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236426 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE -,. ELECTRICAL FEES ,_.,. - - PLUMBING FEES DST 1 ST FL.SQ. FT. (�` p NO. NO. f 2ND FL. SO. FT. Cia POR. SQ. FT. . �� MOTOR I OR LESS H.P. GAR. '� SQ.FT. Dt' '�5 a� MOTOR 5 OR LESS H.P. CAR P. SQ. FT. Cia MOTOR 20 OR LESS H.P. DRAINAGE PIPING WALL SQ.FT. @a DRINKING FOUNTAIN SQ. FT. URINAL ESTIMATED CONSTRUCTION VALUATION O K.W. UNITS WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEp yl❑ FAN ❑ EVAP. COOL �D HOOD SIGN WASHER (AUT(q (DISH) APPLIANCE TRANS -Am K.W.FORMERDJ GARBAGE DISPOSAL ^+ FURNACE ❑ UNIT ❑ WALL ❑FLOOR SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET ^r COMPRESSOR HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ^•� ABSORPTION. SYSTEM j B.T.U. SO. FT. Cal Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SO. FT. @ d WATER HEATER F HEATING SYSTEM ,© FORCED ❑ GRAVITY p - SQ. F1. RESID. Cla 1 Q SEWAGE DISPOSAL ' BOILER 0 B.T.U. SQ. FT. GARAGE @]/,4 t HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE / GAS PIPING MOBILE HOME HOOKUP FEE Is PERMIT FEE 41 bo / PERMIT FEE 12 A7 a I N TOTAL F f408. NK. FEE MICRO FEE -MECH. FEE .DBL. PL.LKFEE x FEE DBL. ELECT. FEE b BL. SMI FEE FEE�P;B. FEE � DOL. 16"4`2 3 6"'i 2 6- I/C�T,�-° �. _2 _J I F I M "A 1 M I J I J A I S 1 O 1 N D JOB ADDRESS - - 7 Use ,, OWNER a 73 74 U E OF BUILDING � F.C. DATE[PERTA2�6WI`26 75 M.H. HOOKUP FEE$ OM UNIT DST UNITS ROOMS VALUATION TO PERMIT OFFICE - I L GAt-MSCRIPTON p �f ISUPP. MICROFILM FEE COPIES $ ` ' -- V -.. d MECHANICAL FEE DBL. $ " SET BACK LOT SIZE - ZONE i USE NO. F' GRP TYPEIS CK BY PLAN CHECK FEE$ BOND AMT.Ir PLAN NO. PLAN CHECKER' FINAL DATE N: SF s_ CONSTRUCTION FEE DBL $ NAME OF CONST -LENDER BRANCH OFFICE .NO LENDER INVOLVED 1141 0' f , ELECTRICAL FEE DBL $ 7fDDRESS - CITY STATE SMI FEE $ 'k _ 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS TOTAL FEES T$e HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS . I CODE F THE STATE OF CALIFORNIA. CASH ❑ CHECK®' M.O. ❑ N.C. ❑ OWNER, / - CONTRACTOR RECEIVED BYAD. ' �RERE SEWAGE SYSTEM T r LL P CITY TREES REQUIRED YES NO INFORMATION%rs7 ELL. N 91 FORM 284-2081Rev.11/721 adz f� c ADDRE55 rITY TEL. NO. 712, LICENSE i� : y r�:•^s .s r �