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230189 (RPL)BUILDING PERMIT DEPARTMENT. OF BUILDING & SAFETY • COUNTY OF RIVERSIDE O. FIELD OFF[ CONSTRUCTION ESTIMATE-„,,,,.: ,ELECTRICAL FEES..,, DBL PLUMBING FEES osT.�l ' 1 ST FL. SQ. FT. @a 2ND FL. SQ. FT. @ POR. SQ. FT. GAR. SQ.FT. CAR P. SQ. FT. @ WALL SCJ.FT. PVI O%71 SQ. FT. N ESTIMATED ONSTRUCTION VALUATION $ NO. a re.. 'MOTOR IOR LESS H.P. }/ MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. 0 K W. UNITS NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation DBL. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANS- K.W. FORMER O J F M A M J J A S -O N D- GARBAGE DISPOSAL OWNER 3 j gm FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS J" USE OF BUILDING Lrl r fi+� I 42 LAUNDRY TRAY DATE/ ”' - 6 AIR HANDLING UNIT CFM FIXTURE OR SOCKET e 7-D 75 KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE COMMUNITY ` WATER CLOSET ONITS COMPRESSOR 0 HP POLE SU PP. TO PERMIT LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT. @ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q $ WATER HEATER LEGAL DESCRIPTION d / _ HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 14 SEWAGE DISPOSAL 4- /ic '� `%3 �� �A A�,-�6ff _ BOILER 0 B.T.U. SQ. FT. GARAGE @a 1/24 $ HOUS&SEWER SET BACK PERMIT FEE BALANCE OF MIN. FEE GAS PIPING GRP _ MOBILE HOME HOOKUP FEE Is I I PERMIT FEE ! PERMIT FEE �. tea) O. .TOTAL FEES , .MOB. HK. FEE MICRO FEE MECH. DBL PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE. FEE PLUMB. FEE DBL. Ytid 4— . / J F M A M J J A S -O N D- JOB ADDRESS / �g 06 OWNER 3 j gm 73 74 USE OF BUILDING Lrl r fi+� I 42 F.C. 0A,4 DATE/ ”' - 6 PERM�N3 01� 0 9 75 M.H. HOOKUP FEE - $ COMMUNITY ` DST ONITS ROOMS VALUATION, SU PP. TO PERMIT OFFICE ' MICROFILM FEE COPIES $ LEGAL DESCRIPTION d / 4- /ic '� `%3 �� �A A�,-�6ff MECHANICAL FEE' DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F /v s,�. fY. ' R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATEINSPECTOR CONSTRUCTION FEE DBL $ % C� NAME OF CONST. LENDER BRANCH OFFICE - .NO LENDER INVOLVED ELECTRICAL FEE DBL $ t� L! ADDRESSCITY _ STATE SMI FEE $ 3300 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- $ FEE 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 - WRDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE.STATE OF CALIFORNIA, I ALSO PLUMBING FEE • _ DBL $ So AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA: COVERING CONTR S IS ALSO GUARANTEED. I HEREBY CERTIFY'THAT" THE INDIVIDUAL WHO PREPARIEPlofHE PLANS AND SPECIFICATIO HAS DONE SO IN ACCORDANCE WITH SECTION 5541 PFTHE BUSINES AN PROFESS $ = r Q TOTAL FEES „� ' CODE OF THE STATE OF CALIFORNIA. rte"" _ ✓s CASH ❑ CHECK�k. ' M.O. ❑ N.C. ❑ OWNER, CONTRACTOR �/ ""'"" T • ,Ir _ r RECEIVED BY%� ADDRESS ADDRESS SEWAGE SYSTE/Ml LL P TREES clTv CITY¢/111 REQUIRED YES NO INFORMATION TEL. NO. TEL. NO. LICENSE WClr &l.,I-208IRev-11/721 � it .� .� i ((� •.