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272429 (BLCK)BUILDING PERMIT. DEPARTMENT OF"BUILDING & SAFETY COUNTY OF RIVERSIDE 4 CONSTRUCTION ESTIMATE NO.. ELECTRICAL FEES, I.ST FL. - SQ.FT. @ UNITS: 2ND FL. SO. FT. @ POR. a .. SO. FT.. @ GAR. `: ^ SQ. FT. @ CAR P. SO.FT. @ WA_LL-t SO. FT. @ FT. @ ESTIMATED CONSTRUCTION VALUATION' $ NOTE: Not to be used os property tax voluation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD. MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN ' FIELD OFFICE DST NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) IDISHI' APPLIANCE JOB ADDRESS SP NO GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED / f,�.S1/.3y.�4�ls— .� LAUNDRY TRAY AIR HANDLING UNIT CFM. IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR O HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ FT @ a BATH TUB M H PERMIT FEE SQ FT @ a WATER HEATER SQ FT RESID @ I ¢ SEWAGE DISPOSAL UNITS SQ FT GARAGE @. 'ha HOUSESEWER PERMIT FEE OFFICE GAS PIPING MOBILE HOME PERMIT, FEE b PERMIT FEE PERMIT FEE . 2_124 0. 2 NOTAL FEI MOR: HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONS DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J I A I S 1 Q 1 N D JOB ADDRESS SP NO JOWNER —rpA 74j��'— / f,�.S1/.3y.�4�ls— .� �7N 1T//VtA�tIC 75 USE OF PERMIT F.C. DATE C P � M 2429 76 xj � � ;� ��-�� If M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP, TO PERMIT OFFICE A/m g;�r `fa 400 MICROFILM FEE COPIES $ LEGAL DESCRIPTION ?/V- >! -010 %n i moi- MECHANICAL FEE 'DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BY /JY F 5 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IINSPECTOR / CONSTRUCTION FEE' DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV L ED • / O 00. .` v ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/,AG NT'S SIGNATUREA CONTRACTOR _ ie 1, �•C FEE $ ADDRESS r ADDRESS PLUMBING FEE DBL $ CITY ,. ZIP CODE CITY ZIP CODE >l pv.5�14 a TOTAL FEES $ TE`�L•..NO. r1 TEL, NO. 1 LICENSE CASH ❑ CHECK' M.O. ❑ N.C. ❑ �! THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA "1` TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED I �- BY �� TREES REQUIRED . 6. rte 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 SEWAGE SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS 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.