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276090 (RPL)BUILDING PERMIT�DEPARTMENT OF:BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE WE CONSTRUCTION ESTIMATE NO ELECTRICAL FEES NO PLUMBING FF -Fc p 1 ST FL. • 2ND FL. ' POR. GAR. CAR P. ALL -- SQ'.FT. ,@ UNITS LAVATORY SO. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVG., BAR SINK SQ.,FT. @ POWER OUTLET ROOF DRAINS' SOFT. @ DRAINAGE PIPING ._ , SQ. FT. @ DRINKING FOUNTAIN f,q SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ - !Pi �, URINAL WATER PIPING NOTE: Not to be used as property tax voluotion SWIM POOL; -'PVT fr`� ' FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SEWAGE DISPOSAL VENT �YSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) OGE J 1 APPLIANCE GARBAGE DISPOSAL FURNA E O UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED GAS PIPING LAUNDRY TRAY. MOBILE HOME PERMIT FEE Is AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ' PERMIT FEE ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM OWNER LAVATORY '.t`•-d'-•t,e'„rC.:71.C+'.P•✓''!"IfYL.VT.G"i:t.t%t.�.%t,,.t��1o3ili.G./j, HEATING SYSTEM ❑ FORCED Cl GRAVITY AMPERES -SERV ENT U_ SPERMITV r � SHOWER DATE BOILER � B.T.U. SQ FT @ a BATH TUB SQ FT @ a M H PERMIT FEE WATER HEATER $ -,SOFT RESID @ 14 D§T _ f SEWAGE DISPOSAL ROOMS VALUATION SQ FT GARAGE @ 'ha OGE J 1 HOUSE SEWER PERMIT FEE ' GAS PIPING MOBILE HOME PERMIT FEE Is ,ter PERMIT FEE PERMIT FEE ..a PERMIT NO, 276 TOTAL 5f.ESr MOB. HM.FEE MICRO FEE -MECH. FEE DBI,. PL. CK. FES, CON T..E f DBL. ELEC EBF DBL. j SMI -FEE z�el FEE PLUMB. FYeJDBL, I J I F IM A M J J A S O N D 74 JOB ADDRESS SP NO OWNER '.t`•-d'-•t,e'„rC.:71.C+'.P•✓''!"IfYL.VT.G"i:t.t%t.�.%t,,.t��1o3ili.G./j, . 75 U_ SPERMITV r � F.C. DATE P76 E V O 6090 2 _ M H PERMIT FEE $ COMt9)NITY I D§T _ f UNITS ROOMS VALUATION SUPP. TO PERMIT OGE J 1 MICROFILM FEE COPIES $ LEGAL RI DESCPTION _ e°C_�� -Ion—oio MECHANICAL FEE DBL $ ' / SETBACK F LOT SIZEI-zo(Nj:E� USE NO. GRP TYPE S R&; If1 it fiF ' ✓l PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL D 4'('L J INSP CT R CONSTRUCTION FEE DBL $ �ifi NAME OF CONST. LENDER BRANCH OFFICE NO LENDER OVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNA' T�URE r / CONTRt;CTOR {, r— ` .I �w ' FEE $ .ADDRESS. /' 'r ADD,jiESS C. i PLUMBI NGFEE DBL $ CITY ZIP CODE CITY / ZIPCOOE i TOTAL FEES $ TEL. NO. TEL. NO. 410ENSE r f-- CASH ❑ hCHECK M.O. ❑ N.C. ❑ 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. RECEIVED BY_ TREES REQUIRED 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 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.