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248286 (BLDG)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY 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 I f BAR SINK ROOF DRAINS DRAINAGE PIPING' DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER CONSTRUCTION ESTIMATE I ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. ! ` SO. FT. Q,= GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @aa i` ESTIMATED CONSTRUCTION VALUATION $ ,e NOTE: Not to be used as property tax valuation MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY 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 I f BAR SINK ROOF DRAINS DRAINAGE PIPING' DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDEDn LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY, AMPERES SERV ENT SHOWER SOFT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1¢ SEWAGE DISPOSAL 7 SQ FT GARAGE @ Yk � ' HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is I PERMIT FEE q, .001 PERMIT FEE TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE E CONST. FEE DBL. CT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. o Cl-?!� 2 4REP, �p /� fj MELS r 0 U 1 J I F I M A M I 1 IJI A I S Q 1 ND JOB ADDRESS SP NO OWNER !• ��g 1 S11 -4 USE OF PERMIT F _ DATE74 � P I O 6 75 ! IEo Cd @. M H PERMIT FEE $ COMMUNITI DST UNITS ROOMS VALUAVON TO PERMIT OFFICE X ISUPP. I MICROFILM FEE COPIES, $ LEGAL DESCRIPTION M 111514 MECHANICAL FEE DBL $ SETBACK LOT SIZEZONE USE NO. GRP TYPE CK BY ^ R� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE f' �/(�' yj /� INSPECTOR /-r 3 - / gC CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OIFICE NO LENDER INVOLVED` ELECTRICAL FEE DBL $ ADDRESS CITY STATE 7 tl 9 SMI FEE $ PERMIT SHALL BECOME VOID IF WORK IS NOTCOMMENCED WITHIN 120 DAYS. CESSA- .aTHIS TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PER.AIT 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 $ FEE 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 PRI PARED THE PLANS AND SPECIFICATIONS PLUMBING FEE DBL $ HAS DONE SO IN ACCORDANCE WITH SECTION 5541 C7- THE BUSINESS AND PROFESSIONS CODE 1 E STATE OF CALIFORNIA. r $ AGEJJT'SSIGIQATU Er �CONTRACTOR FXDDREStg!ADDRES-S TOTAL FEES�CASH CHECK ❑ M.O. ❑ N.C. ❑ ! N 53j 4 RECEIVED BY E J TREES REQUIRED _ CITY- fft,. -J 0p CODE ✓✓ J CITY ZIP CODE SEWAGE SYSTEM T LL P /1 ' -NOfi"f+•fx�"i ��% ' INFORMATION - TEL. NO. TEL. NC. LICENSE -FORK 284.2081Rev. 9-731 ©s J �