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259083 (AR)BUILDING PERMIT CONSTRUCTION 1 ST FL.� /ESTIMATE SQ.FT. 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT f SHOWER % J -o SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ' NOTE: Not to be used as property tax valuation MECHANICAL FEES DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE. NO.I PLUMBING FEES BOILER I E BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER A . — .. VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DI H) 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 SµC� COMPRESSOR 0 HP POLE, TEMP/PERM f LAVATORY 1 i Y3 HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT f SHOWER % J -o SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ 1 ¢ ?19 SEWAGE DISPOSAL SQ FT GARAGE @ 'h(r I HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE t ^o PERMIT FEE PERMIT NO. TOTALFEES MOB. HM. FEE MICRO FEE MECH. FEE I DBL. I PL. CK. FEE CONST. FEE DBL. I ELECT. FE= DBL. SMI FEE FEE PLUMB. FEE DBL J I F I M A I M -I J I J A I S 1 O ,� D JOB ADDRESS / ff ' SP NO OWfl 73 74 USE OF PERMIT I l F.C. DATE P M T NO 75 M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS VALUAT ON SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION 1 J i;A / —JT�'�{ �� ` 12Yi�flT4 ;;&!'R, `fir— �%�� ,�1� ./�C±✓ MECHANICAL FEE DBL $ SET BACK) LOT S1ZE IZONE4? / USE NO. GRP TYPE s CK BY, { PLAN CHECK FEE $ '00 BOND AMT. PLAN NO. PLAN CHECKER FINALaATE INSPE TO CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OF=ICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ¢� ADDRESS CITY STATE SMI. FEE $ 3 d THIS PERMIT SHALL BECOME VOID IF WORK ISNOT 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 $ f '? ! i TOTAL FEES $ / T OWNER/AGE,p�J'5 IG A i "E�1 IT. r CONTRACTOR CASH ❑ CHECK�f M.O. ClN.C. C)' ADDRESS Iig ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P CI�TYZIP CODE ��f1(•?. �� CITY ZIP CODE ' INFORMATION rFORAA 284208 (Rev. 9-731 ©s TEL. NO. TEL. NO. LICENSE A . — ..