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258566 (SPIN)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM 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 If CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tax valuation MECHANICAL FFFS DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM 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 If VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) IDISHI APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ 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 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM Cl FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ la SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE PERMIT FEE 25R T 5,661 TOTAL FEESMOB. i HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE QCY FEE PLUMB. FEE DBL. J I F I M I A M 1.1 1 1 1 A I S O 1 N D �jgoDR Ss ff SP NO % `s�L.�jl�fi (� /��f�i✓ I OwN?i / rAief'7o .; 73 74 USE OF PERMIT F.C. DATE /} P2,58 75 M H PERMIT FEE $ C MMUNITY / A tf d I i,/ rA DST %% UNITS ROOMS VALUATION SUPP, TO PERMIT OFFICE z MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE A.> l J USE NO. GRPTYPE CK BY / F 5 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN -15 �PT R 't9 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVE 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 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 ST TE OF CALIFORNIA. ,r J 4 J/r A 1 , fj FEE f/ $ 0 00 PLUMBING FEE DBL $ TOTAL FEES � %_ 0 � f� OWNER/AGE SIGN U E � _ �CZi l►- 1-,4,R 0 N CONTRACTOR CASH ❑ CHECK,9 M.O. Cl N.C. ❑ ADDRESS ADDRESS RECEIVED BY TREES REQUIRED,, SEWAGE SYSTEM T LL r CITY ZIP CODE /Ato CITY 21P CODE INFORMATION FORM 284-208 IRe, 9-731 ©s_ TELL. NO. `� TEL. NO. LICENSE