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272460 (SPIN)FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY r COUNTY OF RIVERSIDE Adlmhk CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO.Fl. @ WALL' SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN Cl EVAP. COOL ❑ HOOD NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING i FLOOR DRAIN WATER SOFTENER WASHFB IAI ITn) Ir)ISHI DST I/ .APPLIANCE JOB ADDRESS 1/ SP NO -V-;; C4%1!" r7�/FA/��t OWNER H'l "'c Tx r y kK GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED F. C. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. /, .4 /,v7-4 SQ FT @ a BATH TUB I SQ FT @ a WATER HEATER MICROFILM FEE COPIES SQ FT RESID @ I a SEWAGE DISPOSAL LEGAL DESCRIPTION SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE 07 MECHANICAL FEE GAS PIPING MOBILE HOME PERMIT FEE $ SETBACK PERMIT FEE PERMIT FEE PERMIT NO. 272460a°a TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL CK. FEE CONST. FEE DBL. ELECT. FEE sr DBL. SMI,FEE ��Onc FEE PLUMB. FEE DBL. F I M I A I M I 1 I J A I S 1 O 1 N I D 74 JOB ADDRESS 1/ SP NO -V-;; C4%1!" r7�/FA/��t OWNER H'l "'c Tx r y kK 75 76 USE OF PERMIT s� � f fH.�. /v-f,O, F. C. DATE �3-%�,� PERMIT NO. 272460 MH PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT FFICE /, .4 /,v7-4 l� I Tz MICROFILM FEE COPIES $ LEGAL DESCRIPTION 07 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY / / ]7CN,:' j/ F S R PLAN CHECK FEE $ 1 BOND AMT. PLAN NO. PLAN CHECKER FINAL DATESPECTOR l -!5- -Hi �(' CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV LV D ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATUREX V CONTRACTOR INSTRUMENTATION FEE Plot e �A ILrx � $ ADDRESS ADDRESS !!'Yz�FEE a f� 00 C -`r-, / PC, A1, W A PLUMBING FEE DBL $ CITY eZIP CODE 124 tt''✓)'v7A CITY ZIP CODE TOTAL FEES � $ TEL. NO. TEL. NO. LICENSE CASH CHECK ❑ M.O. ❑ N -C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA E ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 3 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 RECEIVED BY ,� TREES REQUIRED SEWAGE SYSTEM ILL mm ,,G T P l,ir AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-206 (Rei. 10-74) pL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.