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290409 (SFD)
- FIEID OFFBCE BUILDING PERMIT a DEPARTMENT OF BUILDING .& SAFETY r J F M A M J J A 5 O N D PERMIT NO. � l� OWNEFot3 4 %.%JUItl 1 T Or KI V CK3IUC 77 JA C,O/M��M��UNITY VALUATION .��'+i. I!L DSSTT CONSTRUCTION ESTIMATE OFFICE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND FL. FOR. GAR. CAR P. WALL 'ESTIMATED CONSTRUCTION SQ. FT. @ $ L: UNITS SUPP. TO PERMIT PE MIT 90409 SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ �✓ MOBILEHOME SVC. BAR SINK MICROFILM FEE SQ. FT. @ =� POWER OUTLET ROOF DRAINS $ SQ. FT. @ DRAINAGE PIPING BOOK PAGE PARCELLEI 36r�'d� SQ. FT. @ DRINKING FOUNTAIN MECHANICAL FEE SQ. FT. @ URINAL $ VALUATION $ It WATER PIPING USE NO. NOTE: Not to be used as property tax valuation SEfBACk SWIM POOL, PVT FLOOR DRAIN S S MECHANICAL FEES PLAN CHECK FEE SWIM POOL, COMM WATER SOFTENER 5103 BOND AMT. VENT SYSTEM [I FAN ❑ EVAP. COOL ❑ HOOD PLAN CHECKER SIGN WASHER (AUTO) (DISH) CONSTRUCTION FEE DBL APPLIANCE ❑ DRYER NAME OF CONST. LENDER BRANCH GARBAGE DISPOSAL NO LEND E INVOLVEO ELECTRICAL FEE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED $ LAUNDRY TRAY STATE AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK OWNER/AGENTS SIGNATURE CONTRACTOR ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET $ COMPRESSORHP POLE, TEMP/PERM LAVATORY PLUMBING FEE DBL HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER ' TOTAL FEES $ / CASH HECK[3M.O.0N.C.❑ / �Q BOILER B.T.U. CODE TEL, SQ.FT. @ ¢ BATH TUB LICENSE 4 RECEIVED BY= TREES REQUIRED T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF R F 0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY SEWAGE SYSTEM ,, T " LL SQ.FT. @ ¢ WATER HEATER SQ.FT.RESID @ 11/aa SEWAGE DISPOSAL SQ.FT.GAR @ 1/a¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK�.}FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A 5 O N D JOB ADDRESS SP NO g I � l� OWNEFot3 4 76 77 JA C,O/M��M��UNITY VALUATION .��'+i. I!L DATE DSTJ OFFICE 78 M H PERMIT FEE $ USE OF PERMITZ�V F.C. SUPP. TO PERMIT PE MIT 90409 NO. MICROFILM FEE COPIES $ BOOK PAGE PARCELLEI 36r�'d� AL DESCRIPTION MECHANICAL FEE DBL $ USE NO. ZONE ..= SEfBACk LOT SIZE GRP TYPE CK BY I S S R PLAN CHECK FEE $ . 5103 BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE - / -% INSPE TOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LEND E INVOLVEO ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENTS SIGNATURE CONTRACTOR 'SPECIALINSP DEMOLITION REGISTRATION FEE© $ ADDRESS ADDRESS j i"s 4? - PLUMBING FEE DBL $ CITY t] / ZIP CODE CITY ZIP CODE ' TOTAL FEES $ / CASH HECK[3M.O.0N.C.❑ / �Q TEL. NO.gREA CODE TEL, NO, AREA CODE LICENSE 4 RECEIVED BY= TREES REQUIRED T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF R F 0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY SEWAGE SYSTEM ,, T " LL P -vmrcrva/+I Ivry In�uKArvlt UFUN MY tMrLUYttS. CUMPLIANCE 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 2e4-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.