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258626 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALLS SQ. FT. @ f G�7 SQ. FT. @ ' ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES j DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES � i UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM 'FIELD OFFICE PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST 1/ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD I I SIGN WASHER (AUTO) (DISH) APPLIANCE II GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 1, LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 3 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP C POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER it SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL {I SQ FT GARAGE @ '/z¢ HOUSE SEWER' PERMIT FEE f TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I PERMIT FEE PERMIT FEE 2,p�R81TR2 {i J' AL FE�,S r CTL,) !r M08. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE .CONST. FEE " f G:) •-r DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J F MA I M IJ I J A I S 1 O N D JOB.NDRESS41 I SP NO OWNE5e 73 74 RMI-- .. � '���-� X /�4, F.C. DATE � " t `� P 8 62 75 M H PERMIT FEE $ COOMMUNITY�i DST UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION ?-e7_ MECHANICAL FEE DBL $ SET BACKj!� LOT SIZE ZONE .. USE NO. GRP. TYPE ., 3 CK BY G F S R PLAN CHECK FEE $ BOND AMT. [ I PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR 5 r CONSTRUCTION FEE DBL $ ---. �..o� NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS yj CITY STATE- TATESMI SMIFEE $ THES PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 1.20 DAYS. CESSA= TION CF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I H" REBY 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 AGREEiTO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS -IS ALSO GUARANTEED. ' 1 H=REBY 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'iSTATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES S • ,J €j C9 r1 OWNER/AGENTS SIGNATURE- I y' f J-41-1 CONTRACTOR CASH ❑ • CH'ECKX M.O. ❑ N.C. ❑ ADDRESS G4a. ADDRESS BYy TREES REQUIRED SEVJ.AGE SYSTEM CITY ij ZIP CODE CITY ZIP CODE ,'. INFORMATION! ! 1 (�;� [TEL. ,FORrA 284.208 (Rev- 9-731 ©5 �t`i►'u�•OrAC NO. 11 if �.7' dw;,� c3 I TEL. NO. LICENSE