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223013 (SFD)
BUILDING PERMIT CONSTRUCTION ESTIMATE,, 1 ST FL. SQ. FT. @ 2ND FL. SQ. FT. �ia POR. SQ. FT. �ia GAR. SQ.FT.@° CAR P. Sx SQ. FT. @ WALL EMSQ.FT. SQ.FT. @ate 1wD9��& @ r ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MFCHANICAI FFFS DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE ' ELECTRICAL FEES,,w IV lk'it NO. 1r MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. UNITS FIELD OFFICE PLUMBING FEES DST NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SnFTFNFR MOBILE HOME HOOKUP FEE is _ I 1 I -,I;;; W.0 I PtRMI I r-tt I ? I n,7 1 / 1 PERMIT FEE I %PE VENT SYSTEM gKAN ❑ EVAP. COOL Cl HOOD MOB.. HK. FEE MIgCR�fEE_,lq SIGN t WASHER (AUTOJDISH) `? 00 DBL. APPLIANCE Z`Pi •Z tai% FORMER O K W DBL. GARBAGE DISPOSAL 1196 OWNER S 73 FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED USE OF BUILDING 1 iaf a t' n oa'> orz r OUTLETS DATE ^� Z_f LAUNDRY TRAY 3 75 M.H. HOOKUP FEE AIR HANDLING UNIT I CFM $" FIXTURE OR SOCKET E KITCHEN SINK Izo ROOMS VALUATION. / q %.a; -I GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL OFFICE CONST. SERV. ENTRANCE COPIES WATER CLOSET p(a MECHANICAL FEE COMPRESSOR 7 HP "'j Sol POLE SETBACK LAVATORY ZONE 14` i DO GRP APPLIANCE VENT CK BY 4S l 3 AMPERES SERV. ENT. PLAN CHECK FEE SHOWER ({� BONNDaAMT. PLAN NO. ABSORPTION SYSTEM B.T.U. FINAL DATE INECTOR / -I 7 ^ 7 -5!P SQ. FT. @ Q CONSTRUCTION FEE BATH TUB / © t) NAME OF CONST. LENDER BRANCH INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. NO LENDER INVOLVED SQ. FT. @ DBL WATER HEATER _ ' V STATE HEATING SYSTEM ❑ FORCED ❑ GRAVITY SMI FEE SQ. FT. RESID. @ 14 1 $ SEWAGE DISPOSAL / 00 BOILER 0 B.T.U. SO. FT. GARAGE @a 1/24 DBL HOUSE SEWER TOTAL FEES• _ PERMIT FEE ( BALANCE OF MIN. FEE CONTRACTOR GAS PIPING ADDRESS - ADDRESS MOBILE HOME HOOKUP FEE is _ I 1 I -,I;;; W.0 I PtRMI I r-tt I ? I n,7 1 / 1 PERMIT FEE I %PE TOTAL FEES MOB.. HK. FEE MIgCR�fEE_,lq ]MiEC(H. FEE I D8L PL. CK.E CONST. FEE ^a DBL. ELECT.^FE� DBL. .SMI FE FEE PLUMB. FEE DBL. A-1 M I J 1 J I A $ 1 O 1 N_ D JOB ADDRESS t. ti L4 lif-W , { OWNER S 73 74 USE OF BUILDING 1 iaf a t' n oa'> orz r F.C. 060 DATE ^� Z_f PERM N 3 01 3 75 M.H. HOOKUP FEE $" COMMUNITY I h to 0 ki 14 1 P, //DST 10 UNITS 1 ROOMS VALUATION. / q %.a; -I SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION g MECHANICAL FEE DBL $ S� SETBACK LOT SIZE ZONE 14` i USE NO. GRP TYPE CK BY 4S l 3 F 1p4 r PLAN CHECK FEE $ a"7 BONNDaAMT. PLAN NO. PLAN CHECKER FINAL DATE INECTOR / -I 7 ^ 7 -5!P '`• CONSTRUCTION FEE DBL, - $ Ll © t) NAME OF CONST. LENDER BRANCH OFFICE . NO LENDER INVOLVED ELECTRICAL FEE DBL $ >0 _ ' 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. t 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 WITII 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 O ALIFORNIA. FEE $ PLUMBING FEE DBL $ TOTAL FEES• r CASH ❑ CHECK �' M.O. ❑ N.C. ❑ ` � y'� R OWNEww �l ;^Z , 0 P4 CONTRACTOR RECEIVED'BY ADDRESS - ADDRESS SEWAGE SYSTEM T LL PT TREES REQUIRED YES NO CITY y CITY INFORMATION FORM 284.208 lRe(Re,1 I /721 t TEL. NO. �S (o q -. � _ TEL. NO. LICENSE