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301842 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT e'nr lklTV ne oweoelnc I F M A M A S Q N D PERMIT NO. 30 1 84 21 -Now,vvvl— 1 yr ni v GnJIVG 77 COMMUNITY VALUATION DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES /TEE }} f./. NO. PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS USE O PER T i r F.C. 0/1 SQ. FT. @ YARD SPKLR SYSTEM PERMIT SQ. FT. @ MOBILEHOME SVC. BAR SINK 842 SQ. FT. @ POWER OUTLET ROOF DRAINS MICROFILM FEE SQ. FT. @ DRAINAGE PIPING $ SQ. FT. @ DRINKING FOUNTAIN BOOK PAGE PARCEL SQ. FT. @ URINAL MECHANICAL FEE VALUATION $ ryc9 WATER PIPING �d NOTE: Not to be used as property tax valuation USE SWIM POOL, PVT BACiF FLOOR DRAIN GRP TYPE CK BY MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER JOT VENT SYSTEM AN ❑ EVAP. COOL OOD (yp SIGN WASHER (AUTO) (nmka00 APPLIANCE RYER GARBAGE DISPOSAL �Ca s FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED PLAN CHECK FEE LAUNDRY TRAY $ AIR HANDLING UNIT CFM PLAN NO. IDLE METER DATE INSPF¢YOR KITCHEN SINK cavi ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP DBL POLE, TEMP/PERM LAVATORY OFFICE No DER INVOLVED HEATING SYSTEMORCED ElGRAVITY lft'� MPERES SERV ENT QO SHOWER BOILER B.T.U. DBL �. SQ.FT. @ a BATH TUB STATE SQ.FT. @ a gD WATER HEATER CX> Q.FT.RESID @ 11/4¢ SEWAGE DISPOSAL STRONG MOTION SQ.FT.GAR @ 1/4¢ 5fHOUSE SEWER INSTRUMENTATION FEE � GAS PIPING PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE �MECH. FEE PERMIT FEE SPL. CK. FEE CONST, FEE CPO EL FE _ PERMIT FEE SMI FEE FEE PL .FEE F M A M A S Q N D JOB ADDRESS I SP NO OWNER 76 77 COMMUNITY VALUATION DST ' OFFICE /TEE }} f./. 78 M H PERMIT FEE $ USE O PER T i r F.C. 0/1 SUP . TO PERMIT PERMIT N 01. 842 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESC 11 TION MECHANICAL FEE DBL $ USE ZONESET BACiF SIZE GRP TYPE CK BY JOT S s PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERNAL DATE INSPF¢YOR .40 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE No DER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE gD , $ OWNER/AGENTS SIGNATURE CONTRACTOR STRONG MOTION i -..—•' INSTRUMENTATION FEE � SPECIAL NSP $ ADDRESS A s DEMOLITON FEE R REGISTRATION ' PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. AREA CODE TE AREA CODE ..'LICENSE u CASH ❑CHECK O.❑N.C.❑ —�3 % / RECEIVED BY TREES REQUIRED hI SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF O 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I H B AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ' SEWAGE SYSTEM T LL p THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY (IM PFwIC ATI(1w11A1C1 IDAwlI'C I Dllwl ♦ TC l C ✓ - -� - ��.•�. .... ... v.. I .� ..�v�rrI�-� vl vl� ,rll LIr�LV ILLJ. �. VIv1r LIMl��_L rrllll IIIL LI'1 rrJ VI II IL J1I�IL vl CALIF•.ORNIA 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 284-206 IRE V. 6-761 OF CALIFORNIA.