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230120 (SATT)
BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NQsa wy FIELD OFFICE .. _..CONSTRUCTION ESTIMATE-�.;��, . ELECTRICAL•FEES.„ DBL. PLUMBING FEES DST 1 ST FL. . SQ. FT. j / NO. � . 2ND FL. SQ. FT. Cia POR. SQ. FT. `,�.,' � GAR. SQ.FT. @ CAR P. SQ. FT. (iD WALL SQ.FT. @a SQ. FT. ESTIMATED CONSTRUCTION VALUATION v 2 MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. OK W. UNITS NO. �f • DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING ' NOTE: Not to be used as property tax valuation L°Q/AJMfj�'Id{pI 7M FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEt`4ft FAN ❑ EVAP. COOL J9 HOOD 9,20 SIGN WASHER (AUTOJ(DISH) JOB ADDRESS APPLIANCE07FORMER O K.W. 73 GARBAGE DISPOSAL L FURNACE ❑ UNIT ❑ WALL 0 FLC)OR.fi SUSPENDED OUTLETS F.C. LAUNDRY TRAY PERML� (C AIR HANDLING UNIT CFM FIXTURE OR SOCKET 75 KITCHEN SINK ' GAS PIPE ❑ NATURAL O L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR HP &10 POLE 41 LAVATORY comuma. Wg.,&T- APPLIANCE VENT AMPERES SERV. ENT. SUPP. TO PERMIT SHOWER MICROFILM FEE ABSORPTION SYSTEM 0 B.T.U. SQ. FT. @ Q BATH TUB`– INCINERATOR O DOMESTIC 0 INDUS. OR COMM. SQ. FT. @ / WATER HEATER 1� ^+ HEATING SYSTEA,:P ®, FORCED O GRAVITY (j SQ. FT. RESID. @a 14 f SEWAGE DISPOSAL 10 tj BOILER 0 B.T.U. SQ. FT. GARAGE @/24,9'01VHOUSE GRP SEWER CK BY PERMIT FEE Q BALANCE OF MIN. FEE % GAS PIPING MOBILE HOME HOOKUP FEE is I - I PERMIT FEE •,� ,�? (� / PERMIT FEE p ,,,,� t? (J SQA �P � NQsa wy TOTAL FEES, F) MOB. HK. FEE MICRO FEE CH. DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FSE. FEE PLUMB. Fes' DBL; &A�bl L°Q/AJMfj�'Id{pI 7M Sf F A .I A $ O N D JOB ADDRESS OWNER---Ss/,l�"j^ 73 7 7- S/ L 74 usLW6wWJ13tLugo LaQuinta Dr. GG `baa 7�i F.C. DATE PERML� (C '1 E(�l' 75 M.H. HOOKUP FEE $ comuma. Wg.,&T- 7&aITS I ROO ^ALUATI o SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEcgEs Aga MECHANICAL FEE DBL $ Q ACS SIZE ZONE USE NO. GRP TYPE CK BY �y Cs © F S R PLAN CHECK FEE $ BGJD AMT. rAN NO. tj PLAN CHECKER R NAL r-1034 INSPECTOR —0zp t i�w►C1 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED ELECTRICAL FEE DBL $ r' �v 86 -. �✓fd CITY STATE SMI FEE $ I ! THIS PERMIT SHALL BECOME VOID IF WORK ISN COMMENCED WITHIN 60 DA''I!ESSA• 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 SPECIFICATIONS $ TOTAL FEES�� a 6 1. HAS DONE SO IN ACCORDANCE WITH SECTION 5541 9F -JH SI E . RO SIONS , CODE OF THE STATE OF CALIFORNIA. L! CASH ❑ CHECK M.O. 0'- N.C. O OWNER. _ CONTRACTOR RECEIVED BY ADDRESS SEWAGE SYSTEM T LL P CITY CI +� . TREES REQUIRED YES NO - • INFORMATION TEL. NO. - v " LICENSE •. ITEL4.1M FORM 284-208 (Rev..1 1 /721