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223027 (PAT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE 4 , ELECTRICAL FEES NO. 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 DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR'OPTFNFR CONSTRUCTION ESTIMATE, 1 ST FL. SQ. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. GAR. SQ.FT. @ CAR P. SQ. FT. @ WALL SQ.FT. @ FIXTURE OR SOCKET SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation CONST. SERV. ENTRANCE MFCHANICAI FFFS DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE 4 , ELECTRICAL FEES NO. 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 DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR'OPTFNFR MOBILE HOME HOOKUP FEE I$- 1 1 I 1 I PERMIT FEE I I i I PERMIT FEE I I MI NO. VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) DBL. APPLIANCE TRANS- K.W. FORMER D GARBAGE DISPOSAL ELECT. FEE FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY DBL:. AIR HANDLING UNIT I = CFM FIXTURE OR SOCKET KITCHEN SINK I GAS PIPE ❑ NATURAL O L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET I COMPRESSOR 0 HP POLE LAVATORY ^ APPLIANCE VENT AMPERES SERV. ENT. SHOWER -I OWNER f-- J ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ 4 BATH TUB F.C. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ d WATER HEATER M.H. HOOKUP FEE HEATING SYSTEM ❑ FORCED ❑ GRAVITY SO. FT. RESID. @ 14 SEWAGE DISPOSAL + BOILER 0 B.T.U. SO. FT. GARAGE @1/,41HOUSE SEWER TO PERMIT PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE I$- 1 1 I 1 I PERMIT FEE I I i I PERMIT FEE I I MI NO. TOTALICRO FEES MOB. HK. FEE MFEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEU FEE PLUMB. FEE DBL:. 2PE S I I It I I I J -1 F 1 M A I4M I J I J A 1 S 1 Q I N I D JOB ADDRESS J Aj ! i -I OWNER f-- J 73 74 On OF BUILDING - r 1+302? F.C. DAT ERM N 75 M.H. HOOKUP FEE $ COMMUNITY DST UNI OMS VALUATION TO PERMIT OFFICE I;PP, :. MICROFILM FEE COPIES $ LEGAL DESCRIPTION 9 '3 ' � 4� MECHANICAL FEE DBL $ SET BACK '`� LO SIZE ZONE USE NO. •` G P PE' BY MFINAL F 5,,,r.. R PLAN CHECK FEE $ BON AMT. PLAN NO. PLAN CHECKER DATE INSPECTOR CONSTRUCTION FEE DBL $,�`- NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED ♦� V 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. 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 THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS $ TOTAL FEES_ ' HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS rr')nr OF THF STATE OF CALIFORNIA. CASH ❑ CHECK M.O. ❑, N.C.❑ OWNER. A/ CONTRACTOR RECEIVED BY ADDRESS ADDRESS t - SEWAGE SYSTEM T LL P-1,;? CITY CITY TREES REQUIRED YES NO INFORMATION TEL. NO. TEL. NO. LICENSE FORM 284.2081Rev. 11/721 + -