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258070 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. 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. SOFT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ tiTO NOTE: Not to be used as property tax valuation PERMIT FEE TEMP ELEC SVC GAS PIPING MECHANICAL FEES \/C&IT CVCTCAA rl CA- n LVAD fnnl rl Hnnn DEPARTMENT OF BUILDING & SAFE COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. 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 Cl SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ C WATER HEATER SQ FT RESID @ le SEWAGE DISPOSAL SOFT GARAGE @ 'ha HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S I I PERMIT FEE PERMIT FEE TG.70 R2 �TOTAL FESS J /ted MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK L CONST FES �V DBL. ELECT. FEE DBL. S7PE `'r FEE PLUMB. FEE JDBL J I F I M A I M I J I J A 1 S 1 Q 1 N D In ADDRESS 7'.1/ I SP.NO OW*R i r 74 USE OF PERMIT APO A77f C-A416C Te �d,i D F.C. JDATEIZ Al /d ; V-,;," P� 070 75 M H PERMIT FEE $CO MUNIT A 0 A //T A DST I/ UNITS / ROOMS VALUATION r'2 PC fit,./se:+ "- SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $SET BACK LOT SIZE ZON USE NO. GRP TYPE UBY F i,o S X PLAN CHECK FEE $ j ✓ � � BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE �7 N INSPECI�OR �l "1/ / J ��a�%�-G/�l fir'-C.� ;(� CONSTRUCTION FEE DBL $NAME ev OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLV 4 -- ELECTRICAL FEE DBL $ I. 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 AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS.OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 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 CALIFORNIA. ` FEE $ PLUMBING FEE DBL $ TOTAL FEES $ �'r �1GJ OWNER/AGENT'S SIGNATURE - / -" ' �' CONTRACTOR i CASH CHECK ❑ M.O. ❑ N.C. ❑ ADDRESS %/'�, ly 0X 'f74v ADDRESS j RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P�Y�/ CITY ZIP CODE tt CITY ZIP CODE INFORMATION rOhj 284.2081Rev. 9.73,©5 �T✓E.L{NO. TEL. NO.. LICENSE C-7 I7.:3 D