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258831 (SFD)
I BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. SO.FT. @/Q 2ND FL. SO. FT. @ �t POR. SO. FT. @ GAR. SO. FT. @ URINAL f CAR P. SO.FT. @ WALL SQ. FT. @ WATER SOFTENER SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VLAIT cvcTPAA A FAN rl PVAP rnnl 6 HCInD DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. ELECTRICAL FEES 1 1UNITS (J IJ (-} ' I MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE DST 11 PLUMBING FEES !� BOILER I B. -W� SINK P/-) f . !.: -ROOR'ORA-tMS DRAINAGE PIPING DRINKING FOUNTAIN URINAL f WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTgk,IDISHI APPLIANCE V V�j GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM _j B.T.U. TEMP USE PERM SVC 1 WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY 30 HEATING SYSTEM ❑ FORCED ❑GRAVITY 2 U AMPERES SERV ENT SHOWER SQ FT @ ¢ Z BATH TUB Z SOFT @ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL 0 SQ FT GARAGE @ '/aa HOUSE SEWER PERMIT FEE � TEMP ELEC SVC � GAS PIPING S V MOBILE HOME PERMIT FEE Is I PERMIT FEE PERMIT FEE PERMIT NO. I TOTAL FEES YMOB. HM. FEE MICRO FEE MECH. FE DBL. PPL. CK. FEE CONST. FEE DBL. FE ELECT. E SN; F , FEE PLUMB. FEE DBL J I F I M I A I M 1 .I 1 1 4 I S O 1 N 1 D Ja3AD.OP. SS I SP NO /�� vL OWNE �-.. `��fl 17' 1��, / 73 :? r4 l7/}� tir yt i ,&: b�F� 74 USE OF PERMIT. ref .f= 1..L /NCG .moi f`? j%`1�%� DATE J %Glf PE@Q� (}u() 31 75 M H PERMIT FEE $ COMMUNITY DST I UNITS I ROOMS VALUATIONSU PP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION !le - 0 Z Z ... 4 Q. r 7 / f. et)w iv r.4, e,-; r I= 6E,5 To x� i MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE ll -?- 1 USE NO. GRP TYPE CK BY 0� 3 j R 6 � ✓ � r PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR % 1—Fs �pt.:l� /U'�%-7��' G CONSTRUCTION FEE DBL $ L b NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL ED / 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. 1 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 $ FEE 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 PLUMBING FEE DBL $ G3 """"° SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. TOTAL FEES �) OIVNER/y�SENT's SIGNATURE r f CONTRACTOR 11 CASH ❑ CHECK [J M.Q. ❑ N.C. ❑ ADDRESS '� ` /` (v'7 ADDRESS ' t RECEIVED B TREES REQUIRED ,y ! 4r"'-'•zz ` SEWAGE SYSTEM S T� 1 ,,! LL P7 !` Q CITY ZIP CODE ` : ' CITY ZIP CODE /^ INFORMATION TEL. NO. TEL. NO. LICENSE FORM 264.2:k rRe, 9.73. ©s t A�