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206295 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE APPLIANCEt j ESTIMATE ELECTRICAL FEES GARBAGE DISPOSAL .... PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ffCONSTRUCTION 7 U Op'9 SQ. FT. @ 770W — NO. KITCHEN SINK ' NO. SQ. FT. @ WATER CLOSET -r SQ. FT. @ MOTOR 1 OR LESS H.P. POLE SQ. FT. @ MOTOR 5 OR LESS H.P. APPLIANCE VENT 2kvAMPERES SQ. FT. @ ov _ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION $ SQ. FT. RESID. @ 1 It SEWAGE DISPOSAL ,.- FLOOR DRAIN SQ. FT. GARAGE @ z T MECHANICAL FEES PERMIT FEE BALANCE OF MIN. FEE WATPP CAFTFNFR VENT SYSTEM FAN ❑ EVAP. COOL P<HOOD -r^ SIGN WASHER (AUT ISH) APPLIANCEt j TRANSFORMER OK•W• GARBAGE DISPOSAL .... FURNACE❑UNIT ❑WALLFLOOR SUSPENDED OUTLETS LAUNDRY TRAY ` AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK ' GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET -r COMPRESSOR HP POLE LAVATORY APPLIANCE VENT 2kvAMPERES SERV. ENT. 2 SHOWER �.- ABSORPTION SYSTEM O B.T.U. SQ. FT.@ BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ T. WATER HEATER .� HEATING SYSTEM (FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 It SEWAGE DISPOSAL ,.- BOILER O B.T.U. SQ. FT. GARAGE @ z T HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE .GAS PIPING i MOBILEHOME HOOKUP FEE I$ I I I I (PERMIT FEE I �Jj`'- = I /I PERMIT FEE I _;4 =� I PERMIT NUMBER 629 TOTAL FEES y MOB, HOOK FEE NEAT & VENT E DBL J PL. CK. FEE CONST. FEE DBL EIEC. FEE JOV�,,,;EF• PERy10 PLUMBING FEE DBL 74 *'USE )OF//.BUILDING YII�V • �'` / -,;z a 6 295 75 COMMUNITY DST 14 OOMJ VALUATION SUPP. TO PERMIT OFFICE 76 J F M A M J J A S O IN I D JOB ADDRESS OWNER 72 ,60 73 F.C. DATE PERy10 74 *'USE )OF//.BUILDING YII�V • �'` / -,;z a 6 295 75 COMMUNITY DST UNITS OOMJ VALUATION SUPP. TO PERMIT OFFICE 76 MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE 1.07Jff LA 6 6 3�-• ?� — �� .J DBL ` SET BACK LOT SIZEZONE USE NO. GRP TYPE CK BY MECHANICAL FEE $ •rte „/ &�%�i F s BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPEC OR PLAN CHECK FEE $ � /�S JI^J - �.�, DBL �� NAME OF CONST. LEND ER, ' BRANCH OFFICE NO LENDER INVO ED CONSTRUCTION FEE [ ELECTRICAL FEE DBL $ � � ADDRESS CITY C STATE � �_ �/ 11710 n ". lAf! / = $ J 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 HEREBY PERMIT j ...• I AGREE THAT ALL WORK IN CONNECTION WITH THIS WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - DBL �9 PLUMBING FEE $ 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 TH LAN$;AND 'PECIF - TOTAL FEES $ '% CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 1� TH USI ESS A D `' Wl V 'j / PROFESSIONS CODE OF THE STATE OF CALIFORNIA. - CASH � CHECK ®' M.O. ❑ N.C. F-1 OWNER CO�TRA�TOR� Received By ADDRESS DRESS <!) ) V Sewage System T p(iv L� P S /1Yl CITY CIT Trees Required Yes No �. � �,— � INFORMATION TEL. NO. T L. NO. LICENS FORM 284-208 (REV. 4/71) 61 S. 7127