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253770 (SFD)
IBUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. ,q ie c SQ.FT. 2ND FL. SQ. FT. @ POR. X31 '� ~ SQ. FT. @ GAR. SQ. FT. @ T CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used os property tox valuation MECHANICAL FEES rVENT SYSTEM 0 FAN O EVAP. COOL NO HOOD 1 ADDI IAnIrF 1 -1 In I t I+r 1 DEPARTMENT OF BUILDING & SAFETY ► COUNTY OF RIVERSIDE .d NO. ' ELECT'RICAL FEES ^"^ UNITS MOBILEHOME SVC. POWER OUTLET c) AA SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING FEES BOILER � B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL FURNACE O UNIT ❑ WALL"O FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHFN SINK 5 ABSORPTION SYSTEM 0 B T U•, TEMP USE PERM SVC y WATER CLOSET 5, COMPRESSOR 0 HP, POLE, TEMP/PERM -7 LAVATORY wJ a HEATING SYSTEM O FORCED ❑GRAVITY AMPERES SERV ENT ��} + SHOWER f? 'n SQ FT @ a BATH TUB j SQ FT @ C WATER HEATER C SQ FT RESID @ la g SEWAGE DISPOSAL T. SQ FT GARAGE @ 'ha �GrJ HOUSESEWER PERMIT FEE fCj TEMP ELEC SVC GAS PIPING ! f 0 MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE25�} R T 77ol—Q) TOTAL FEES MOB. HM. FEE 17 4 MICRO FEE Mr? �'F4EEj DBL. PL. CK. FEE CONST- FEE DBL. ELECT. FEE DBL. SMII FEE FEE PLUMB. FEE DBL F I M I A I M I J J I A I S Q 1 N I D JOfB ADDRESS{N 18�1'f4.� N Z 15 o f �f f i OWNER OWNER�iiy� `llml: +C A- T•. •P 73 74 USE OF PERMIT F.C. -�Ek'1;�An! '1 - DD DATE M 7 7 0 M H PERMIT FEE $ COMA TY 4�9 �#1t11 li DST UNITS R66,71 VALUATION 36,r3" SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTIO f N _Ft / j MECHANICAL FEE DBL $SET BACK 7/ LOT SIZE ZON USE NO. GRP TYPE CK BV(�.+ ,• "� / F� " 8 S(� fT R ! J PLAN CHECK FEE $ 416NDAMT.l0'PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR G " 7s �I-�, Lj, C� , CONSTRUCTION FEE DBL $ j1 ( NAME OF CONST, LENDER BRANCH OFFICE NO LENDER INVOL D 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 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 r� L / OWNER/AGENT'S SIGNATURE /14 A705 -b /�/p �3 CONTRACTOR }! (pp //j CASH Q CHECK ❑ M.O. ❑ N.C. 0 ADDRESS -ADDWSS .� p".�- 5� AQA Ao RECEIVED . TREES REQUIRED SEWAGE SYSTEM LL pr,<" CITY ZIP CODE ZIP CODE j/j� (�/Iff�f( c^ eco-zx�1�%. C/ �i `r J % l INFORMATION r� FORM 284.208 (Re, 9.73, ©s T TEL. NO. LICENSE