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232301 (CP)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE , CONSTRUCTION ESTIMATE _ ELECTRICAL FEES FIELD OFFICE PLUMBING FEES 1 ST FL. SQ. FT. @ NO. NO. MECH. FEE 2ND FL. SQ. FT. @ y CONgST. FEE j(T ©� DBL. POR. SQ. FT. @ MOTOR I OR LESS H.P. SMI FEE y GAR. SQ.FT. @ MOTOR 5 OR LESS H.P. /J CAR P. SQ. FT. @ MOTOR 20 OR LESS H.P. ,DRAINAGE PIPING LL SQ.FT. @ `+� * x w. _t DRINKING FOUNTAIN aW 0At PA - SQ. FT. @ df9t� i' © v URINAL ESTIMATED CONSTRUCTION VALUATION¢ 0 K W: UNITS JOB ADDRESS WATER PIPING NOTE: Not to be used as property tax valuation 73 At FLOOR DRAIN MECHANICAL FEES USE OF BUILDINGI�f ��/r F.C. .�o WATER SOFTENER A VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANS- K.W. FORMER GARBAGE DISPOSAL FURNACE ❑ UNIT O WALL OFLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT I CFM FIXTURE OR SOCKET ROOMS KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR 0 HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SO. FT. @ ¢ COPIES BATH TUB INCINERATOR O DOMESTIC O INDUS. OR COMM. SQ. FT. @ ¢ MECHANICAL FEE WATER HEATER HEATING SYSTEM Q FORCED ❑ GRAVITY SQ. FT. RESID. @I It SET BACK SEWAGE DISPOSAL BOILER B.T.U. SO. FT. GARAGE @1/2¢ GRP HOUS&9!!VrER;e1 PERMIT FEE BALANCE OF MIN. FEE % GAS PIPING MOBILE HOME HOOKUP FEE S ` PERMIT FEE / PERMIT FEE ��//11 PES/iITO 2JE2 rT�OTAL FEES 92 MOB. HK. FEE MICRO FEE MECH. FEE DBL PL. CK. FEE CONgST. FEE j(T ©� DBL. ELE`C�T. FEE d0 DBL. SMI FEE y FEE PLUMB. FEE JI GU DBL /J �7 J F I M A I M .1 J I J A I 5 1 O 1 N 1 D JOB ADDRESS W ER 'Dell. 73 At 74 USE OF BUILDINGI�f ��/r F.C. .�o DATE �f- 7- 7.3 PER2N32301 75 ��� an/ M.H. HOOKUP FEE $ • COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F /,g S / R / ,o PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR FEE DBL $ CONSTRUCTION h� NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED !� ✓ ELECTRICAL FEE DBL $ 141 0 AD ADDRESS CITY STATE SMI FEE $ Z 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 ANSPECIFICATIONS $ ° TOTAL FEES HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE IN S Q D ROIrES$IONS rODF OF THE STATE OF CALIFORNIA. `�i l"'�""Ct� CASH ❑ CHECK M.O. O N.C. ❑ ++ OWNER, CONTRACTOR - �(� /'T64jqs 4,c cis7A"we-Tio Oy RECEIVED BY ADDRESS ADDRESS �✓ f ��� SEWAGE SYSTEM' T LL P fx ! z TREES REQUIRED � YES NO clTv cl j //z'^ %," Sc/: l 1 ;4 • INFORMATION TEL. NO. TEL. NO. LICE SEL FORM 284-2081Rm 11/721