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335004 (SFD)BUILDING PERMIT DEPARTMENT OF, BUILDING & SAFETY PERMIT N0o. 335. 04 COUNTY OF RIVERSIDE 4 CONSTRUCTION ESTIMATE MECHANICAL FEES Job Add Address -5-/-'-�� NO. ELECTRICAL FEES 1ST FL. LOJ 2ND FL, z POR. J GAR. � CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. �a 7! $ �J UNITS SQ. FT. Cal VENT SYSTEM • FAN ❑ EVAP. COOL HOOD SQ. FT. GO l F ` Ga y i � !°� ..- MOBILEHOME SVC. ] SQ. FL trio POWER OUTLET SQ. FT. Qa Off, � SQ. FT. Ga SQ. FT. Micro Film Fee VALUATION $ d 7 � G` NOTE: Not to be used as property tax valuation GARBAGE DISPOSAL SWIM POOL, PVT FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMITNO. 335004 MECHANICAL FEES Job Add Address -5-/-'-�� SWIM POOL, COMM Space Zip �J3 WATER SOFTENER VENT SYSTEM • FAN ❑ EVAP. COOL HOOD �r SIGN �r % jV ! Ju Dote J�`(/� �� 71/ 1 WASHER (AUTO)TDISHI Off, � F. C. G , APPLIANCE DRYER Micro Film Fee Cop $ GARBAGE DISPOSAL ' 4'L' Use No. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Mech. Fee Dbl b •� " PI. Ck. Fee $ Set Backs Lot Lot Size r u Ctu LAUNDRY TRAY Dbl E Dbl E �9 { I i`5 AIR HANDLING UNIT CFM s/ r � Ess 1° Z— IDLE METER F C20 IS5- KITCHEN SINK R�3 Zone GrP 3 ABSORPTION SYSTEM B.T.U. Unit ! TEMP USE PERMIT SVC aZ WATER CLOSET Dbl s T= COMPRESSOR f 0 HP 45 POLE, TEMP/PERM Final Date I �� a LAVATORY Sp. Insp. Fee s ltt-- $ HEATINGSYSTEM FORCED ❑ GRAVITY ^ /G40 AMPERES SERV ENT Branch g certify that in the performance of the work for whKh this not employ any person to any manner so as to become subject pensahon laws of California. City Zip Owner S.gnawre Builder Signotwe permit a issued I shall to the workmen s cam. r SHOWER Mileage Fee $ 9 O -C Reinsp. Fee BOILER C� B.T.U. ! SQ. FT. Ca, ¢ Owner/Agent BATHTUB Zip U Total Fees SZ-�7 Q Cj ` SQ. FT. to ¢ - { WATER HEATER -2 Receivedby /t' �1 051 SQ. FT. RESID Ga 1'G¢ �� !' License# ' SEWAGE DISPOSAL (j (A� Address it SQ. FT. GAR Cal 1/. 7 Workers' Comp. yes ❑ no ❑ HOUSE SEWER ,j / GAS PIPING bL PERMIT FEE PERMIT FEE 3 / PERMIT FEE 6 O DBL. TOTAL FEE 1-19 09h MOB. HM. FEE MICRO FEE MECH. FEE a a s 6 PL- CK. FEE ---, COST. FEE //'q/ ep ELECT. FEE a f 3 a SMI FEE ` 1—(-3 FEE PLUMB. F EE 7 e-� PERMITNO. 335004 Supp. Permit 1 Job Add Address -5-/-'-�� ,t,-s."E. -�/`� Space Zip �J3 Owner Ow Cy / � � Valuation y �r % jV ! Ju Dote J�`(/� �� 71/ 1 Dist. �{ Off, � F. C. G , MH Permit Fee s Micro Film Fee Cop $ Use of Permit '• �e>C ?' L � Parcel //No. 773 Use No. Ck./^b�y Mech. Fee Dbl b •� " PI. Ck. Fee $ Set Backs Lot Lot Size r u Ctu Construction Fee Electrical Fee Dbl E Dbl E �9 { I i`5 Leeggl Descri i n `^� fit^- v �/f{�/ ` s/ r � Ess 1° Z— s�i� F C20 IS5- S J R�3 Zone GrP 3 TYPee µ. �✓ .��/ Unit ! SMI Fee E ` Plumbing Fee Dbl s 34,p Bond Amt. $ Plan No. 3 S d � PlanehJecker '` � �7 �5 Final Date I �� nspe r Sp. Insp. Fee s Dental. Fee $ Const. Lender Address - Branch g certify that in the performance of the work for whKh this not employ any person to any manner so as to become subject pensahon laws of California. City Zip Owner S.gnawre Builder Signotwe permit a issued I shall to the workmen s cam. r Registr. Fee $ Mileage Fee $ 9 Witness Fee $ Reinsp. Fee $ Owner/Agent Tel, Zip Total Fees SZ-�7 Q Cj ` Address It - City Zip M.O. ❑ . N.C. ❑ Cosh ❑ Check ❑ Receivedby /t' �1 Controc/t�o�jj ! 1 Tel. License# ' Trees required Sewage System (A� Address it 1 n City f/// Zip 1015ldit !i e/5�1P�7 Workers' Comp. yes ❑ no ❑ T/dGG LL A do x THIS PERMIT SHALL BECOME VOID IF WORK, IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verif ed by Sewer District 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 ACCORDANCE t WITH THELAWS OF RIV54SIDE COUNTY AND THE STATE OF CALIFORNIA. I 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 Form 284.208 1Rev. 4,771 ©s CALIFORNIA.