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296564 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT J F A. A M J J A S O N D PERMIT NO. ��r Cwwry I I Or Ro V EKSivc- 77 COMMUNITY VALUATION r $, �CSfi DATE � DST CONSTRUCTION ESTIMATE 78i�iL%� NO. ELECTRICAL FEES .' NO. PLUMBING FEES 1 ST FL. 2ND FL. _ POR. GAR. "CAR P. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ CSS UNITS SQ. FT. @ YARD SPKLR SYSTEM jPERMIT SQ. FT. @' MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS MICROFILM FEE SQ. FT. @ r� DRAINAGE PIPING $ FT. @ DRINKING FOUNTAIN BOOK PAGE PARCEL SQ. FT. @. ' URINAL VALUATION $ WATER PIPING t�A NOTE:'.Noteto be used as property tax valuation SWIM POOL, PVT MECHANICAL FEE FLOOR DRAIN $ / iJ l� -MECHANICAL FEES �ZONEd2 SWIM POOL', COMM WATER SOFTENER TYPE .ICK VENT SYSTEM AN ❑ EVAP. COOL JW HOOD 100 SIGN 1 WASHER (AUTO) (DISH) c APPLIANCE 5eDRYER G /G IZ✓ S GARBAGE DISPOSAL �y R ✓ ! :J��tIO ....,,G FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED PLAN CHECK FEE $ LAUNDRY TRAY BOND AMT. PLAN�NwO. PLAN CHECKER AIR HANDLING UNIT CFM INSPECV.! IDLE METER DBL KITCHEN SINK 40 NAME OF CONST. LENDER BRANCH ABSORPTION SYSTEM B.T.U. NO LENDER INVOLVED TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM DBL LAVATORY pp ADDRESS CITY HEATING SYSTEM FORCED ❑ "GRAVITY UGC AMPERES SERV ENT G`/3 SHOWER BOILER T. U. SQ.FT. @ ¢ BATH TUB lj SQ. FT. @ ¢ WATER HEATER �}© OWNER/AGENTS SIGNATURE ITT INSTRUMENTATION FEE Q.FT.RESID @ 11/aa iJ$� SEWAGE DISPOSAL e,x 'SPECIALINSP SQ.FT.GAR @ 3/4a HOUSE SEWER ADDRESS ADDRESS DEMOLITION REGISTRATION ` FEE GAS PIPING PERMIT FEE PLUMBING FEE PERMIT FEE 3 fiery PERMIT FEE Ol# ZIP CODE DBL_. I TOTAL FEEy♦S�, d6ffa1' MOB.HM.FEE MICRO FEE MECH. FEE J PL. CK. FEE I •w,�� CONST. FEE � 1 1 � ELECT.FEE .A f � SMI FEE FEE PLUMB. FEE J F A. A M J J A S O N D JOB ADDRESS SP NO I j� ^ �"� A7 l� :J 1c: r OWNER /3 � i Jf� 76 '.'7 77 COMMUNITY VALUATION r $, �CSfi DATE � ST C OFFII E�� —.L. 78i�iL%� M H PERMIT FEE $ USE O, SUPP. TO PERMIT PERMIT NO. jPERMIT 96564 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEG%ALD RIPTION Z AJ MECHANICAL FEE DBL $ / iJ l� USE NO. �ZONEd2 SET BACK LLo SIZE p} GRP`�y TYPE .ICK �• ..r++ /G IZ✓ S S �y R ✓ ! :J��tIO ....,,G /BY ©' PLAN CHECK FEE $ BOND AMT. PLAN�NwO. PLAN CHECKER FINAL DATE INSPECV.! CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED h ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION OWNER/AGENTS SIGNATURE ITT INSTRUMENTATION FEE e,x 'SPECIALINSP $ ADDRESS ADDRESS DEMOLITION REGISTRATION ` FEE PLUMBING FEE DBL $ - CITY ZIP CODE CITY[� ZIP CODE r zo/ TOTAL FEES � $ TEL. NO.' AREA CODE TEL. NO. ARE�AyCODE LICENSE n 'CASH ❑CHECK M.O.❑N.C.❑ IgIp `1 �7��'�: /� ��lr' *" RECEIVED BY TREES REQUIRED TIP T MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY MPENSATION INS SEWAGE SYSTEM T LL P �� FORM 284-208 (REV. 6-76) URANCE 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 STATE OF CALIFORNIA.