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268784 (GRES)BUILDING PERMIT Y DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ.FT. @ UNITS CFM j 2ND FL. SO. FT. @ KITCHEN SINK YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SOFT. @ HEATING SYSTEM ❑ FORCED ❑ GRAVITY DRAINAGE PIPING SQ. FT. @ BOILER 0 B.T.U. DfFINKING FOUNTAIN i r aif . FT. @ URINAL j ESTIMATED NSTRUCTION VALUATION $ SQ FT @ ¢ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL. PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMM WATER SOFTENER SQ FT GARAGE @ '/a¢ VENT SYSTEM ❑FAN O EVAP. COOL Cl HOOD SIGN WASHER(AUTOI (DISH) DST APPLIANCE JOB ADDRESS SP NO OWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED / J1 /F)l'J LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER 0 B.T.U. ROOMS SQ FT @ ¢ BATH TUB OFFICE SQ FT @ ¢ WATER HEATER / SOFT RESID @ 1¢ SEWAGE DISPOSAL v I SQ FT GARAGE @ '/a¢ HOUSE SEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE 26 611O_ 8 841 70TAL� E5, Ef MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE i I ✓ DBL. ELECT. FEE DBL SMI EJ fj FEE PLUMB. FEE DBL. J F M A M ) J A S O N D JOB ADDRESS SP NO OWNER 74"r1�. f e�iY Y� / J1 /F)l'J ]cj USE OF PERMIT F.C. DATE P M N J 8 7 84 M H PERMIT FEE $ COMMUNITY DST UNIT' ROOMS VALUATION SUPP. TO PERMIT OFFICE / I v I MICROFILMFEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK FS R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE TOR JINSPE 53)x, ,. CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER IN VED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNAUAIE, CONTRACTOR INSTRUMENTATION FEE r / $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE A ; j_ TOTAL FEES $ TEL. NO. `- TEL. NO. LICENSE 6 CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA• IT,N OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY i 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 SEWAGESYSTEM T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE nI I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS 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.