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290727 (SFD)
DEPARTMENT OF' BUILDING & SAFETY BUILDING PERMIT FIELD OFFICE J F M' A M J A S O N D PERMIT NO. OWNER s i .seta ! e— CwVIV 1 i Vi KI V CK3!UC 77 _ VALUATTIIOO1 DST _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES $ NO. PLUMBING FEES USE OF -PERMrrF.C. 1 ,r 1ST FL. 2ND FL. POR.. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ 141c$ a UNITS COPIES $ SQ. FT. @ YARD SPKLR SYSTEM LEGAL DESCRIPTION SQ. FT. @ dm MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN DBL SO. FT. @ URINAL VALUATION$ �Gt WATER PIPING C NOTE: Not to be used as property tax valuation LOT LOT SIZE�f��/� G/1PP SWIM POOL,.PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM, J WATER SOFTENER C..! R VENT SYSTEM FAN ❑ EVAP. COOL HOOD 0 SIGN WASHER (AUTO)JASH) A01 q -0 - BOND AMT. APPLIANCE DRYER pt! CONSTRUCTION FEE DBL GARBAGE DISPOSAL qCd NAME OF CONST. LENDER BRANCH FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED NO LENDER INVOLVED LAUNDRY TRAY AIR HANDLING UNIT CFM ELECTRICAL FEE DBL IDLE METER ! KITCHEN SINK G� STATE ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET c9 STRONG MOTION COMPRESSOR HP f�'4 POLE, TEMP/PERM LAVATORY at9 ' HEATING SYSTEMORCED ❑ GRAVITY dSL? �0eFAMPERES SERV ENT SHOWER `� BOILER B.T.U. 'SPECIALINSP DEMOLITION �41FEEi"'i✓y�� SQ.FT. @ ¢ f BATH TUB C.►� ADORES ADDRESS REGISTRATION SQ.FT. @ ¢ WATER HEATER r9ca Q.FT.RESID @ 11/4¢ O r SEWAGE DISPOSAL c�ea PLUMBING FEE DBL Oe�fPSO.FT.GAR @ 3/4¢7, CITY ZIP CODE CITY HOUSE SEWER TOTAL FEES$ �y t� GAS PIPINGG TEL.AREA 6x/—/A CODE TEL. PERMIT FEE 0 PERMIT FEE PERMIT FEE FF:EEDBL. �TOTAL FEESS�r� MMFEE ,!�OF -1Z . /1740 . . . MI F FEE PL B. J F M' A M J A S O N D JOB ADDRESS SP NO t^ I +� -+� All OWNER s i .seta ! e— 76 77 COMMUNITY VALUATTIIOO1 DATE DfST% OFFICE 'M H PERMIT FEE $ USE OF -PERMrrF.C. 1 ,r ©o f SUPP, TO PERMIT PE MIT NO. 90727 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION MECHANICAL FEE DBL $ USE NO. ZONE 1/ � SET BACK LOT LOT SIZE�f��/� G/1PP TYPE CK BY J I 6* gle C..! R /VV�C7 ?— PLAN CHECK FEE $ BOND AMT. PLAN NO, PLANCHECKER FINIAL DATE INSPECTOR 414.11)15,%e1l0.- /77-7 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGlS SIGNAYURFf ! Flia1• CONTRACTOR t e INSTRUMENTATION FEE `� 'SPECIALINSP DEMOLITION �41FEEi"'i✓y�� $ ADORES ADDRESS REGISTRATION L///'!-✓ /'� PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES$ �y t� TEL.AREA 6x/—/A CODE TEL. NO. AREA CODE LICENSE a CASH ❑CHECK .O.❑N.C.❑ Lr Ilk RECEIVED BY, TREES REQUIRED SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF K f 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. � SEWAGE SYSTEM T II�QG� °� s �� 4�°Y 1 H AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE LL . P THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY �ICIN*3ia I IU"I IrvJU"N,,.t 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 FORM zea-ZOB (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.