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259232 (RPL)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ LL SQ. FT. @ owtjr/ `L SQ. FT. @ ESTIMATE CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS O/ir%c yrs `` MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. PLUMBING FEES ,-161- BOIL R r-77-1 B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER /DSST .' Ji VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) IDISHI APPLIANCE 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 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED C3 GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB �. SOFT @ ¢ WATER HEATER -" SQ FT RESID @ I ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERIv11T FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE ..�. p�R T 25"923 � TA FEES �.. M08. HM. FES MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST..FEf� DBL. ELECT. DBL. SM19FF� FEE PLUMB EE J DBL J I F I M A I -M I J I J A I $ 1 Q 1 N D 108 ADDRE)SS�/ SP NO �C IS/4 t/�. OWN 73 74 USE OF PERMITf.C. �s�,�.�„����-d JDATE 1p -�s- 2 32 75 M H PERMIT FEE $ Y . COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFF,IGE MICROFILM FEE COPIES $ LEGAL D CRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE t/r� (FINA USE NO. GRP TYPE CK BY F !) S R PLAN CHECK FEE $ A BOND AMT, PLAN NO. PLAN CHECKER DAJI INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 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 $ r6p PLUMBING FEE DBL $ j r49 r TOTAL FEES 6 '-' OWNER/A NT'SSIGNATURE� CONTRACTOR CASH ❑ CHECK M.O. ❑ N.C. ❑ ADD SS _ _,y� i;ovi �” j {��ll9,� ADDRESS RECEIVED BY _ TREES REQUIRED SEWAGE SYSTEM T LL P CITY ZIP CODE CITY ZIP CODE INFORMATION FORAA 284.208 (Re, 9.731 ©s TEL. NO. , � � TEL. NO. LICENSE