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222943 (SFD)
BIALDING PERMIT DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE • CONSTRUCTION ESTIMATE ELECTRICAL FEES 1 ST FL. SQ. FT.�ia NO. 2ND FL. SQ. FT. CiD ° POR. SQ. FT. MOTOR I OR LESS H.P. i GAR. SQ.FT. MOTOR 5 OR LESS H.P. y CAR P. SQ. FT. @MOTOR 20 OR LESS H.P. WALL SQ.FT. Cia � SQ..FT. CONST. SERV. ENTRANCE ESTIMATED CONSTRUCTION VALUATION $0 K.W. UNITS 11-11- NOTE: Not to be used as property tax valuation POLE FIELD OFFICE PLUMBING FEES DST NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTFNFR MOBILE HOME HOOKUP FEE 1$ 1 1 1 O I PERMIT FEE I -al d 01 /1 PERMIT FEE I �1 h/3 PE IT O. VENT SYSTEM [ „FAN ❑EVAP. COOL Gd,HOOD SIGN WASHER (AUTO) (WSW) PL CK. FEE APPLIANCE TRANS- K.W. FORMER GARBAGE DISPOSAL DBL. FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ USPENDED OUTLETS LAUNDRY TRAY DBL. AIR HANDLING UNIT I = CFM FIXTURE OR SOCKET KITCHEN SINK � GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET /9�-� COMPRESSOR HP d POLE LAVATORY _+ APPLIANCE VENT AMPERES SERV. ENT. i SHOWER JOB ADDRESS - - - - - -- • - - -• ABSORPTION SYSTEM 0 B.T.U. SQ. FT. @ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ WATER HEATER — HEATING SYSTEM WFORCED ❑ GRAVITY 4/ jqC SO. FT. RESID. & d 6,Q Z SEWAGE DISPOSAL BOILER 0 B.T.U. SO. FT. GARAGE @a HOUSE SEWER M.H. HOOKUP FEE PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE 1$ 1 1 1 O I PERMIT FEE I -al d 01 /1 PERMIT FEE I �1 h/3 PE IT O. TOTAL FEE B. HK. FEE MICRO fEE MECH. FEE DBL PL CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. 224 . /� � T1s- 7/, /9�-� 1 f'� I1 J II I I F 1 Nl A O N G JOB ADDRESS - - - - - -- • - - -• - OWNER - 73 74 USE OF BUIL NG F.C. Ig9bl_ DATE PER M2`22 943 75 M.H. HOOKUP FEE $ COMMUN17 DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE f 2 ,,.,. MICROFILM FEE COPIES $ LEGAL DE R IO MECHANICAL FEE D L $ SET BACK IfaT SIZE ZONE USE NO. GRP TYPE K BY ~FINAL JC Fy.� S . ... R `. $ PLAN CHECK FEE OND AMT. PLAN NO. PIAN CHECKER DAT v�� INSPECTOR 1 I fit' -/7-73 I ` a,_C V LIZ CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE . NO LENDER INVOLVED ELECTRICAL FEE DBL $"` J k AZ S ) CITY r STATE "'7 SMI FEE $J s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. FEE $ 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 PLUMBING FEE DBL $ AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE'OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT��'ffHE INDIVIDUAL �`jVHO PREPARED THE PLANS AND SPECIFICATIONS $ TOTAL FEES HAS DONE,SO IN ACG©RDANCE WITH SE [ON 5541 OF THE BUSINESS AND PROFESSIONS -F i^� T E O CALIFORNIA. CASH ❑ CHECK [3;,--M.O. ❑ , N.C. ❑ OWNER. fr•�` •�.�.. CONTRACTOR RECEIVED BY ADDRESS ADDRESS SEWAGE SYSTEM T LL P - CITY CITY TREES REQUIRED YES NO INFORMATION al. TEL. O. TEL. NO. LICENSE �! b i FORM 284.208 (Rev. 11 /721 ` +civ -7 74 7 ,w. z I