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301820 (SFD)BUILDING PERMIT DEPARTMENT , OF BUILDING & SAFETY FIELD OFFICE J F M A M J J A S' O PERMIT NO. 'REV \. UUN v i Vr RI Y CR7IYC 76 ' 77 DST CONSTRUCTION ESTIMATE DST NO.' ELECTRICAL FEES NO. PLUMBING FEES 78 1ST FL. 2ND FL. POR. GAR. CAR P. WALL SQ. _ ESTIMATED CONSTRUCTION SQ. FT. @ U G UNITS M H PERMIT FEE SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ �.IO MOBILEHOME SVC. BAR SINK F.C. SQ. FT. @ POWER OUTLET ROOF DRAINS PERMIT SQ. FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ iG WATER PIPING GIQ NOTE: Not to be used as property tax valuation i SWIM POOL, PVT FLOOR DRAIN COPIES $ MECHANICAL FEES BOOK PAGE PA L ISWIM POOL, COMM WATER SOFTENER VENT SYSTEM fZFAN ❑ EVAP. COOL q HOOD eL GCy SIGN DBL WASHER (AUTO) (DISH) Q USE NO. APPLIANCE' S2DRYfR SET BACK LT SIZE OS GRP GARBAGE DISPOSAL BV FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY f^ 66 `y �..i� AIR HANDLING UNIT r--� CFM IDLE METER KITCHEN SINK QIQ ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 2_ / HP dLi POLE, TEMP/PERM LAVATORY BOND AMT. HEATING SYSTEM 2046RCED ❑ GRAVITY t Q AMPERES SERV ENT qEj SHOWER too $ BOILER B.T.U. NAME OF CONST. LENDER BRANCH SQ.FT. @ a N0LENDER INVOLVEO BATH TUB o SQ.FT. @ a WATER HEATER DBL $ ADDRESS CITY j' SQ.FT.RESID @ l Yaa STATE SEWAGE DISPOSAL GL% Q.FT.GAR @ 3/aa IHOUSE SEWER $ OWNER/AGENT'S SIGNATURE CONTRACTOR " • ' .^ A't.4. f INSTRUMENTATION FEE GAS PIPING 2 PERMIT FEE (fxj PERMIT FEE Ari PERMIT FEE p ADDRESS ADDRESS DBL. I TOTAL FEES ` 7"..' JMOB.HTMICRO FEE MECH. FEE -? PL, CK. FEE CONST. FEE . E X A'' � f ...r ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A S' O N D JOB ADDRESS I SP NO �/3f3 r /h C a �11�/' OWNER u rt C- 76 ' 77 CO//MMUNITYf'� - VALUATION $ pg,'% i5AYE *� 6+P /-1 DST OFFICE 78 4 Ck'U!Aj M H PERMIT FEE $ USE OF PERMIT t F.C. SUI. TO PERMIT PERMIT NO. 30182.0 ,MICROFILM FEE COPIES $ BOOK PAGE PA L LEGAL DESCRIPTION MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LT SIZE OS GRP BV /y ri f^ 66 `y �..i� ��CK ZadsS-5- EV PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL ,D[A'TE7 INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE N0LENDER INVOLVEO o ELECTRICAL FEE DBL $ ADDRESS CITY STATE l� STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR " • ' .^ A't.4. f INSTRUMENTATION FEE 2 ,SPECIALINSP $ ADDRESS ADDRESS 'DEMOLITION FEE 7F 41 '� REGISTRATION 1l �� ' PLUMBING FEE DBL $ a� CITY ZIP CODE CITY }� ZIP CODE I S ?�« ✓,// sy, P �'"'' x�c`�m ..?may TOTAL FEES $ TEL. NO. AREACODE TEL. NO, AREA CODE # 'CASH OCHECK .O.E1N.C.0 V40 ` �^ / Cj /TLICtNSE RECEIVED BY TREES REQUIRED THIS PE I SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIONbF 0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. E GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE I HE LAWS OF RIVERSIDE TO CARRY I'SEWAGE SYSTEM T LL P , COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE ,APFNGATIr)M IAIGI IDAMrr I IDnkI AAV Cl ­ CCC l"/IAA DIIAAI!•C \A/ITU TUC I AIA/C: nr TUC CTATF nr CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM zea-zoe (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE � r r OF CALIFORNIA.