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259105 (PAT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY .FIELD OFFICE ,fI_ COUNTY OF RIVERSIDE ,k, ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET - SWIM POOL, PVT SWIM POOL. COMM SIGN NO.I PLUMBING FEES BOILER I I B.T BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ �.. POR. SQ. FT: GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ :;f NOTE: Not to be used as property tax valuotion ' MECHANICAL FEES MOBILE HOME PERMIT FEE Is VCAIT fVCTGAA r'1 CA n1 M cvAD rnnl t1 Hnnn ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET - SWIM POOL, PVT SWIM POOL. COMM SIGN NO.I PLUMBING FEES BOILER I I B.T BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT .CFM f IDLE METER KITCHEN SINK ABSORPTION SYSTEM ] B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ C BATH TUB SQ FT @ C WATER HEATER SQ FT RESID @ I a SEWAGE DISPOSAL SQ FT GARAGE @ '/a¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE PERMIT NO.2491 n TOTAL Ff��S v MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. EE FF CONST. FEFr DBL. ELECT. FEE DBL. SMITE FEE PLUMB. FEE DBL. J I F I M I A I M J I i I A I S O' N D J DRSSn // i_,�y SP NO ' jCl 5r ;t 511,VleG 70A I ow�} �.j t /mss -- +�(%Jt; Al ' % U�. A.A �a T 73 74 USE OF PERMIT • . Tel t/e F.C. JDATE P/ O. ` 75 M H PERMIT FEEC�MlyLUNITY DST UNI S ROOMS VALUATION SUPT. TO PERMIT OFFICE MICROFILM FEE 'COPIES $ LEGAL DESCRIPTION l / 1 MECHANICAL FEE,-`/ DBL $ SET BACK LOT SIZE ZONEUSE NO. • GRPj TYPE BY PLAN CHECK FEE $ BOND -AMT. PLAN NO. PLAN CHECKER INA E .� JINSPECTOR CONSTRUCTION FEE DRL' $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE s DBL $ ADDRESS CITY STATE SMI FEE- r $ e79 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT 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, ).ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 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 COD, OFr SHE STATE OF CALIFORNIA. FEE $ .. PLU,MIBING FEE DBL TOTAL FEES OWNER/AGENT'S SIGAT RE W j , f ' y / •®t 41. r R,4� CONTRACTOR CASH CHECK ❑ M.O. ❑ N.C. ❑ o ADDRESS .'Vel "�/V" — ADDRESS RECEIVED BY E TREES REQUIRED ' SEWAGE SYSTEM T LL 1p CIT - IP CODE Cr p 7�m j. DSS' % ! CITY ZIP CODE INFORMATION FORNX 284.208 (Rev. 9.731 ©S i%,—" ' TEL. NO. - _ TEL. NO. LICENSE