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230003 (SOTB)BUILDING PERMIT .., . CONSTRUCTION ESTIMATE ); l ST FL. SQ. FT. @D 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ.FT. @ CAR P. SQ. FT. @ ' WALL SQ.FT. @ i / lu,p SQ. FT. @ ESTIMAAFED CONSTRUCTION VALUATION $ NOTE. Not to be used as orooerty tax valuation DEPARTMENT OF BUILDING& SAFETY I COUNTY OF RIVERSIDE MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSP.ENDED AIR HANDLING UNIT CFM GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL COMPRESSOR 0 HP APPLIANCE VENT ABSORPTION SYSTEM 0 B.T.U. INCINERATOR ❑ DOMESTIC O INDUS. OR COMM. HEATING SYSTEM ❑ FORCED ❑ GRAVITY BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE is �PEfjrMl O - TOTAL FEES MOB. HK. FEE MICRO FEE 2 "Pli ; J I F M A M J J A' S O N D 73 74 75 M.H. HOOKUP FEE $ _ELECTRICAL FEES NO. MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. 9a% ^"- L I K.W. UNITS SIGN TRANS K W FORMER OUTLETS FIXTURE OR SOCKET CONST. SERV, ENTRANCE POLE AMPERES SERV. ENT. SO. FT. @ d SO. FT. @ d SO. FT. RESID. @ I d SQ. FT. GARAGE@1124 BALANCE OF MIN. FEE PERMIT FEE MECH. FEE I DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DE JOB ADDRESSI OWNER +6/ l A/ris Lel i..li % .c DST I UNITS I ROOMS I VALUATION FIELD OFFICS PLUMBING FEES I DST DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE I ,2I &Av' SMI FEE FEE PLUMB. FEE DBL. 5N33003 MECHANICAL FEE ' DBL $ vi SET BACK LOT SIZE ONE �yf 'l OFINAL USE NO. GRP TYPE CK BY F S. R .PLAN CHECK FEE - - $ BOND AMT. PLAN NO. - -. PLAN CHECKER DATE INSjP TOR ' ' CONSTRUCTION FEE DBL $ y NAME OF CONST. LENDER BRANCH OFFICE .NO J LENDER INVOLVED ELECTRICA_L.FEE DBI. $ • 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 ND SPE IFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541�F T BySl�W OFESSIONS H E O CALIFORNIA. �-'�s Afl- FEE $ PLUMBING FEE DBL $ • .�� TOTAL FEES $ �, Com} CASH ❑ CHECK 1 M.O. ❑, N.C. ❑%�at!'�Drrri%/rn OWNER. CONTRACTOR' /1' QV SEWAGE SYSTEM T LL P 'TREES REQUIRED YES NO INFORMATION FORM 284-208 We, 11/721 TEL AUUNC» Cm EL. NO. 'tc-��:�i