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234915 (RPL)BUILDING PERMIT CONSTRUCTION ESTIMAI€:... , I ST FL. SQ. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ.FT. @ CAR P. SQ. FT. @ WASHER (AUTO) (DISH) SQ.FT. @t5 C3��/ �':; SQ. FT. @ T� S RUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE A ELECTRICAL FEE$.-._ . NO. MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. % nA/I "'"'1K.W.UNITS FIELD OFFICE PLUMBING FEES DST INO.1 t r_1 VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD SIGN URINAL APPLIANCE WATER PIPING TRANS-, Q K.W. FORMER FLOOR DRAIN FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED WATER SOFTENER OUTLETS WASHER (AUTO) (DISH) AIR HANDLING UNIT CFM $ FIXTURE OR SOCKET LEGAL DESCRIPTION GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE COMPRESSOR 0 HP MECHANICAL FEE POLE $ APPLIANCE VENT SET BACK AMPERES SERV. ENT. ZONE ABSORPTION SYSTEM j B.T.U. GRP SO. FT. @ d dl? INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. , �t7 SO. FT. @ FEE HEATING SYSTEM ❑ FORCED ❑ GRAVITY DBL. . -SQ. FT. RESID. @ I Q BOILER O B.T.U. PER SQ. FT. GARAGE @/24 PLAN CHECK FEE PERMIT FEE MOBILE HOME HOOKUP FEE $ / BALANCE OF MIN. FEE PERMIT FEE BOND AMT. PLAN NO. PE`9 IfTM�NO. ; N.� i TOTAL FEES MOB. HK. FEE MICRO FEE MECH. FEE DBL PL. CK+FEE 7 CONST. FEE DBL. ELECT. FEE J F I M. A M J- J. A I S 1 Q 1 N I D JJ7OOBADDRESS lr � "3 Z 74vl OWNER 73 74 USE OF BUILDING f a C. DATE 75 M.H. HOOKUP FEE $ OFFICE .NO COMMUNITY ELECTRICAL FEE DST' uNlrs ROOMS VALUATION DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN ._Fy WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL $ LAUNDRY TRAY LEGAL DESCRIPTION KITCHEN SINK WATER CLOSET LAVATORY MECHANICAL FEE SHOWER $ BATH TUB SET BACK WATER HEATER ZONE SEWAGE DISPOSAL GRP k101.1$F,.SF�R dl? GAS PIPING PERMIT FEE , �t7 SMI FEE FEE PLUMB. FEE DBL. . � �1 A' PER Z34Q15 PLAN CHECK FEE IPP. TO PERMIT I OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION 4- {�4 MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY _% � F f S 'r 40 R, PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE I PECTOR r9-15 - 200 � CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER VOLVED J,j ELECTRICAL FEE DBL $ f ✓ O .O 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. 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" / L? THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED: 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFIC T,bQNS $ TOTAL FEES01 HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF U A PR S rODF OF THE STATE OF ALIFORNIA. - r CASH ❑ CHECK 99"M.O. ❑ , N.C. ❑ OWNER. CONTRAC R ; f i� RECEIVED BY ADDRESS ADDRESS v SEWAGE SYSTEM T P EYES clTv CITY i TREES REQUIRED NO ` INFORMATION L TEL. NO. TEL. NO. �^j LICfE� SE FORM 284-208 1Rm 1 1 /721 1 t d�% — 3 0 T_ `, to J a L�