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206531 (MECH)BUILDING PERMIT CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. @ 2ND FL. SQ. FT. Co) POR. SQ. FT. GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED VALUATION Is MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY 18 COUNTY OF RIVERSIDE ELECTRICAL FEES NO. I I I I NO. MOTOR 1 OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WGTFR Cr)FTFNFR VENT SYSTEM ❑ FAN '❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER OK.W. 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 COMPRESSOR O HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM E::� B.T.U. SQ. FT.@ 0 BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ ¢ WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 Q SEWAGE DISPOSAL BOILER B.T.U. SQ. FT. GARAGE @ z Q I HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE I I I GAS PIPING MOBILEHOME HOOKUP FEE I$ I I' I _ I IPERMIT FEE I I I I PERMIT FEE I PERMIT NUMBER TOTAL FEES MOB. HOOK FEE HEAT & VENT FEE DBL PL. CK. FEE CONST. FEE DBL EIEC. FEE FEE PLIJ Iy1 GING FEE DBL 531 JDSL� J F M A M] J J A S O N D 72 JOB ADDRESS _ C� [/ f (�C �r��,/i� OWNER J j �ov��T ofIV �� `s fiF 7`• 73 74��� US F BUILDING /©,��--- F.C. DATE PER IT X06531 NO 75 76 C MUNITY j ` 7/'� ll )_ DST UNITS�ROOMJVALUATION SUPP. TO PERMIT OFFICE MOBILEHOME HOOKUP FEE $ LEGAL DESQRIPTION 11 _ %O/�/ MECHANICAL FEE DBL $F,jo SET BACK LOT SIZE ZONE ,2 USE NO. GRP TYPE CK BY S1/- S /,'(% R /fa PLAN CHECK FEE $� BOND AMT. JPL N NO. PLAN C ECKER FINANSPECTOR CONSTRUCTION FEE DBL NAME OF CONST. LE/NDE e V BRANCH OFFICE NO LENDER INVOLVED 1 ELECTRICAL FEE DBL $ 7{/ ADDRESS CITY STATE FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION 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 ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - ORNIAI ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. 'PLUMBING COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS FEE DBL IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI- CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND `, TOTAL FEES $ /j/ `� PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH F-1 CHEg 0 M.O. ❑ N.C. EXI OWNER •�� /.11 �-f / JJ i-? t - . Tom! Com—' CONTRACTOR Received By ADDRESS ADDRESS Sewage System T LL P CITY %' CITY Trees Required Yes No INFORMATION =ORM 284-208 (REV. 4/71) TEL. NO. / TEL. NO. LICENSE