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230285 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE TOTAL FEES f 9 % �q FIELD OFFICE CONSTRUCTION ESTIMATE.,,.,,, _ DBL. ,;�. , ELECTRICAL FEES,.,. CONST. FEE — PLUMBING -FEES SMI FEE j ,tel DST 1 ST FL. SQ. FT. @ 13ye !G � ,ff v i 2ND FL. SQ. FT. @ _ POR. SO. FT. @ GAR. SQ.FT. @ CAR P. �" SQ. FT. @a / "� WALL SQ.FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ 9 /J NO14 MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. OK W. UNITS NO. At DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING f $"O - NOTE: Not to be used as property tax valuation USE OF BUILDING � Y-- Al C,4 R '0A -r kF.C.�- DATE . ,� - � FLOOR DRAIN 75 M.H. HOOKUP FEE MECHANICAL FEES $ COMMUNITV WATER SOFTENER I UNITS ROOMS VENT SYSTEM;[a7 FAN ❑EVAP. COOL PkHOOD -9 00 OFFICE MICROFILM FEE WASHER (AUTO DISH) '3 APPLIANCE /��;� MECHANICAL FEE TRANSIGN FORMER O K.W.GARBAGE $ / DISPOSAL B SET CK LOT SIZE i FURNACE ❑ UNIT ❑ WALL ❑F OOR ❑SUSPENDED USE NO. OUTLETS TYPE LAUNDRY TRAY SAi J PLAN CHECK FEE an AIR HANDLING UNIT CFM $BOND moi' FIXTURE OR SOCKET AMT. KITCHEN SINK PLAN CHECKER 3 �i GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONSTRUCTION FEE CONST. SERV._ ENTRANCE 3 WATER CLOSET NAME OF CONST. LENDER BRANCH SD COMPRESSOR 017' HP iij POLE --/ LAVATORY ADDRESS CITY (%Ci APPLIANCE VENT SMI FEE AMPERES SERV. ENT. 00yi0� SHOWER 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, I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORD NCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 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 ?VPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION f5p1 THE BU ESS AND PROFESp IOf4S STATE OF CALIFORNIA. ii ✓ + 11++ e). Z) ' ABSORPTION SYSTEM B.T.U. $ SO. FT. @ Q PLUMBING FEE BATH TUB $ / O INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. $ SQ. FT. O° Q WATER HEATER OWNER, �- ��.�r_ b CON-TRACTO- '+ aTm ,Ir + Ii } :f !� +.� +i♦ HEATING SYSTEM FORCED ❑ GRAVITY Ly% SQ. FT. RESID. @14 SEWAGE SYSTEM SEWAGE DISPOSAL /v o _ BOILER 0 B.T.U. YES SO. FT. GARAGE @1�2Q q0 HOUSE SEWER INFORMATION j1FORM 284.208 (Re, 11/721a, 7(. _ PERMIT FEE _-3 Cb BALANCE OF MIN. FEE % GAS PIPING % l% MORILE HOME HOOKUP FEE % 1 PERMIT FEE PERMIT FEE 2 JU8 TOTAL FEES f 9 % �q MOB. HK. FEE MICRO FEE MECH.FEE 01 �.010 DBL. PL. CK. FEE -1700 CONST. FEE — DBL. ELECT. FEE DBL. 19:s- SMI FEE j ,tel FEE PLUMB. FEEDBL. 3� v� J I F I M A M J J A I S 1 O 1 N I D lJOBADDRESS IV '�I `i� - �t�' �.� d o �' .� D OWN77-Al, �/ ♦� /moi tl,5 • Al,C- 13, 73 74 USE OF BUILDING � Y-- Al C,4 R '0A -r kF.C.�- DATE . ,� - � ERM N 0285 75 M.H. HOOKUP FEE $ COMMUNITV ST I UNITS ROOMS VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ / B SET CK LOT SIZE ZONE /,/i� USE NO. GRP TYPE CK BY T SAi J PLAN CHECK FEE an $BOND moi' 0 100 AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR �-�% 11-6-73 s7 o "..eiV CONSTRUCTION FEE DBL $ o 6 NAME OF CONST. LENDER BRANCH OFFICE J.NO LENDER INVOLVED ELECTRICAL FEE DBL $ 19 3$' ADDRESS CITY STATE SMI FEE $ 1 '3 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, I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORD NCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 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 ?VPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION f5p1 THE BU ESS AND PROFESp IOf4S STATE OF CALIFORNIA. ii ✓ + 11++ FEE $ PLUMBING FEE DBL $ / TOTAL FEES $ /Ygr _ 1 ✓ " CASH ❑ CHECK M.O. ❑ ' N.C. ❑ OWNER, �- ��.�r_ b CON-TRACTO- '+ aTm ,Ir + Ii } :f !� +.� +i♦ RECEIVED By ADDRESS 4 'q c��� i $�#>3 ;;lk ADDRESS tt 4fia50 +T• fit SEWAGE SYSTEM LL P TREES REQUIRED YES NOi CITY - �'a *�• k CITY INFORMATION j1FORM 284.208 (Re, 11/721a, 7(. TEL. NO. p-� LICENSE