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236422 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE„ _ ELECTRICAL FEES 7,,,.l,,,_ PLUMBING FEES DST 1 ST FL. SQ. FT. f 2ND FL. SQ. FT. Gia FOR. SQ. FT. -� �i i GAR. SQ.FT. a� er CAR P. SQ. FT. @ WALL SQ.FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION NO. NO. `�� MOTOR I OR LESS H.P. j_ ,¢ MOTOR 5 OR LESS H.P: MOTOR 20 OR LESS H.P. � K W. UNIT$ 15-1 ars t DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYST �[J FAN ❑EVAP. COOL �Q HOOD SIGN WASHER (AUT) (DISH) r APPLIANCEp FORMER O K.W. GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑FLOOR SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT I CFM FIXTURE OR SOCKET KITCHEN SINK "ate GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET 00 COMPRESSOR HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM j B.T.U. 5:2 -bo SO. FT. @ ¢ BATH TUB r INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. Lal Q WATER HEATER HEATING SYSTEM -i] FORCED ❑ GRAVITY —6Q. FT. RESID. @ 1 SEWAGE DISPOSAL p q BOILER 0 B.T.U. SQ. FT. GARAGE @I/y¢ HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING "G MOBILE HOME HOOKUP FEE is 7 PERMIT FEE Gam' PERMIT FEE �J P I N 23E 22- TOTAL FEES � �7 MOB. HK. FEE MICRO FEE MECH. FEE ,tea -D.B L. PL. GKvFEE CONST. FEE DBL. ELECT, FEE DBL. SMIFEE. 4 FEE PLUMB. FEE DBL. , J I F I M A I M I J I J A I S 1 O N I D JOB ADDRESS OWNER.. 111740�7-4z 73 74 USE OF BUILDING - � Y�Ily AV F.C. DATE +�` --% PERM N In W 75 f M.H. HOOKUP FEE $ C MM U NITY DS UNITS ROOMS VALUATION LEGAL E RIPTio t i SUPP. TO PERMIT OFf ICE ff i t>'l s � MICROFILM FEE COPIES $ MECHANICAL FEE DBL $ 1�y _ SET BACK LOT SIZE ZONE USE NO. _ GRP TYPE CK BY PLAN CHECK FEE $ n r8ONDDV PLAN O. PLAN CHECKER FI D INSPECTOR r c, CONSTRUCTION FEE DBL • $ NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED ELECTRICAL FEE DBL $!� �qq 'ADDRESS CITY - STATEIvy SMI FEE ' 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 - CORDANCE 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE Of THE STATE OF CALIFORNIA. ' FEE $ PLUMBING FEE DBL $ Q TOTAL FEES- 0 $ ^J / / CASH ❑ CHECK 48-M.O. ❑ N.C. Cl EJt OWN . CONTRACTOR RECEIVED BY z'64 ADDRESS '// f"� fi ��Gt✓r *°i�I► +�-r r'' /Y ✓. ✓ ADDRESS A SEWAGE SYSTEM T LL p f TREES REQUIRED YES NO cl CITY INFORMATION Via" y FORM 284-208 (Rev. 11 /721 TEL. NO. ,✓ �'+� • •• ��. TEL. NO.. LICENSE � p .5-4 0