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224433 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY SIGN • COUNTY OF RIVERSIDE • CONSTRUCTION ESTIMATE--w ELECTRICAL FEESF �* 1 ST FL. SQ. FT. @ FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED NO.1 2ND FL, SQ. FT. @ AIR HANDLING UNIT "CFM FIXTURE OR SOCKET SQ. FT. @ ow � 1 / 1lAh:s�... *� r MOTOR I OR LESS H.P. POR. GAR. SQ.FT. @ COMPRESSOR HP MOTOR 5 OR LESS H.P. CAR P. SQ. FT. @ APPLIANCE VENT MOTOR 20 OR LESS H.P. WALL ���� SQ.FT. @ ABSORPTION SYSTEM B.T.U. SO. FT. @ ¢ BATH TUB SQ. FT. @ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. �la Q WATER HEATER $ K.W.OUNITS ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax valuation MECHANICAL FEE BOILER 0 B.T.U. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SnFTFNFR MOBILE HOME HOOKUP FEE Is I 1 1 I PERMiI FEE I094:T'n9:1 1 PE IT O. 3 A VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) DBL. APPLIANCE TRANS- K.W. FORMER D GARBAGE DISPOSAL ELECT. FEE FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY FEE PLUMB. FEE AIR HANDLING UNIT "CFM FIXTURE OR SOCKET KITCHEN SINK ow � 1 / 1lAh:s�... *� r GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET _ COMPRESSOR HP POLE LAVATORY M.H. HOOKUP FEE APPLIANCE VENT AMPERES SERV. ENT. SHOWER COMMUNITY ABSORPTION SYSTEM B.T.U. SO. FT. @ ¢ BATH TUB _ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. �la Q WATER HEATER ^_ HEATING SYSTEM ❑ FORCED ❑ GRAVITY 01 SQ. FT. RESID. @I ¢ SEWAGE DISPOSAL MECHANICAL FEE BOILER 0 B.T.U. SQ. FT. GARAGE @'/2¢ HOUSE SEWER SET BACK PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE Is I 1 1 I PERMiI FEE I094:T'n9:1 1 PE IT O. 3 A TOTAL FEES MOB. HK. FEE MICRO FEE MECH. FEE DBL. PL. CK+FEE .CONST. FEE DBL. I ELECT. FEE I DBL. I SMI FEE I FEE PLUMB. FEE 781. J I F I M A I M I J 1, J A I S 1 O 1 N D LOB ADDRESS - r.+ � C7 016 ./� y� gAf,9 Y.4 A, ow � 1 / 1lAh:s�... *� r 73 74 USE OF BUILDING . ,-- ��,,f� l C! {�!Qssti f �i1 F.C. DATE t, � 7..�+ PERM N 1 2 4 4 d v 7s M.H. HOOKUP FEE $. COMMUNITY DST I UNITS ROOMS I VALUATION SUPP. TO PERMITOFFgE " MICROFILM FEE COPIES $ LEGAL DESCRIPTION �� �� / o7-' /` 7-06 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEU SE NO. GRP TYPE N;BY ``° R PLAN CHECK FEE $ �J 0' BOND AMT. .'PLAN + NO. PLAN CHECKER' FINAL DATE INSPECTOR q-17— 1%— `�" CONSTRUCTION. FEE •�j DBL $ 'K NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED - ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE • $ 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. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORDANCE WITH THE LAWS OF RJVERSIDE 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. I HEREBY CERTIFY. THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS roDF OL -THE STATE O C_LIF RNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES — ° CASH ❑ CHECKJ M.O. ❑' N.C. ❑� OWNER. ;/f C .✓"�".y-a ;.:'..� _ IV '/lEilr G: CONTRACTOR - £. t RECEIVED BY ADDRESS] ( �� /,� `Cl EJB first/ I �Qdij It k /'t" ADDRESS SEWAGE SYSTEM/'t" LL p TREES REQUIRED YES NO �s��/ /�'} A'lx9 y f �F:JV 7;'—• !Y r CITY INFORMATION . FORM 284-208 (Rev. 11/721 TEL. NO. ✓ TEL. TEL. NO. LICENSE