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214859 (ELEC)BUILDING PERMIT CONSTRUCTION ESTIMAT 1 IST FL. SQ. FT. 2ND FL. SQ. FT. POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ CONST. SERV. ENTRANCE SQ. FT. ESTIMATED VALUATION 1 $ i MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY• COUNTY OF RIVERSIDE E ELECTRICAL FEES NO. I I I I NO. MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER =K•W• GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE p NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR E:::= HP Ptrr S NG LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT. @ Q BATH TUB INCINERATOR Cl DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ ¢. WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 ¢ SEWAGE DISPOSAL BOILER E:::= B.T.U. SQ. FT. GARAGE @ i ¢ HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ I I I 1 IPERMIT FEE N D JOB ADDRESS PERMIT FEE PERMIT NUMBER TOTAL FEF�S MOB, HOOK FEE HEAT & VENT FEE DBL PL, CK. FEE CONST. FEE ELEC.DBL USE OF BUILDING&/.&,C. FEE PLUMBING FEE Q] PER21T14859N 214859 74lz �ji—;J A 2 D A � 4-hTs 75 1.131.1 — COMMUNI Y DST JOBL OOMJ VALUATION SUPP. TO PERMIT OFFICE 76 I MOBILEHOME J F M A M J J A S O N D JOB ADDRESS OWNER 72 49-002DATE fred 73 USE OF BUILDING&/.&,C. F.C. Q] PER21T14859N 74lz A 2 D A � 4-hTs 75 COMMUNI Y DST UNITS OOMJ VALUATION SUPP. TO PERMIT OFFICE 76 I MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE trZolfntaPitts1-1112—claR DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $ F S R BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS CTOR PLAN CHECK FEE $ n I— DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV LVED CONSTRUCTION FEE ELECTRICAL FEE DBL $ ..... ADDRESS CITY STATE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION 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 ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF- DBL ORNIA. 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 SPECIFI- �� TOTAL FEES $ 6 CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF T E BUSINE S �„ PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH F-1 CHECK M.O. ❑ N.C. 0 OWNER C NT CTOR } "t ge- Received By ADDRESS AllbRESS 7y /.S 2 Sewage System T LL P CITY CITY % j �L /��t Trees Required Yes No ')�eG INFORMATION TEL. NO. TEL. NO/. LICENSE 'FORM 284-208 (REV. 4/71) x