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280833 (MISC)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE I NO. I ELECTRICAL FEES 1 ST FL. l SO.FT. -@ f ..+.. -p 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO.FI. @ WALLSO. FT. @ ___dSQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL 7EES VENT SYSTEM ❑ FAN ❑ EVAP. COOL O HOOD UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL„PVT SWIM POOL, COMM SIGN FIELD OFFICE DST APPLIANCE lUd AODR ESS SP NO � 3c't� PrP Fe o NO. PLUMBING FEES u mjW ADOF PRA'IQ YARD SPKLR SYSTEM LAUNDRY TRAY BAR SINK AIR HANDLING UNIT I CFM ROOF DRAINS e ! DRAINAGE PIPING DRINKING FOUNTAIN TEMP USE PERM SVC URINAL WATER CLOSET -- WATER PIPING / FLOOR DRAIN UNITS WATER SOFTENER VALUATION ��4, e1 WASHER (AUTO) (DISH) DST APPLIANCE lUd AODR ESS SP NO � 3c't� PrP Fe o OWNER jaN GARBAGE DISPOSAL u mjW FURNACE O UNIT O WALL O FLOOR ❑ SUSPENDED s fox � (^ a 4 TOli to / � 0/al LAUNDRY TRAY DATE -7'7 AIR HANDLING UNIT I CFM IDLE METER e ! KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET -- cno COMPRESSOR 0 HP POLE, TEMP/PERM UNITS LAVATORY VALUATION ��4, e1 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. 3E SQ FT @ *y ¢ Q� BATH TUB SQ FT @ ¢ WATER HEATER COPIES $ SQ FT RESID @ la t Sa -003 4wLj 53 Q(Afk)fA &o IF FS> d SEWAGE DISPOSAL DBL $ SQ FT GARAGE @ Ih¢ SETBACK/� /Jy L TSIZE ZON F�VS R A HOUSE SEWER USE NO. PERMIT FEE TYPE JgY GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE `� PERMIT FEE PERMIT NO. 280833 280833 TOTAL FEES a . = MOB. HM.FEE MICRO FEE MECH. FEE L. PL. CK. FEE CONST. FEE 5,°- DBL. ELECT. FEE _ ,0'. DBL. SMI FEE 1� FEE PLUMB. FEE 114'50 DBL. F M A M J J A S Q N D lUd AODR ESS SP NO � 3c't� PrP Fe o OWNER jaN 74 u mjW s fox � (^ a 4 TOli to / � 0/al /a DATE -7'7 ERPEj7MILN00 8 3 3 76 e ! M H PERMIT FEE $ COMMUNITY 4) -M DST 1/ UNITS ROOMS VALUATION ��4, e1 SUPP. TO PERMIT ' f F463�f OFFICE t'u t - ILEGACDESCRIPTION MICROFILM FEE COPIES $ t Sa -003 4wLj 53 Q(Afk)fA &o IF FS> d MECHANICAL FEE DBL $ SETBACK/� /Jy L TSIZE ZON F�VS R A E USE NO. GRP TYPE JgY .�_ `� r& r PLAN CHECK FEE $ BOND AMT. PLAN NO. PL N CHECKER FINAL DATE I CTOR . D6 -7 71 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ s ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ )0 OWN .AGENT' SIGN 7 't�j{ f UR K64�kf' CONTRACTOR - �t r ,, +�r ` � FEE—{ $ ADDRES o/ n/t' a<rJR ADDRESS PLUMBING FEE DBL $.� ¢I ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. 3'7t� ,3” TEL, NO. LICENSE CASH ❑ CHECK X M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIREDION 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 SEWAGE SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I %%A/C(IC TUC CTATE C Al IC - 11A /-iCOhn l' KITOAf TI CC IC Al fl1 1IADAAITCCn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS AND PROFESSIONS CODE FORM 284-208 (Rev. 10-74) OO L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS OF THE STATE OF CALIFORNIA.