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239685 (PLBG)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION EST IM6TE,, ,-, ELECTRICAL FEES 1 ST FL. SO. FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ.FT. @ CAR P. SQ. FT. Cat WALL SQ.FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NO' '•, � MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. UNITS NOTE: Not to be used as property tax valuation U ITS MECHANICAL FEES VALUATION VENT SYSTEM Cl FAN ❑EVAP. COOL ❑ HOOD SIGN APPLIANCE TRANS- K W FORMER FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED OUTLETS AIR HANDLING UNIT I = CFM FIXTURE OR SOCKET GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE COMPRESSOR 0 HP POLE APPLIANCE VENT AMP-GRES SERV, ENT. ABSORPTION SYSTEM B.T.U. SO. FT. @ Q INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ HEATING SYSTEM ❑ FORCED Cl GRAVITY "m ---SQ. FT. RESID. @ I BOILER 0 B.T.U. SQ. FT. GARAGE @1�2¢ PERMIT FEE BALANCE OF MIN. FEE MOBILE HOME HOOKUP FEE $ PERMIT FEE A ELECT. FEE TOTAyF SES. • MOB, HK. FEE MICRO FEE MECH. FEE •ORL. PL: CKorFEE CONST. FEE DBL J F_ M A Mf J- J A -S O N D JOB ADDRESS t—v ' !.4 v 3 7s 74 USE OF{BUILDING yypp 7� .'Q' FIELD OFFICE PLUMBING FEES DST M.H. HOOKUP FEE DRINKING FOUNTAIN $ URINAL COMMUNITY / WATER PIPING U ITS FLOOR DRAIN VALUATION WATER SOFTENER OFFICE WASHER (AUTO) (DISH) GARBAGE DISPOSAL LAUNDRY TRAY r KITCHEN SINK I WATER CLOSET LAVATORY ' MICROFILM FEE SHOWER $ BATH TUB LE8AALDES RIPTION WATER HEATER SEWAGE DISPOSAL HOUSE SEWER MECHANICAL FEE GAS PIPING $ PERMIT FEE d V ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE �ad DBL. CK BY ,OWNER 1 .•/ .✓ /9 A• - ..� l% •� �U �C- ar R - F.C. DATEE RN�A N39685 V 6 8 5 M.H. HOOKUP FEE $ COMMUNITY / DST U ITS ROOMS VALUATION SUPP. TO PERMIT OFFICE r / I I o ' MICROFILM FEE COPIES $ LE8AALDES RIPTION 1.4 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP - TYPE CK BY 7� .'Q' 16 "di�.` F s. R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED 4- — ELECTRICAL FEE DBL $ 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 THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE TATE OF CALIFORNIA. r . •: TOTAL FEES $ 1 eAo ' - CASH Cl CHECKPr M.O. ❑ ' N.C. ❑ OWNER, CONTRACT RECEIVED BY ADDRESS AD RESS ► SEWAGE SYSTEM T LL P CITY . CITY TREES REQUIRED YES NO �?( -INFORMATION FORM 284.208 (Re, 11 /72) TEL. NO. TEL.NO. LICENSE