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303502 (SFD)DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT —Mlrti„ 1 0 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. @ $ 2ND FL. SQ. FT. @ POR. SQ. FT. @ 0-0— GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ COMMUNITY _ ,E .,I ��`, SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ I NOTE: Not to be used as property tax valuation NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET POOL, PVT FIELD OFFICE FllSjT NO. "PLUMBING FEES O SWIM POOL, COMM WATER SOFTENER YARD SPKLR SYSTEM 76 BAR SINK ROOF DRAINS WASHER (AUTO) (WfIL4 DRAINAGE PIPING COMMUNITY _ ,E .,I ��`, DRINKING FOUNTAIN RYER URINAL OFFICE WATER PIPING M H PERMIT FEE FLOOR DRAIN FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED J F M A M 1 J MECHANICAL FEES O SWIM POOL, COMM WATER SOFTENER OWNER ,✓� 76 VENT SYSTEM AN ❑ EVAP. COOL OOD SIGN WASHER (AUTO) (WfIL4 COMMUNITY _ ,E .,I ��`, APPLIANCE RYER DST/ / OFFICE GARBAGE DISPOSAL M H PERMIT FEE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY F.C. SUPP. O PERMIT AIR HANDLING UNIT I CFM NO. IDLE METER KITCHEN SINKQ ABSORPTION SYSTEM B.T.U. C TEMP USE PERM SVC WATER CLOSET . COMPRESSOR HP MICROFILM FEE POLE, TEMP/PERM LAVATORY HEATING SYSTEMORCED ❑ GRAVITY 030 AMPERES SERV ENT SHOWER BOILER B.T.U. MECHANICAL FEE SQ.FT. @ DATH TUB 0 US N(5. ZOf�NEEJry SET BACK LOT SIZE Gy�RP TV PE CK BV SQ.FT. @ a WATER HEATER c9 BOND AMT. PLAN NO. PLAN ESC KElR♦ FT.RESID @ 11/4aj SEWAGE DISPOSAL CONSTRUCTION FEE DBL $ SQ.FT.GAR @ 3/4a HOUSE SEWER GAS PIPING DBL $ PERMIT FEE {{��^•rr./�j 922 CITY PERMIT FEE PERMIT FEE Qom? $ DBL. TOTAL FEES OB.H M.FEE MICRO FEE MECH- FEE L. CK. FEE CONST. FEE ELE FEE SMI FEE FEE PLL B. FEE J F M A M 1 J A S O N D JOB ADDRESS I SP NO �,/ /� ,�/jJ OWNER ,✓� 76 77 COMMUNITY _ ,E .,I ��`, VALUATION] $ s7l 74� DAT,E+j % �ry--� / ! / / DST/ / OFFICE 78 M H PERMIT FEE $ USE O ERMI F.C. SUPP. O PERMIT PERMIT NO. C 303501 MICROFILM FEE COPIES $ BOOK PAGE I PA,7;L LEGAL DESCRIPTICIIN i ... t MECHANICAL FEE DBL $ US N(5. ZOf�NEEJry SET BACK LOT SIZE Gy�RP TV PE CK BV PLAN CHECK FEE BOND AMT. PLAN NO. PLAN ESC KElR♦ FINAL.DATE I PECTOR CONSTRUCTION FEE DBL $ NAME OF CONST., LENDER BRANCH OFFICE NOL DER INVOLVED ELECTRICAL FEE DBL $ {{��^•rr./�j ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ Y OWNER/AGENTS SIGNATURE s CONTRAC OR*== ,i I 'SPECIALINSP DEMOLITION REGISTRATION FEE $ ADDRESS ADDRESS 5/ 075 /f41 n4 / PLUMBING FEE DBL $ 3 CITY ZIP CODE CITY ZIP CODE�e o Alm z - TOTAL FEES $ TEL. NO. TEL, NO.a AREA CODE LICENSE a CASH ❑CHECK O.❑N.C.❑ r, 7CODE � 3 3� RECEIVED BY TREES REQUIRED THIS PF IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE TH LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY •nMDcwICATIrlwllwlCl IDAwI!'C I ollwl r l�,iTu T c fTnrcl� ,SEWAGE SYSTEM T/ -k / P Xf CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 (REV. 8-76I - SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.