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280673 (SFD)BUILDING PERMIT CONSTRUCTION ESTIMATE I ST FL. 31?10f SO.FT. @ /-% O 2ND FL. SO. FT. @ POR. -SO. GAR. FT. @ 3 ,` SQ. FT. @� y' CAR P. SOFT. @ WALL SQ. FT. @ SQ. FT. @ ' ' ESTIMATED CONSTRUCTION VALUATION $ ' NOTE: Not to be used as property tax valuation I MFCHANICAI FFFS DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE NO. ELECTRICAL FEES NO. PLUMBING FEES 17, , UNITS MECH. FEE � s WASHER IAUTOfIDISHI YARD SPKLR SYSTEM j� ham.- MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS SMI FEE �., DRAINAGE PIPING PLUMB. FEE s. DRINKING FOUNTAIN M H PERMIT FEE URINAL f WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL. COMM WATER SOFTENER DST / f j I VENT SYSTEM. g FAN ❑ EVAP. COOL2C5 HOOD �O �r SIGN MOB. HM1I.FEE MICRO FEE MECH. FEE � s WASHER IAUTOfIDISHI PL. C .FEE �. CONST. FEE ;?3S", APPLIANCE E ECT. F " N DBL. SMI FEE �., FEE PLUMB. FEE s. GARBAGE DISPOSAL M H PERMIT FEE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED COMMUNITY' UNITS LAUNDRY TRAY VALUATION SUPP. TO PERMIT AIR HANDLING UNIT CFM IDLE METER ( toIllJI KITCHEN SINK '✓ ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC 41 WATER CLOSET—= L ,q COMPRESSOR. HPPOLE, TEMP/PERM j LAVATORY 0 HEATING SYSIEM3 I$. FORCED ❑ GRAVITY MECHANICAL FEE 00AMPERES SERV ENT 7 cxa L h 3V SHOWER ly :�- BOILER B.T.U. GRP TYPE SQ FT @ a F S R 3 BATH TUB 4'CJf -»- �J { 1'Q ��� ��i1 i �� SQ FT @ a WATER HEATERU-- PLAN CHECK FEE $ BOND AMT. 3 JJOV SQ FT RESID @j ` FINAL DATE SEWAGE DISPOSAL D �. SQ FT GARAGE @ /iia q x{r, ? 7 ? HOUSE SEWER CONSTRUCTION FEE DBL PERMIT FEE a NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE GAS PIPING ^'^ MOBILE HOME PERMIT FEE Is I I / I PERMIT FEE I -S I ":;: I I I PERMIT FEE PE 2 8 MIT N b 6�7 3 TOTAL FEE 4 MOB. HM1I.FEE MICRO FEE MECH. FEE � s DBL PL. C .FEE �. CONST. FEE ;?3S", DBL. E ECT. F " N DBL. SMI FEE �., FEE PLUMB. FEE s. M H PERMIT FEE $ COMMUNITY' UNITS ROOMS VALUATION SUPP. TO PERMIT J F M A M J J A S O N D - -- Aj/ o:^:cr,.-- /� ._ •- 74 ,�f""-D�AC'ORCSS !A-P.7o Af/jvjo 75 USE OF PERMIT 6A41,4 F.C.DATE (7/=t- 1176 P M N 1 6 7 3 76 ,awl a: e160/ M H PERMIT FEE $ COMMUNITY' UNITS ROOMS VALUATION SUPP. TO PERMIT ( toIllJI j�-[ �/z L ,q MICROFILM FEE COPIES $ LEGAL DESCRIPTION Qu fr to - L r3f S l MECHANICAL FEE DBL $ f t L h 3V SET BACK LOT SIZE ZONE a �~l USE NO. GRP TYPE CK BY ,? F S R 4'CJf �%_ �J { 1'Q ��� ��i1 i �� C3is, PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR fc2.: ? 7 ? Cc CC, CONSTRUCTION FEE DBL $ 00 NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ r �� ADDRESS clrr STATE / STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CONTRACTOR sz— .•^' !7 /j le0/c f-j'j ©l� 10;c k $ ADDRESS ADDRESS FEE `i (rj-I�jCj(� T•1 /ts f!� I PLUMBING FEE DBL $ S.S S4 CITY ZIP CODE CITY ZIP CODE � f co Z2 TOTAL FEES $ f� � !� TEL. NO. TEL. NO. LICENSE W(,` �'.2 1d l_ Sl6� .'- CASH ❑ CHECKA M.O. ❑ N.C. ❑(� • THIS.PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY QCs (., TREES REQUIRED 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 ALSC INSURANCE EMPLOYEES. COMPLIANCE WITH THI SEWAGE SYSTEM' T/��J LL p�i AGREE TO CARRY COMPENSATION UPON MY I A\A/C l CTUC CTATC! CrAI- nKIIA r!1 CDIAI(_rI KlTnArT/lDC IC Al Cn rl IADAAITCrn I HEREBY OF'CALIFORNIA. ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rem. t0 -7a) OP L HAS DONE SON ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE