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286260 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT , J F M A M J J A S O N D PERMIT NO. OWNER. " 4; • t , JL L.VV1Y1 i Vr RI YcK mic8626 77 COMMUNITY ��( VALUATION �J,��j� - DST l - !1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ % • $ UNITS SQ. FT. @ YARD SPKLR SYSTEM COPIES _ �++ SQ. FT.@ ��ai 7i d! MOBILEHOME SVC. BAR SINK SQ. FT. @ 7S �! t„�, POWER OUTLET ROOF DRAINS LEGAL DESCRIIPTIIOON ko�. IWC n • O • �5'� WR FT. @ DRAINAGE PIPING DBL FT. @ DRINKING FOUNTAIN. SO. FT. @ URINAL SET BACK LOT SIZEGRP I S S R-®iJM VALUATION $ I f3 WATER PIPING CKB�Y MeliA NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN PLAN NO, [PLAN CHECKER MECHANICAL FEES INSPECTOR� SWIM POOL, COMM DBL WATER SOFTENER NAME OF CONST, LENDER VENT SYSTEM U FAN ❑ EVAP. COOL 5k HOOD Ota SIGNf DBL WASHER (AUTO)PISH) ADDRESS APPLIANCE RYER STATE STRONG MOTION INSTRUMENTATION FEE GARBAGE DISPOSAL �. OWNER/AGENTS SIGNATURE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 'SPECIALINSP -0E REGISTRATION FEE LAUNDRY TRAY $ AIR HANDLING UNIT CFM ADDRESS iij 9 !� f IDLE METER KITCHEN SINK DBL $ ABSORPTION SYSTEM 0 B.T.U. CITY ZIP CODE TEMP USE PERM. SVC TOTAL FEES $ CA$H❑CHECK .O.❑N.C.❑0 WATER CLOSET t�,Q CODE COMPRESSOR PS AREA CODE POLE, TEMP/PERM RECEIVED BY TREES REQUIRED? LAVATORY ,00 T//� Q HEATING SYSTEM . RFORCED ❑ GRAVITY Ob,. Q AMPERES SERV ENT SHOWER " BOILER B.T.U. SQ.FT. @ ¢ BATH TUB Cts SQ.FT. @ a2 WATER HEATER Q '3Q.FT.RESID @ 1l/4a SEWAGE DISPOSAL Q SQ.FT.GAR @ ?/4a HOUSE SEWER ' GAS PIPING.Q PERMIT FEE 3 E2' PERMIT FEE j PERMIT FEE Oc� DBL. TOTAL FEES = MOB.H M.FEE MICRO FEE MECH. FEE 35.4 Z;,� CON57. FEE ELE 7. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A S O N D JOB ADDRESSSP NO 40 % �� T �/yii� / /�7�1 l�� OWNER. " 4; • t , JL 76 77 COMMUNITY ��( VALUATION �J,��j� - DATE rr D OFFICE M H PERMIT FEE $ USE OPIPERMIT F.C. Ciw / SUPP, PERMIT PERMIT NO. ,MICROFILM FEE COPIES $ BOOK -PAGE PAGE PARCELPAACEL 10/7 — �30 cIA 9/&A.47 LEGAL DESCRIIPTIIOON ko�. IWC n • O • �5'� WR .MECHANICAL FEE DBL $ .3. USE NO. ZONE - SET BACK LOT SIZEGRP I S S R-®iJM TYPE CKB�Y MeliA PLAN CHECK FEE $ BOND AMT, PLAN NO, [PLAN CHECKER FINAL DATE INSPECTOR� CONSTRUCTION FEE DBL $ 113 NAME OF CONST, LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE QQ•• $ �. OWNER/AGENTS SIGNATURE N e ff t 'SPECIALINSP -0E REGISTRATION FEE $ ADDRESS ADDRESS iij 9 !� f PLUMBING FEE DBL $ J CITY ZIP CODE CITY �y ZIP CODE /%JIB✓ ' 4qX A 6 0 TOTAL FEES $ CA$H❑CHECK .O.❑N.C.❑0 'o " `7'Yl TEL. NO. AREA CODE TEL.. NO. r "��7 f1T AREA CODE LICENSE n RECEIVED BY TREES REQUIRED? THI T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.. • Iy� B AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE �[J��•�� THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY 1.. 1 1AACF wIc A Tin,. Iwlcl Io n wl!-c ,SEWAGE SYSTEM T//� Q LL P X3 CALIFORNIA'COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE FORM 284.208 (REV. 6-761 OF CALIFORNIA.