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226353 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SO. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ.FT. @ CAR P. SQ. FT. @ WALL SOFT. @ 1}00, FC- N4 S SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MFCHANICAI FEES DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE ' ELECTRICAL FEES •- NO. MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. UN FIELD OFFICE • r PLUMBING FEES NO. I/ : DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER MOBILE HOME HOOKUP FEE Is, NtHMII t-tt VtHMII Ftt VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) MECH. FEE APPLIANCE TRANS-. K.W. FORMER GARBAGE DISPOSAL DBL. FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY FEE AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK JOBADDRESS�/ -- GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET i COMPRESSOR 0 HP POLE LAVATORY 75 APPLIANCE VENT AMPERES SERV. ENT, SHOWER ABSORPTION SYSTEM 0 B.T.U. SQ, FT. @ Q BATH TUB ROOMS INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ WATER HEATERa MICROFILM FEE HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 4 SEWAGE DISPOSAL _ BOILER 0 B.T.U. SO. FT. GARAGE @124 HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE Is, NtHMII t-tt VtHMII Ftt PE IT NO TOTAL FEES MOB. HK. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE 74_ CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBI J J F I M A I M-1 J I J A I S 1 0 -N- -D JOBADDRESS�/ -- OWN R f 74 U�SE O�FBUILDING-�,l)t�A (�oov "c�w�eiil !J F.C. DATE - r P ERM , 6 3 5 j 75 M.H. HOOKUP FEE " $ COMMUNITY�j `7 LiJ{MTi� DST UNITS ROOMS VALUATION J/ ®� SUPP. 70 PERMIT OFFICE T MICROFILM FEE COPIES $ LEGAL LDDESCRIPTION v/ / MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CK BYJ 11 4 �. R PLAN CHECK -FEE - $ + . PLAN NO. .PIAN CHECKER.. FINAL DATE, INSPECTOR1CONSTRUCTION � 073 FEE DBL $ T4)BOND ONST. (ENDER BRANCH OFFICENO LENDER INVOLVEDELECTRICAL e✓ FEE DBL $ ADDRESS - 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. 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSPNS COD54FITIPAVATE OF IF IA. FEE $ PLUMBING FEE DBL $ $ TOTAL FEES. 5-4j CASH CHECK ❑ M.O. ❑ N.C.❑ OWNER .� ;e fl� 0 �lT CONTRACTOR RECEIVED BY.� ADDRESS �j ADDRESS SEWAGE SYSTEM T LL PJ TREES REQUIRED YES NO CITY CITY INFORMATION p FORM 284.2081Rev. 11/721 a TEL. NO. TEL. NO. LICENSE