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245764 (ELEC)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT.' @ ESTIMATED CONSTRUCTION VALUATION . $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC: POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NOJ PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISHI DST APPLIANCE GARBAGEDISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 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/PE&M..r-• LAVATORY HEATING SYSTEM ❑-FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SOFT @ ¢ WATER HEATER SQ FT RESID @ I ¢ SEWAGE DISPOSAL SQ FT GARAGE @ '/a¢ HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE 661PERMIT FEE 41157,641 TOTAL FEESMOB, J0 HM. FEE MICRO FEE MECH7FEE_[DBLj PL. CK. FEE CONST. FEE DBL. I ELECT. FEE DBL. I SMI FEE FEE PLUMB. FEE DBL. J . F..I Mj A `-M--J, ._J--1 A-1 S O IN D JOBAODRESS � `f+ SPNO 7 l�GAA '-.^')+'lll ;rA i/ fit! !�' I OWN g' s fo:��� R= 73 74 USE OF�PERMIT r� ! F.C. JDATE/ y PR 7 f �J �, 75 M H PERMIT FEE $ COMMUNITYDST ,sa1.A u.110 % s4 . r� UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE' MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE e/PLAN USE NO. GRP TYPE CK BY R CHECK FEE $ FQONDAMT.. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 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 ONE SO IN ACCORDAN4 WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF E STATE O LIFORNIAI FEE $ PLUMBING FEE DBL $ TOTAL FEES *0f;7 _ ti'_ OWNER T't I A J �' � J CONTRACTOR CASH ❑ C HECK C�( M.O. ❑ N.C. ❑ ADORE S 134 — ADDRESS RECEIVED BY E TREES REQUIRED SEWAGE SYSTEM T F FP,%//'��a"?rr'a I ZIP CODE ✓/ � / �r' mss^ r ✓ CITY ZIP CODE INFORMATION 28n.2081Rev. 9.73f ©S5, TEL. FORM TEL. NO. LICENSE