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302021 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE � PERMIT 140 020211 COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. ` 2ND FL. POR. CAR P. WALL r/ —_ ESTIMATED CONSTRUCTION SQ. FT. @ SQ. FT. @ SO. FT. @-0-GAR. SQ. FT- SQ. FT. @ SQ. FT. @ _ SQ. FT, @ VALUATION $ r UNITS if YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK 314 VO POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN 'URINAL $ 1 9 WATER PIPING Oa NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM 'WATER SOFTENER VENT SYSTEM FAN ❑ E IOOD © SIGN WASHER(AUT SH) 00 APPLIANCE RYER <22 GARBAGE DISPOSAL 400 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 00 ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR _ HP ,S`�j POLE, TEMP/PERM (LAVATORY HEATING SYSTEM ORCED ❑ GRAVITY P AMPERES SERV ENT 6o SHOWER It BOILER [::== B.T.U. SQ.FT. @ a (BATH TUB 00 SO. FT. @ ¢ 24WATER HEATER 10 Q.FT.RESID @ 11144 :SEWAGE DISPOSAL �.... SQ.FT.GAR @ 3/44 (HOUSE SEWER GAS PIPING PERMIT FEE pp PERMIT FEE (PERMIT FEE 40 DBL TOTAL FEES 3 - , MOB-HM.FEE MICRO FEE M -FEE o, L. CK. EE CONST. FEE EL ,FEE ,7 P* SMI FEE FEE PL B FEE J F M A M J J A S O N D JOB ADDRESS SP NO OWNER 76 _ I %jJ CJL 77 COMMUNITY VALUATION $ DATE DST D FICE 78 f. _,_(_� /1[/T"tf f M H PERMIT FEE $ USE OF PERMIT C. SUP TO PER PE�Ir Na. i MICROFILM FEE COPIES $ DDK 4 AGE PARC L LEGAL DESCRi ❑ — T-11*17.9 MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LO 512E GRP TYPE 1C JKBY PLAN CHECK FEE 04 $ BOND AMT- PLAN NO. PLAN CH ECx ER FINAL DATE usp j�. �209/ 11 I I r CONSTRUCTION FEE DBL $ NAME OF CONST LENDER of BRANCH OFFICE NO LENDERINV4. ❑ o =° 1-aS7 ELECTRICAL FEE DBL $ ADDRESS CITY STATE T_.y r,. tl STRONG MOTION $ OWNER/AGENTS SIGNATURE COMI-i n t'1 IA y INSTRUMENTATION FEE n )CJP� ' SPECIAL INSP $ ADDRESS ADOR.- FEE !,4/�Q RE REGISTRATION REGkSTRATION ff` PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL NO AREA CODE TEL Na. AREA C❑DE LICENSE 4 CASH❑CHECK .O.❑N.C.❑ ' RECEIVED BY � ��%, TREES REQUIRED IT 5HALt BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 C1AYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. �. SEWAGE SYSTEM `� �BY AGItEI THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P THE TAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY OM N5ATIQN INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE DF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 (REV 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA-