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286983 (SFD)
c BUILDING PERMIT PERMIT NO. CONSTRUCTION ESTIMATE IST FL. SQ. FT. @ $ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ V T! CAR P. SQ. FT. @ WALL SQ. FT. @ VALUATION SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET POOL, PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN _ J F M Alm J J 11 A S 1 O MECHANICAL FEES JOB ADDRESS SP NO /p f A I SWIM POOL, COMM WATER SOFTENER VENT SYSTEM AN ❑ EVAP. COOL CkHOOD to SIGN WASHER(AUTO SH) VALUATION DATE APPLIANCE RYER OFFICE 178 GARBAGE DISPOSAL 00 $ FURNACE- ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED USE O PERMIT F.G. S P. TO PE MIT LAUNDRY TRAY ff AIR HANDLING UNIT — � CFM IDLE METER • KITCHEN SINK 00 ABSORPTION SYSTEM O B.T.U. 'MICROFILM FEE TEMP USE PERM SVC $ WATER CLOSET BOOK GE PARCEL LEGALDESCRI ION COMPRESSOR HP POLE, TEMP/PERM 4Z LAVATORY t $ HEATING SYSTEM NORCED ❑ GRAVITY 00 jo011MPERES SERV ENT SET BACK LOT/ SIZ�E� SHOWER O CK BY 9 BOILER B.T.U. SQ.FT. @ ¢ BATH TUB lar �y � "t! Re� SQ. FT. @ 4 WATER HEATER 4li y +'SQ.FT.RESID @ I1/k 910©Q SEWAGE DISPOSAL PLAN CHECK FEE SQ.FT.GAR @/aa q HOUSE SEWER PLAN NO. PLAN CHECKER ' GAS PIPING PERMIT FEE PERMIT FEE d PERMIT FEE -70 $ DBL. TOTAL FEES MOB.HM.FEE 6^ MICRO EE I°- MECH. FEE L.}CKK..FEEE CONST. FEE ELEC .FEE SMI FEE R , FEE PLUMB. FEE _ J F M Alm J J 11 A S 1 O N D JOB ADDRESS SP NO /p f A I OWNER '77 COMMUNITY VALUATION DATE DST OFFICE 178 M H PERMIT FEE $ USE O PERMIT F.G. S P. TO PE MIT PE MIT ff 'MICROFILM FEE COPIES $ BOOK GE PARCEL LEGALDESCRI ION MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT/ SIZ�E� GRP TYPE CK BY 9 �y � "t! Re� 7 I S S !� R /� / ✓ PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER I FINAL DATE INSPECTOR J -CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO INVOLVED 1 J ]DER ELECTRICAL FEE DBL $ ADDRESS CITY STATE :.STRONG MOTION INSTRUMENTATION FEE $ " OWNER/AGEN SIGNA E � CONTRACTOR / ,+' .� f3�?A,761f?ej sow ,SPECIAL INSP DEMOLITION FEE $ ADDRESS ADDRESS -3 7j &A. p -REGISTRATION O� !PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP ll j s� ZIP CODE TOTAL FEES$ ) NO. AREA CODE TEL, NO. A EA COD LICENSE I 7-VTEL. -CASH ❑CHECK .O.❑�❑ f2 7- �J RECEIVED BY c! _TREES REQUIRED 7�►c/ ALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF IS*FDAYSSHALL ALSO CAUSE PERMIT TO BECOME VOID. -)#(6 SEWAGE SYSTEM TP46 �RK 1 E THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE Ll T i4pa LL OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY �vrv. ,. rivi��o. �.vivrue�i.a„�rn n m��r�rro vii,�an�v CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284.208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.