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248299 (SATT)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE i - NO. MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD APPLIANCE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED AIR HANDLING UNIT CFM ABSORPTION SYSTEM 0 B.T.U. COMPRESSOR 0 HP HEATING SYSTEM ❑ FORCED El GRAVITY PERMIT FEE MOBILE HOME PERMIT FEE Is PERMIT NO. - TOTAL FEESMOB. HM. FEE MICRO FEE MECH. FEE w ww s s ``! ver ...+ • I J F I M I A I M I J I i I A I S 1 O 1 N I D-1 JOB ADDRESS 73 _j 74 75 M H PERMIT FEE MICROFILM FEE $ COPIES $ FIELD OFFICE ELECTRICAL FEES NO. PLUMBING FEES UNITS SET BACK T SIZE ZONE USE NO. GRP TYPE CK BY BOILER � B.T.U. MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN A URINAL '. WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL, COMM WATERSOFTENER SIGN WASHER (AUTO) (DISH) ,,_ s GARBAGE DISPOSAL DBL LAUNDRY TRAY IDLE METER KITCHEN SINK TEMP USE PERM SVC WATER CLOSET POLE, TEMP/PERM LAVATORY AMPERES SERV ENT SHOWER ' SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ I ¢ SEWAGE DISPOSAL SOFT GARAGE @ 'Acr HOUSE SEWER TEMP ELEC SVC GAS PIPING PERMIT FEE PERMIT FEE PL. CK. FEE I CONST. FEE I DBL. ELECT. FEE DBL. SMI FEE FEE, PL ' SP NO I OWNER I I F. C: DA r MS I VALUATION SUPP. TO PERMIT UMB. FEE OBL Q.� OFFICE MECHANICAL FEE DBL $ SET BACK T SIZE ZONE USE NO. GRP TYPE CK BY F S R A PLAN CHECK FEE '. $ '� 53 BOND AMT. PLAN NO. PLAN CHECKERfPINAL D INS OR ,,_ s CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE 1110 LENDER INVOLVED ELECTRICAL FEE DBL $ A CITY STATE SMI FEE 'z $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT CO ENCED WITHIN 120 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 CALIFORNIAI ALSO FEE , AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANSrAND SPECIFICATIONS PLUMBING FEE DBL $ %_- HAS DONE SO IN ACCORDANCE WITH SECTION 554 OR` TH US NE Sy D ROFES, ONS CODE OF THE STATE OF CALIFORNIA. ��/ OWNER/AGENT'S SIGNATURE CONTRACTOR TOTAL FEES 10 30 r CASH ❑ CHECKM.O. ❑ N.C. ❑ ADDRESS AD t S RECEIVED BY I iA ,Gi TREES REQUIRED - -' CITY ZIP CODE CI ZIP CODE SEWAGE SYSTEM T I LL P INFORMATION TEL. NO. TEL. NO. LICENSE 0 ORM 284-208 (Rev. 9.731 ©S 346.6002 225368