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268391 (SPIN)BUILDING PERMIT 1 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE i CONSTRUCTION ESTIMATE I ST FL. SQ.FT. @ 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ CAR P. SOFT. @ ` WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax voluotion MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST APPLIANCE JOB ADDRESS SP NO OWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 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 � B.T.U. ROOMS SQ FT @ ¢ BATH TUB OFFICE MICROFILM FEE SQ FT @ ¢ WATER HEATER LEG"ENCRIPTION SQ FT RESID @ la SEWAGE DISPOSAL $ SOFT GARAGE @ '/]¢ HOUSE SEWER PERMIT FEE USE NO. GRP GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PE MIT NO, 26 391 TOTAL �S MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. �; I F p -t1/0 00 - BOND AMT. PLAN NO. J F M A M J J A $ O N D JOB ADDRESS SP NO OWNER 7478-440 Calle Feline J 75 USE OF PERMIT F.C. 76Gqq JDATE I_lq_76 1pn83 91 M H PERMIT FEE $ COMMUNITY IVA MEN DST UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEG"ENCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR / INSTRUMENTATION FEE P9 e /� < f7♦♦6-A, $ ADDRESS A FEE l0 PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 1$07EL. TOTAL FEES NO. T .'` LICENSE - /40 o Q >. / 3r/6 -&a 2— z 4 CASH ❑ CHECK M.O. C]N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA. y�rION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . RECEIVED BY 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 SEWAGE SYSTEM T LL p m AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE A.c— E CTA TE � � r n i 1—nA1 A rw Air-i-r� ITnAr-T—C is A i c r� r� i IA nA kiTc I I HEREBY CERTIFY THAT THE INDIVIDUAL' WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) Or L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE A-OF'THE STATE OF CALIFORNIA. '