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236421 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE COUNTY OF RIVERSIDE WALL SQ.FT. @a SQ. FT. @o ESTIMATED CONSTRUCTION VALUATION ?, NOTE: Not to be used as property tax valuation MECHANICAL- FEES VENT SYSTE ,.Q FAN ❑ EVAP. COOL C HOOD APPLIANCE FURNACE ❑UNIT ❑WALL ❑FLOO ❑SUSPENDED 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 y❑ FORCED ❑ GRAVITY 0 BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is K.W. UNI SIGN TRANS- K.W. FORMER D OUTLETS FIXTURE OR SOCKET CONST. SERV. ENTRANCE POLE AMPERES SERV. ENT. SQ. -FT' @ Q . SQ. FT. @ Q ESQ. FT. RESID. @D SQ. FT. GARAGE @1�,4 BALANCE OF MIN. FEE f PERMIT FEE PLUMBING FEES DST CONSTRUCTION ESTIMATE; ELECTRICAL FEEq,,, 1 ST FL. DRINKING FOUNTAIN SQ. FT. DBL. URINAL NO. ' 2ND FL. WATER PIPING SQ. FT. (7a ,FLOOR DRAIN # POR. WATER SOFTENER SQ. FT. '19 COO MOTOR I OR LESS H.P. GAR. GARBAGE DISPOSAL SQ.FT. LAUNDRY TRAY MOTOR 5 OR LESS H.P. CAR P KITCHEN SINK SQ FT WATER CLOSET MOTOR 20 OR LESS H.P. WALL SQ.FT. @a SQ. FT. @o ESTIMATED CONSTRUCTION VALUATION ?, NOTE: Not to be used as property tax valuation MECHANICAL- FEES VENT SYSTE ,.Q FAN ❑ EVAP. COOL C HOOD APPLIANCE FURNACE ❑UNIT ❑WALL ❑FLOO ❑SUSPENDED 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 y❑ FORCED ❑ GRAVITY 0 BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is K.W. UNI SIGN TRANS- K.W. FORMER D OUTLETS FIXTURE OR SOCKET CONST. SERV. ENTRANCE POLE AMPERES SERV. ENT. SQ. -FT' @ Q . SQ. FT. @ Q ESQ. FT. RESID. @D SQ. FT. GARAGE @1�,4 BALANCE OF MIN. FEE f PERMIT FEE PLUMBING FEES DST Fr��j1IT DRAINAGE PIPING TOTAL FEES MOB. HK. FEE MICRO FEE ^MlECH. FEE DRINKING FOUNTAIN DBL. -ELLEECT. FEE DBL. URINAL - -FEE - 'PLUMB: FEE WATER PIPING 2,4 167-o,? ,FLOOR DRAIN WATER SOFTENER WASHER (AUTV (DISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET 0 J I F I M A kM I J I J I A_ -S .1 O N D LAVATORY WNER OWNER- 73 73 SHOWER USE OF BUILDING •zz;- F.C. :_ ,-�, y DATE �' .�� .6421 BATH TUB 75 M.H. HOOKUP FEE WATER HEATER $ SEWAGE DISPOSAL HOUSE SEWER I LEGAL S•RIPTION GAS PIPING f' p / PERMIT FEE /3 Fr��j1IT O -��yjt TOTAL FEES MOB. HK. FEE MICRO FEE ^MlECH. FEE DBL PL. CK:tFEE. - CONST. FEE DBL. -ELLEECT. FEE DBL. ' SMI FEE - -FEE - 'PLUMB: FEE DBL. 2,4 167-o,? J I F I M A kM I J I J I A_ -S .1 O N D JOBADDRESS __ ..�,• ___ 7 % ;17a WNER OWNER- 73 73 74 USE OF BUILDING •zz;- F.C. :_ ,-�, y DATE �' .�� .6421 PER N 75 M.H. HOOKUP FEE $ COMMUNIT DS UNITS ROOMS VALUATIONSUPP. TO PERMIT OFFICE �. I LEGAL S•RIPTION MICROFILM FEE COPIES $ w I, MECHANICAL FEE DBL $ SET BACK LO S ZE ZO E USE NO. GRP TYPE BVO S V. J!� PLAN CHECK FEE $ t BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE_ - INSPECK< _ CONSTRUCTION FEE ', DBL $ NAME OF CONST. LENDER- BRANCH OFFICE , LENDER INVOLVED. - - • rw ®,y J.NO ♦ r ELECTRICAL FEE DBL L vgDDRESS - CITY - STATE 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. 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 AND SPECIFICATIONS $ t TOTAL FEES (� HAS DONE SO IN ACCORDANCE WITH SECTION 55.41 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ' " CASH ❑: CHECKS' � M.O. ❑ ' N.C. ❑ OWNER C�I , ONTRACTORe.. - ' RECEIVED BY ADDREESSrS-�f9r - ADDRESS _ ,J SEWAGE SYSTEM TP p TREES REQUIRED YES � NO CITY � �•M ,P/ . � � Cm 4 - , INFORMATION C TEL. NO. TEL. NO. a LICENSE .. `. � % ^'� .••o+r i >� {