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296804 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT . - J F M A M J J A S O N D PERMIT NO. OWNER VVVI\11 Vr F% v f% 1WG 77 VALUATION- $ 1�✓ DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES YV� It NO. PLUMBING FEES y 1 ST,FL. 2ND FL. POR: GAR. CAR P. WALL • „ ESTIMATED CONSTRUCTION SQ. FT. @ UNITS ' USE OF - PERMIT F.G. SQ. FT. @ YARD SPKLR SYSTEM PERMIT SQ. FT. @ MOBILEHOME SVC. BAR SINK,, SQ. FT. @ �, POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE'PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL 296804 VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation COPIES SWIM POOL, PVT FLOOR DRAIN LEGAL DESCRIPTION MECHANICAL FEES SWIM POOL; COMM / —G� WATER SOFTENER MECHANICAL FEE DBL VENT SYSTEM ❑ FAN ❑ EVAP. COOL XHOOD49C► APPLIANCE ❑ DRYER SIGN ZONE WASHER (AUTO)01SH) GARBAGE DISPOSAL �C) FURNACE ❑ UNIT ❑ WALL Cl FLOOR ❑ SUSPENDED /_7 LAUNDRY TRAY' f L! / - ATS i i7 '. AIR HANDLING UNIT CFM S IDLE METER -PLAN CHECK FEE IKITCHEN SINK a3t3 ABSORPTION SYSTEM B.T.U. PLAN NO. TEMP USE PERM SVC DATE WATER CLOSET l COMPRESSOR, HP Aj 4 POLE, TEMP/PERM,. LAVATORY QG1 HEATING SYSTEMORCED ElGRAVITY d0d:$ AMPERES SERV ENT SHOWER BOILER B.T.U. SQ.FT. @ a DBL BATH TUB -e0-- e0SQ.FT.:@ NAME OF CONST. LENDER BRANCH OFFICE NO LE DER INVOLVED SQ. FT. a WATER HEATER ctj Q.FT.RESID @ 11/aa DBL SEWAGE DISPOSAL ADDRESS CITY STATE V70SQ.FT.GAR @ s/4a CJG7 HOUSE SEWER / STRONG MOTION FEE GAS PIPING $ PERMIT FEE 429_ PERMIT FEE 1:51PPERMIT FEE DBL. I TOTAL FEES 40t MOB.HM.FEE MICRO FEE JM/ErGH. FEE PL. CK. FEE CONST. FEE ELE . FEE��� SMIFEE ZZ FEE +PLUMB,EE - J F M A M J J A S O N D JOB ADDRESS SP NO lve, Jd'% OWNER :7 6 77 COMMUNITY f� VALUATION- $ 1�✓ DATEEf%T OFFICE .78 YV� It i' y M H PERMIT FEE $ USE OF - PERMIT F.G. SUPP. h0 PERMIT PERMIT NO. / 296804 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION / —G� j �l / IPf�'^�S �iE7J MECHANICAL FEE DBL $ USE NO. ZONE SET BACK_ LOT SIgZE GRP TYPE CK%BYY /_7 _/` f L! / - ATS i i7 I S C S R24 -PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE INSPECTOR Ooze ,CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LE DER INVOLVED ELECTRICAL FEE- DBL $ ADDRESS CITY STATE / STRONG MOTION FEE $ pOWNER/AG'ENTS NATURE CONTRACTOR ,INSTRUMENTATION SPECIALINSP $ ADDRES ADDRESS DEMOLITION FEE :REGISTRATION I "PLUMBING FEE DBL $ TY CODE CITY ZIP CODE © �ZIP TOTAL FEES Q•7 . '37 TEL. N . AREA —v CODE -TEL. NO. AREA CODE LICENSE tt CASH❑CHECK .O.❑N.C.❑ ....+• +✓+ �y L/� / .' RECEIVED BY TREESREQUIRED' IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF K FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEREBY AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF COUNTY AND THE STATE.OF CALIFORNIA, I ALSO AGREE TO CARRY "SEWAGE SYSTEM - C i ' " T � LL P 5 -RIVERSIDE f hMPFIJCe TI(lwl Iwlcl to nwl`-c o.�ww 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 FORM 284.208 (REV. 6-76) - OF CALIFORNIA.-