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208579 (RPL)BUILDING PERMIT SIGN DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE APPLIANCE FIELD OFFICE i CONSTRUCTION ESTIMATE ELECTRICAL FEES LAUNDRY TRAY PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P�-,j WALL 1�II-- Ir i% /j%% SQ. FT. Co) CONST. SERV. ENTRANCE NO. COMPRESSOR HP NO. SQ. FT. @ APPLIANCE VENT SQ. FT. @ MOTOR 1 OR LESS H.P. SHOWER SQ. FT. @ MOTOR 5 OR LESS H.P. p SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT, @ %I�jll::�L DRINKING FOUNTAIN SQ. FT. @ URINAL Ad OK.W.UNITS WATER PIPING ESTIMATED VALUATION $ HOUSE SEWER • BALANCE OF MIN. FEE 11FLOOR DRAIN $ MECHANICAL FFFS z HOOKUP FEE lwa-rcp cn=-r Mm VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER [=K•W" GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED a( OUTLETS LAUNDRY TRAY AIR HANDLING UNITI CFM FIXTURE OR SOCKET J1 KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT.@ q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ C. WATER HEATER HEATING SYSTEM ❑ FORCED O GRAVITY SQ. FT. RESID. @ 1 q SEWAGE DISPOSAL BOILER E== B.T.U. SQ. FT. GAR AGE @ z q HOUSE SEWER PERMIT FEE- • BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ I ' I I /IPERMIT FEE [PERMIT FEE 72 PERMIT NVMBER TOTAL FEES MOB. HOOK FEE HEAT & VENT FEE DBL PL. CK. FEE CONST. FEE ®o 11BLI ELEC. FEE D FEE PLUM B�G�F E� DBL -_ 08579 5 �-� COMMUNITY DST UNITS OOMJ j3 SUPP. TO PERMIT OFFICE �j MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE J F M A M J J A S O N D JOB ADDRESS OWNEM 72 / 7,' -WSJ Cex-5 ill -e w 4/r' w L`3,L .S.S 73 USE OF BUILDING ��oC. DATE PER IT NO 74��:��, �vG ��, - 08579 75 COMMUNITY DST UNITS OOMJ VALUATION SUPP. TO PERMIT OFFICE 76 MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE e� a/ Ch If• ?//,7 "DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE MECHANICAL FEE $ /?. ICKBY �• RPR / F s A,y,� BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE - INSPECTOR PLAN CHECK FEE $ .�,., a DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE � 60a DBL ADDRESS CITY STATE ELECTRICAL FEE $THIS f?t% IT SHALL BECOME N 60 DAYS. RK IS NOT ETO ID IF OLSO IVOID. • �� CESSATION OFWORK FOR 120 DAYS SHAL ACAUSE PERMIT BECONCED ME ,51)y f FEE I HEREBY.AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - DBL PLUMBING FEE $DANIA. 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 PREP RED THE PLANS AND SP_E FI - p TOTAL FEES $� �il CATIONS HAS DONE SO IN ACCORDANCE WITH SEC 55.41� O'JF TJIE� $ D + PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Ww4 ✓ CASH ❑ CHECK M,O, O N.C. F1OWNER CONTRACTOR Received By ADDRESS ADDRESS ` Sewage System T LL P CITY C 1 TY Trees Required Yes No t''�*'y'..•''•""C. "`•4rL' INFORMATION 6290r Fu1u, TEL. NO. - , . TEL. NO. LICENSE C FORM 98 (REV: 4/7i)