. TEL. NO. % ...L LICENSE �"a' �4"`�7 � Z 9'3 ( 7`