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226656 (SOTB)BUILDING PERMIT fi�l DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE .01 - :ri i 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. UNITS FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SCIFTFNFR CONSTRUCTION ESTIMATE -- I ST FL. SQ. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ .GAR. SQ.FT. @ CAR P. SQ. FT. @ WALL SQ.FT. @ FIAC iif SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation CONST. SERV. ENTRANCE MFCHANICAI FFFS DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE .01 - :ri i 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. UNITS FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATFR SCIFTFNFR MOBILE HOME HOOKUP FEE I$ I 1 1 I PERMIT FEE I I 1 I PERMIT.FEE I I 22 P 966 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) DBL. APPLIANCE TRANS-- =K.W. FORMER GARBAGE DISPOSAL ELECT. FEE FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY FEE PLUMB. FEE AIR HANDLING UNIT I = CFM FIXTURE OR SOCKET KITCHEN SINK OWNEERR^ GAS PIPE ❑ NATURAL ❑ L.P.G. Cl OIL CONST. SERV. ENTRANCE WATER CLOSET _ COMPRESSOR 0 HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER UNITS ABSORPTION SYSTEM 0 B.T.U. SO. FT. @ Q BATH TUB _ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER ,t HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ I SEWAGE DISPOSAL _ BOILER 0 B.T.U. SQ. FT. GARAGE @/2Q HOUSE SEWER COPIES PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE I$ I 1 1 I PERMIT FEE I I 1 I PERMIT.FEE I I 22 P 966 TOTAL FEES .149 or MOB. HK. FEE MICRO FEE. MECH. FEE DBL. PL. CK. FEE CONST. FEE 119o� DBL. ELECT. FEE DBL. SMI F -. FEE PLUMB. FEE DBL: .J I F I M A M .I ) A I S 1 O 1 N I D JOB ADDRESS - - OWNEERR^ 73 74 - USE OF BUILDINGTT,�. F.C. 1RF 0 21;44/ '9 DATE r l a— PERMLi Nj e 6J 5 E 75 M.H. HOOKUP FEE $ COMMUNITY DST UNITS ROOMS VALUATION UPP. TO PERMIT OFFICE ,t A I I I MICROFILM FEE COPIES $ LEGAL DESCRIPTION } MECHANICAL FEE DBL $ " SETBACK LOT SIZE ZONE F 5 R /8 ( —i USE NO. ��p rA � 0- GRP TYPE CK BY �•' PLAN CHECK FEE � � $ � BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN P CTOR CONSTRUCTION FEE .: DBL $ NAME OF CONST. LENDER' - BRANCH OFFICE . LENDER INVOLVED - -� J.NO ELECTRICAL FEE . DBL $ ADDRESS . CITY STATE r SMI FEE .., .. $ f�'p / 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. FEE $ I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN A1C" CORDANCE WITH THE LAWSOFRIVERSIDE COUNTY AND THE STATE OF. CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH PLUMBING FEE DBL $ THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. IHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS - OF THE STATE OF CALIFORNIA. TOTAL FEES $ �s� J `^CODE - 1 CASH ClCHECK M.O. 01. N.C. ❑ . OWNER, CONTRACTOR ��i�C.�..l`S' Y jJ`•�sAdR`t'a �:�C.-� ' RECEIVED BY ADDRESS ADDRESS F SEWAGE SYSTEM T LL P TREES REQUIRED YES NO CITY cl� �� ' INFORMATION - FORM 284.2081Rm 11/72) TEL. NO. TEL. NO. {{p� LICENSE -