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286509 (SFD)
DEPARTMENT OF BUILDING & SAFETY r BUILDING PERMIT •__.._ ___: _._ _______ FIELD OFFICE J' J A S O N D J F M A. M.76 PERMIT5� NO. OWNER v yr Riviamm✓G- _ DST ' CONSTRUCTION ESTIMATE VALdUATI� NO. ELECTRICAL FEES DST OFFICE NO. PLUMBING FEES i, 1ST FL. O:Q 2ND FL. POR. GAR.- CAR P. WALL SQ. ESTIMATED CONSTRUCTION'VALUATION SQ. FT. @ .�.� $ UNITS M H PERMIT FEE SO. 'FT. @ YARD SPKLR SYSTEM $ SQ. FT. @ MOBILEHOME SVC. BAR SINK USE - PERMIT , ., SQ: FT. @ s POWER OUTLET ROOF DRAINS SUPP. O PERMIT SQ. FT. @ DRAINAGE PIPING FT. '@ DRINKING FOUNTAIN COPIES SQ. FT. @ URINAL $ . WATER PIPING LEGAL DESCRIPTION NOTE: Not to be used as property tax 'voluotion SWIM POOL, PVT FLOOR DRAIN -/,&/, &L? ' .i t) r• 4 Oh, J#' UARVA ' MECHANICAL FEES $/ SWIM POOL, COMM USE NO. WATER SOFTENER LOT SIZE SET BACK LOT ' VENT SYSTEM XFANS ❑ EVAP. COOL D<HOOD Ia SIGN WASHER (AUT ISH) n,.. APPLIANCE DRYER I a.90 S IS,57 R /0 _ GARBAGEDISPOSAL PLAN CHECK FEE FURNACE Q UNIT ❑ WALL 0 FLOOR ❑SUSPENDED BOND AMT. PLA !N NNLnO. PLANK CCHECKERFINA•L�'DAT LAUNDRY TRAY ECTOR - ' �, AIR HANDLING UNIT - CFM IDLE METER KITCHEN SINK 1 e— (O , ` ABSORPTION SYSTEM 0 B.T.U. DBL TEMP USE PERM SVC WATER CLOSET BRANCH OFFICE NO LENDER INVOLVED COMPRESSOR HP ©moi. POLE, TEMP/PERM LAVATORY HEATING SYSTEM AFORCED (] GRAVITY ..® AMPERES SERV ENT, SHOWERAl CS„ ., BOILER B.T.U. SQ. FT.. @ a BATH TUB STRONG MOTION SQ. FT. @ a � � WATER HEATER C T•' s '' `' 1 :INSTRUMENTATION FEE f 406Q.FT.RESID @ 11/4a'i.'S1 SEWAGE DISPOSAL 'SPECIALINSP ". SQ.FT.GAR @ 3/4a HOUSE SEWER ADDRESS DEMOLITION FEE GAS PIPING PERMIT FEE REGISTRATION / PERMIT FEE . PERMIT FEE DBL. I TOTAL FEES IMOB.HM.FEE MICRO FEE - MEC H. FEE Pi�L�4i� F, CONST.,FEE ELECT. FEE SMI FEE, FEE PLUMB. FEE J' J A S O N D J F M A. M.76 JOB ADDRESS �. - SP NO OWNER 77 - CO�M%M�UNITY VALdUATI� DATE - DST OFFICE 78 M H PERMIT FEE $ USE - PERMIT , ., F.C. �/ SUPP. O PERMIT PE MIT NO 5 6 MICROFILM FEE COPIES $, BOOK WAGE PARCEL LEGAL DESCRIPTION 4 00 -/,&/, &L? ' .i t) r• 4 Oh, J#' UARVA MECHANICAL FEE DBL $/ USE NO. ZONE LOT SIZE SET BACK LOT GRP TYPE CKBY 45 17 R .� I a.90 S IS,57 R /0 _ PLAN CHECK FEE $ BOND AMT. PLA !N NNLnO. PLANK CCHECKERFINA•L�'DAT I 1E ECTOR - ' �, 1 e— (O , CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ••i ELECTRICAL FEE DBL ADDRESS CITY STATE STRONG MOTION $ , � � OWNER/AGENTS SIGNATURE C T•' s '' `' 1 :INSTRUMENTATION FEE 'SPECIALINSP $ ADDRESS ADDRESS DEMOLITION FEE REGISTRATION C� o PLUMBING FEE DBL $ o CITY - ZIP CODE CITY ZIP CODE i X010 %15-3 TOTAL FEES $ / .:....� TEL. NO. AREA CODE TEL. NO. ``'/j AREA CODE 3c 163 LICENSE a CAS HOCHEC .O.D ❑ RECEIVED BY TEES REQUIRED WTRMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID. SEWAGE SYSTEM f =/� s� ^ T®� iL P Zd�J�t EREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCEI _ ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY' CALIFORNIA`COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 IREV. 8-781 - - - SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.