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268203 (ELEC)BlILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES ST FL. SQ.FT. @ UNITS 2ND FL. SO. FT. @ POR. SO. FT. @ MOBILEHOME SVC. GAR. SO. FT. @ POWER OUTLET CAR P. WALLSO. FT. @ !V_ d SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ I NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM Cl FAN ❑ EVAP. COOL ❑ HOOD SWIM POOL. PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST Crb APPLIANCE JOB ADDRESS SP NO OWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED CZ 14 I -C — LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. COMMUNITY SQ FT @ a BATH TUB ROOMS VALUATION �� SQ FT @ a WATER HEATER SQ FT RESID @ la SEWAGE DISPOSAL <<f U/„/ r” /f SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE 1 GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE _ PERMIT FEE PERMIT NO. 268203 TOTAL FEES IAI.6 MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE ��-- DBL. SMI FEE FEE ,PLUMB FEE � JDBL. J F M A M J J A S Q N D JOB ADDRESS SP NO OWNER 74 G ?50,1) "v CZ 14 I -C — -6 klIA e 75 USE v F.C. A PERMIT NO. X68203 76 il�ITk— le� I /'{/V� lJ A _ �..L -� ( V M H PERMIT FEE $ COMMUNITY DSTUNITS ROOMS VALUATION �� SUPP. TO PERMIT OFFIC, <<f U/„/ r” /f / v 1 MICROFILM FEE COPIES $ LEGAL DE CRIPTION / G/ .�(J40 -013 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRPTYPE 1-9K BY �( PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I ECTOR 1-4 7� CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE O� STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CONTRACTOR ' FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ D CITY ZIP CODE CITY ZIP CODE t r \ TOTAL FEES � $ r' � � TEL. NO. TEL. NO. LICENSE CASH ❑ CHECK,y M.O. ❑ N.C. ❑ 1 C THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA J ZION 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 ALSC RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI \A/C (IC TUC CT A TE/ C! AI IC(1DAI1A !-/CDII.1/`! AITDA rT/ DC IC Al Cl l l IA DA AITCCrl I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) ©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.