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236428 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING &`SAFETY COUNTY OF RIVERSIDE NOTE: Not to be used as property tax valuation r A MECHANICAL FEES VENT SYSTEM p FAN ❑EVAP. COOL ,❑ HOOD APPLIANCE / FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ USPENDED AIR HANDLING UNIT CFM GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL COMPRESSOR HP APPLIANCE VENT ABSORPTION SYSTEM 0 B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM ;�D FORCED ❑GRAVITY BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is 2 3PT2 TOTAL FEES MOB HK FE MICRO FEE A I -M I J I J A I S 1 O 1 N I D 73 74 75 M.H. HOOKUP FEE $ MECHANICAL FEE .CONSTRUCTION ESTIMAI I ST FL.�f, DRINKING FOUNTAIN SQ. FT. 2ND FL. ELECTRICAL FEE SQ. FT. Cia POR. O K.W. UNITS SQ. FT. GAR. PI I IMRINr. FFF SQ.FT. CAR P. FLOOR DRAIN SQ. FT. �a WALL SQ.FT. CiD 03 SIGN SQ. FT. ESTIMATED CONSTRUCTION VALUATION DEPARTMENT OF BUILDING &`SAFETY COUNTY OF RIVERSIDE NOTE: Not to be used as property tax valuation r A MECHANICAL FEES VENT SYSTEM p FAN ❑EVAP. COOL ,❑ HOOD APPLIANCE / FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ USPENDED AIR HANDLING UNIT CFM GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL COMPRESSOR HP APPLIANCE VENT ABSORPTION SYSTEM 0 B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM ;�D FORCED ❑GRAVITY BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is 2 3PT2 TOTAL FEES MOB HK FE MICRO FEE A I -M I J I J A I S 1 O 1 N I D 73 74 75 M.H. HOOKUP FEE $ MECHANICAL FEE DBL PLAN CHECK FEE DRINKING FOUNTAIN CONSTRUCTION FEE DBL ELECTRICAL FEE DBL SMI FEE O K.W. UNITS FEE WATER PIPING PI I IMRINr. FFF I)RI _ ELECTRICAL FEES..,,,, '°- NO. MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. FIELD OFFICE PLUMBING FEES DST S.'... 7e JI $ LEGAL 5 RIPTION SET BACK LOT SIZE ZONE �` USE NO. GRP TYPE CI 1 -z n TOTAL FEES CASH Cl CHECKS M.O. ❑ • N.C. ❑ RECEIVED BY ` a. SEWAGE SYSTEM a -1aq' 7s NAM 7URES5 CITYSTATE � t 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDJHE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE,. BUSINESS AND PROFESSIONS CODE F THE STATE OF CALIFORNIA. NNER. CONTRACTOR (DRESS - ADDRESS T LL P CITY TREES REQUIRED YES NO INFORMATIONfb p }� TEL. NO. ORM 284.208 (Rev. 11/72) df TEL. NO. i DRINKING FOUNTAIN URINAL i O K.W. UNITS WATER PIPING FLOOR DRAIN WATER SOFTENER 03 SIGN WASHER (AUTO) (DISH) TRANS-. Q K.W. FORMER / GARBAGE DISPOSAL OUTLETS LAUNDRY TRAY FDCTURE OR SOCKET KITCHEN SINK CONST. SERV. ENTRANCE d WATER CLOSET POLE LAVATORY U AMPERES SERV. ENT. SHOWER SQ. FT. �10 ¢ BATH TUB SQ. FT. @° d WATER HEATER .q•- �. -SQ. FT. RESID. @I SEWAGE DISPOSAL SQ. FT. GARAGE @.1�2Q HOUSE SEWER BALANCE OF MIN. FEE / GAS PIPING PERMIT FEE el + o , PERMIT FEE �G MECH�FEE •� y�•� :DBL. PLCKXFEE CONST.aFEE DBL ELECT. FEE DBL. SMI`FEE FEE - PLUMB. FEE a �..� DBL. JOB ADDRESS _. - - .. —. OWNER--,—,_ .,.. .. _ USE OF BUILD( G F.C.•. DATE - ERM2N30642, 3642, MMUNI - DST UNITS ROOMS VALUATIaN SUPP. TO PERMIT OFFICE S.'... 7e JI $ LEGAL 5 RIPTION SET BACK LOT SIZE ZONE �` USE NO. GRP TYPE CI 1 -z n TOTAL FEES CASH Cl CHECKS M.O. ❑ • N.C. ❑ RECEIVED BY ` a. SEWAGE SYSTEM a -1aq' 7s NAM 7URES5 CITYSTATE � t 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDJHE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE,. BUSINESS AND PROFESSIONS CODE F THE STATE OF CALIFORNIA. NNER. CONTRACTOR (DRESS - ADDRESS T LL P CITY TREES REQUIRED YES NO INFORMATIONfb p }� TEL. NO. ORM 284.208 (Rev. 11/72) df TEL. NO. i