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201767 (ELEC)DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE • FIELD OFFICE ESTIMATED VALUATION $ MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP'COOL O HOOD APPLIANCE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED AIR HANDLING UNIT I I CFM GAS PIPE O NATURAL ❑ L.P.G. '❑ OIL COMPRESSOR 0 HP APPLIANCE VENT ABSORPTION SYSTEM B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM ❑ FORCED ❑ GRAVITY BOILER B.T.U. PERMIT FEE TRAILER ISSUANCE FEE - PERMIT FEE PER 2 1 7 6 � TOTAL FE� REN. - TRAILER FEE G�_ _ {U�� I/I �� M CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 3 I ST FL. 2ND FL. POR. GAR. CAR P. WALL JOB ADDRESS , / OWNER v 4A X An? SQ. FT. @ NO. NO. SQ. FT. @ SQ. FT. Cai MOTOR I OR LESS H.P. @ MOTOR 5 OR LESS H.P. SQ.FT. F 47 @ MOTOR 20 OR LESS H.P. SQ. FT. SQ.FT. @ DRAINAGE PIPING DRINKING FOUNTAIN SO. FT. '@ ii:"i LCJ� f(j URINAL �K W. UNITS WATER PIPING . ESTIMATED VALUATION $ MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP'COOL O HOOD APPLIANCE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED AIR HANDLING UNIT I I CFM GAS PIPE O NATURAL ❑ L.P.G. '❑ OIL COMPRESSOR 0 HP APPLIANCE VENT ABSORPTION SYSTEM B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM ❑ FORCED ❑ GRAVITY BOILER B.T.U. PERMIT FEE TRAILER ISSUANCE FEE - PERMIT FEE PER 2 1 7 6 � TOTAL FE� REN. - TRAILER FEE G�_ _ {U�� I/I �� M DBL. ELEC. FEE DBL. SPEC. INSP. FEE PLUMBIN e ._..... 5.�....� ..0,. .-�.� _ N. ...D.. I. I„ B L. RACI, FLOOR DRAIN USE # JOB ADDRESS , / OWNER v 4A X An? WATER SOFTENER SIGN WASHER (AUTO) (DISH) TRANS -Kyr FORMER O F 47 GARBAGE DISPOSAL. $ OUTLETS ZONE 4ef LAUNDRY TRAY 717 FIXTURE OR SOCKET KITCHEN SINK CONST. SERV. ENTRANCE llj •-7� WATER CLOSET $ POLE CHECKED.BY %f}iC - LAVATORY Pri AMPERES SERV. ENT. UNITS SHOWER MECHANICAL FEE SQ. FT. @ Q BATH TUB C)/�F SQ. FT. @ Q WATER HEATER SQ. FT. RESID. @ 14 DBL SEWAGE DISPOSAL SQ. FT. GARAGE @112¢ TY E HOUSE SEWER ER MIT BALANCE OF MIN. FEE CONSTRUCTION FEE GAS PIPING $ PERMIT FEE PERMIT FEE DBL. ELEC. FEE DBL. SPEC. INSP. FEE PLUMBIN e ._..... 5.�....� ..0,. .-�.� _ N. ...D.. I. I„ B L. FORM 284-208 IREV. 1-70) v$ RACI, LOT SIZE USE # JOB ADDRESS , / OWNER v 4A X An? ,SET F 47 $ ZONE 4ef USE OF BUILDING VA DATE PLAN CHECK FEE / �/ _ llj •-7� $ CHECKED.BY %f}iC - COMMUNITY DISTRICT F.C. UNITS .VALUATION OFFICE MECHANICAL FEE C)/�F DBL GROUP TY E LEGAL DESCRI ON ER MIT NUMB£ CONSTRUCTION FEE $ %, (% O� 7 39--11 2 176 DBL PLAN CHECKER SUPP. TO PERMIT $ ELECTRICAL FEE ✓� DBL BOND $ BOND CASH PLAN FILE .# FINAL DATE INSPECTOR. PLUMBING FEE $ 1 %�"� %(, 7� / .. TRAILER PERMIT NAME OF, CONSTRUCTION LENDER ' ' BRANCH OFFICE - LENDER INVOLVED ISSUANCE FEE $. IND ADDRESS CITY STATE FEE $ TOZ L FEES $. _ -THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION - OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR- CASH CHECK M.O. N.C. ❑ DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE RECEIVED BY SEWAGE SYSTEM ¢ 1 Gr11 T LL IP OF CALIFORNIA COVERING CONTRACTORS IS ALSO NTEED 1 HEREBY CERTIFY THAT THE INDIVIDUALWHOPR FAR THE t S ,SPECIFICATIONS HAS DONE S AACCOIRDANCE WITH SECTION 5541 OF THE Ic At _ ' 1S CODE OF THE STATE j,il FORM"ATION OF OWNER CONT TOR,w„� ADDRESS ADDRj¢ S/r//,�,. TEL. NO. TEL. NO.-,P_lf',{ mfg..' pl'•`b ` N � �� . LIC £NSE NO.. FORM 284-208 IREV. 1-70) v$