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272642 (PAT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATENO. ELECTRICAL FEES UNITS ST JOBADORE ORE55 _ -SP NO n f- LAUNDRY TRAY 2ND FL.SQ. CFM FT, @ POR. ✓LL' ABSORPTION SYSTEM SO. FT. @ ^� GAR. WATER CLOSET SQ. FT. @ CAR P. POLE, TEMP/PERM SOFT. @ WALL AMPERES SERV ENT SO. FT. @ BOILER � B.T.U. * SO FT @ 4 SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ;1 NOTE: Not to be used as property tax valuation SO FT @ ¢ MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE SEWAGE DISPOSAL MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) rARRArF nlcur-xnl FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOBADORE ORE55 _ -SP NO n f- 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 ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. * SO FT @ 4 BATH TUB ITS I ROOMS SO FT @ ¢ WATER HEATER OFFICE SO FT RESID @ 1 ¢ SEWAGE DISPOSAL SO FT GARAGE @ 'h¢ HOUSESEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE Is $ PERMIT FEE PERMIT FEE 2I2' E IT O. 42 TOTAL F S /�� MOB. HA•1.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE ��-d CONST. FEE ?`�`' DBL. ELECT. FEE DBL. SMI FEE `' FEE PLUMB. FEE JDBL. J F M A M J ) A $ O N D JOBADORE ORE55 _ -SP NO n f- OWNER 74 ,j " p'1 G. 5 .) r,�U4 l � l±. t? L.�G 4�/� %� ' j?C'AZ T 75 USE OF PERMIT n API? )T 1 �r %' C/ F.C..�IDATE � IP272642° 76 o M H PERMIT FEE $ * COMMUNIT' DST ITS I ROOMS VALUATION n` F SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE Z/OONN;E USE NO. GRP TYPE CK BY /' // 5-/ Jv ! r� F S✓r<i jL R 3& PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS P CTO^`C/W`n '5-o 9-I�i CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 00 ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOF'_y- INSTRUMENTATION FEE /} j Ii Li 7 • $ ADDRESS ADDRESS FEE � , o PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES Is S TEL. NO. TEL. NO. '� LICENSE NZ - // w v P, • j _ / f �� j P' CASH1 CHECK Cl M.O. ❑ N.C. ❑ �'� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ON 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 RECEIVED BY f TREES REQUIRED SEWAGE SYSTEM [LL CCRDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC T F AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI r� I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.