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245604 (RPL)BUILDING PERMIT I CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ 'WALL SO. FT. @ 5 A-, / d!i A di SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES F/GAIT CVCTGAA n CA AI n r\/ AD rnnl n Hnnr DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIFLD OFFICE NO.I PLUMBING FEES BOILER L ...... JB. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) IDISHI m /I APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I —I CFM 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 @ a BATHTUB SQ FT @ ¢ WATER HEATER SLS SQ FT RESID @ 1 a SEWAGE DISPOSAL SQ FT GARAGE @ 'ha ` HOUSE SENDER f %/ 5-.,0 >J PERMIT FEE TEMP ELEC SVC j GAS PIPING 5 MOBILE HOME PERMIT FEE Is f PERMIT FEE �� ` PERMIT FEE D t P R T NO. TOTALFEES MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEESM;!' DBL. SME I FE FEE PLUMB. FEE DBL J f MA I M I J IJ A I S 1 Q 1 N D JOB ADDRESS SP NO OWNER 74 USE OF PERMIT F.C. ' J DATE *231 P26604 75 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEG/AL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY j�PLAN R CHECK FEE $ PLAN NO. PLAN CHECKER FINAL DATE i IN ECTOR rNAMEOF CONSTRUCTION FEE DBL $ ST. LENDER BRANCH OFFICE 0 LENDER'INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ 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, I ALSO $ FEE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE W E LAWS OF THE STATE OF CALIFORNIA COVERING CONTR TORS IS ALSO GUARANTE 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PR ARED'TH PLANS AND ATI ONS PLUMBING FEE DBL $ Gym . HAS DONE SO IN ACCORDANCE WITH SECTION 5 O USI NID $SIONSCO OF THE STATE OF CALIFORNIA. - $ OWNER/AGENT'S SIGNATURE Cq�6T TOTAL FEES .,. � 9� �1� CASH ❑ CHECK cyM.O. ❑ N.C. ❑ gooREss AD RECEIVED BY TREES REQUIRED sL CITY ZIP CODE CITY ZIP CODE SEWAGE SYSTEM Alp INFORMATION TEL. NO. TEL. NO. LI V,SE FOPM 284.208 (Rev. 9.731 65 Qy.l[,.y� ! n f � � moi'