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286420 (SFD)BUILDING PERMIT DEPARTMENT „ „ OF BUILDING & SAFETY t„ W FIELD OFFICE 1 J F M A M J J A S O N D T PERMIT NO. 86420 - NNW 1 %.VV171 1 Vr RI V rm.111JG ,� DST /f CONSTRUCTION ESTIMATE VALUATION NO. ELECTRICAL FEES DST OFFICE 61 NO. PLUMBING FEES 78 1ST FL. AtAl SQ. 2ND FL. SQ. POR. /�` GAR. SQ. CAR P. 'SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ $ a,,. UNITS FT. @ YARD SPKLR SYSTEM SQ. FT. @ �a , MOBILEHOME SVC. BAR SINK FT. @ �� �� POWER OUTLET ROOF DRAINS F.C. FT. @ DRAINAGE PIPING PERMIT FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION$ Lf WATER PIPING NOTE: Not to be Used as property tax valuation * 4m,286420 SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES MICROFILM FEE SWIM POOL, COMM $ WATER SOFTENER «BOOK PAGE PARCEL LEGAL DESCRIPTION f j VENT SYSTEM [I FAN ❑ EVAP. COOL X HOOD �„L7.. SIGNj WASHER (AUTO)( .... k'MECHANICAL FEE APPLIANCE XDRYER $ �-p USE NO. GARBAGE DISPOSAL SET BACK LOT SIZE GRP TYPE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY iL w �' 1b AIR HANDLING UNIT CFM IDLE METER PLAN CHECK FEE KITCHEN SINK ... ABSORPTION SYSTEM B.T.U. PLAN NO. TEMP USE PERM SVC FINAL DATE Il/y5�-pECTj/q(tI WATER CLOSET r. COMPRESSOR _3-&XjIiiIIE�� HP¢ POLE, TEMP/PERM LAVATORY Csr t HEATING SYSTEM XORCED ❑ GRAVITY /a5tAMPERES SERV ENT 0 SHOWER BRANCH OFFICE BOILER B.T.U. .ELECTRICAL FEE SQ. FT. @ a $ � BATH TUB 00 CITY STATE STRONG MOTION SQ. FT. @ a aa D WATER HEATER tX? CONTRACTOR INSTRUMENTATION FEE f 0.FT. RESID @ 11/4a r SEWAGE DISPOSAL c� 'SPECIALINSP SQ.FT.GAR @ 3/4 It 3 HOUSE SEWER ADDRESS ADDRESS - FEE GAS PIPING • PERMIT FEE 06 PERMIT FEE PERMIT FEE co -635 San Rafael #R DBL. I TOTAL FEES IMOB.HM.IEEI MICRO FEE MEC H. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE0-4 1 J F M A M J J A S O N D T JOB ADDRESS SP NO ,,,tea M�y� (Ae,# ��,4 1 �' OWNER �} ,� r77 COMMUNITY VALUATION DATE 31 DST OFFICE 61 78 r M H PERMIT FEE $ P/E IT - USE GOFLL F.C. SUPP. TO PERMIT PERMIT NO. * 4m,286420 MICROFILM FEE COPIES $ «BOOK PAGE PARCEL LEGAL DESCRIPTION f j [meg likht o k'MECHANICAL FEE DBL $ �-p USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK Yt\ .,nws� iL w �' 1b J 1 S S R I®f✓ 4/ PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CNEFKKER FINAL DATE Il/y5�-pECTj/q(tI t -.CONSTRUCTION FEE DBLNAME $�/ 00 OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED .ELECTRICAL FEE DBL $ � �g„�/ ADDRESS CITY STATE STRONG MOTION aa D OWN E GENTS SIGN TURE CONTRACTOR INSTRUMENTATION FEE it 'SPECIALINSP $ ADDRESS ADDRESS DEMOLITON FEE REGISTRATION -635 San Rafael #R PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 3 TOTAL FEES $ TEL. NO, AREA CODE TEL. NO. AREA CODE LICENSE tt CASH❑CHEC .O.❑N.C.❑ � fig-10” 714 RECEIVED BY,,' REES REQUIRED THIS*PT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.I GREE THAT ALL 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 INSURANCE UPON MY E P O TE OF SEWAGE SYSTEM J P�� M LOYEES. C MPLIANCE WITH THE LAWS OF HE STA ALIFORNIA 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 FORM 204-208 (REV. 6-76) OF CALIFORNIA.