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230286 (SATT)BUILDING PERMIT • y�? DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE f CONSTRUCTION ESTIMATE4,,. _ .ELECTRICAL FEES;.,,f PLUMBING FEES Dsr I ST FL. 2ND FL. POR. GAR. % > s �fQ SQ. FT. Al,� f3 av NO. NO. Pit SO. FT. @ '-• FLOOR DRAIN SQ. FT. @ 1�t Z 764 4 ems" MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. SQ.FT. - / ,fes S �,���! / ; °� Zo✓ f i:u =6 MOTOR 20 OR LESS H.P. DRAINAGE PIPING CAR P. SQ. FT. Cia n' WALL SQ.FT. @ SQ. FT. Cia ESTIMATED CONSTRUCTION VALUATION $ Q°fs-=e �K W. UNITS MOB HH. FEE MICRO FEE f DRINKING FOUNTAIN URINAL WATER PIPING l CO ' NOTE: Not to be used as property tax valuation SE DBL FEE FLOOR DRAIN MECHANICAL FEES 17 57 WATER SOFTENER �� VENT SYSTEMjqf FAN ❑EVAP. COOL XHOOD va SIGN 108L.4 ! WASHER (AUT DISH)TRANS- 3 v� APPLIANCE - fie 1 Cd FORMER D K W t t%� dV.�� /�lI�f3 74 GARBAGE DISPOSAL F.C. aJ DATE FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED 1286 OUTLETS 75 M.H. HOOKUP FEE LAUNDRY TRAY $ AIR HANDLING UNIT I CFM DST FIXTURE OR SOCKET ROOMS VALUATION KITCHEN SINK (: GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE I WATER CLOSET t/ S`© r COMPRESSOR -r0 HP 7u COPIES POLE Al LAVATORY APPLIANCE VENT l" /{CT' f� /S/t'v�M /SETBACK AMPERES SERV. ENT. DBL $ SHOWER 3 &_0 ABSORPTION SYSTEM 0 B.T.U. USE NO. SQ. FT. @ d TYPE CK Y - BATH TUB _ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ WATER HEATER / HEATING SYSTEM FORCED ❑ GRAVITY 'A/ .) SO. FT. RESID. @I Q j jj SEWAGE DISPOSAL /,14743 _ BOILER 0 B.T.U. SQ. FT. GARAGE @11/2¢ PLAN NO. HOUSE SEWER PERMIT FEE --0 BALANCE OF MIN. FEE f GAS PIPING ��� :+'p ~MOBILE HOME HOOKUP FEE DBL PERMIT FEE y !yvil / PERMIT FEE - ,(•. 400 2 3"M . FE� 9 MOB HH. FEE MICRO FEE ` ��E 0 DBL. E CO DBL SE DBL FEE PLUMS.�F�EE / 2-7 17 57 ts �� �M 108L.4 J I F I M A. I M I J I J A I 5 1 O N_I D JOB ADDRESS dr % ,r^y Y�^�OOJ OW_NE /�3 ^� 73 Gsi/ J /i t t%� dV.�� /�lI�f3 74 USE OF BUILDING � , 7r-�',�opARr F.C. aJ DATE PERMIT N 1286 75 M.H. HOOKUP FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE 1A OM I I- MICROFILM FEE COPIES $ LEGALDE5CRIPTION l" /{CT' f� /S/t'v�M /SETBACK MECHANICAL FEE DBL $ t+�•gt . LOT SIZE ZONE USE NO. GRP TYPE CK Y - +D U' / F /j ¢ S _ . a R may} i/ $ PLAN CHECK FEE BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR 00 ��� d ✓�+"� — CONSTRUCTION FEE DBL $ - ,(•. /e•?u !/ 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- $ FEE 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 RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO PLUMBING FEE DBL $ �p AGREE TO CARRY COMPENSATION INSURANCE, UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTE2D. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHOVREPARED THE PLANS AN PECIFICATIONS $ TOTAL FEES Cl : f HAS ORDAON NEAWITH SECTION 11541 F THE B • PROFESSI S ! CESS CODE1 , O THSOSTIN ATE OF CASH ❑ .CHE'Kt M.O. ❑� N.C.❑ OWNER. r.- p. dbblTkACTO ., '�M� Ir•icsS��'tiwr"Ir'V' +�$, :, 60*4Al C. F;Ai(f ti A J �+ �ADDDRESS RECEIVED BY ADDRESS r �. lh--iri:� �..�,.:Ci. #stV�:'1 Jl rIR,1.;1"/ SEWAGE SYSTEM T LL P CITY - CITY TREES REQUIRED YES NO INFORMATION TEL. NO. TEL. NO. LICENSE `" 401 .r 'C,l f?V'* "' 7 t ORM 284-208 (Rev. 11/721 'a.+ f