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286892 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT ~ J F M A M J J A S O PER NO. 'Raw Lwin\11 Vr RI Y CR>t1YC 76 77 DST CONSTRUCTION ESTIMATE VALUATION NO. ELECTRICAL FEES OFFICE NO. PLUMBING FEES ' 1 ST FL. SQ. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ R% $ UNITS USfJEO PER IT ¢ F.C. SUPP. TO PERMIT SQ. FT. @ YARD SPKLR SYSTEM O. N28 _ MOBILEHOME SVC. BAR SINK SQ. FT. @00 4�C� SQ. FT. @ 4o POWER POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ Cd WATER PIPING + ' NOTE: Not to be used as property tax valuation $ SWIM POOL; PVT BOOrKy PAGE �� PARCEL FLOOR DRAIN MECHANICAL FEE MECHANICAL FEES $ SWIM POOL, COMM USE NO. WATER SOFTENER SET BACK LOTSIIE GRP VENT SYSTEM FAN ❑ EVAP. COOL 5eOOD CK BY SIGN WASHER (AUT ISH) 44 wl APPLIANCE WRYER p¢3 IRyS SIR �r GARBAGE DISPOSAL ClCi FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED v/7 LAUNDRY TRAY 1 S V jftA AIR HANDLING UNIT CFM I IDLE METER KITCHEN SINK ►� . ABSORPTION SYSTEM 0 B.T.U. PLAN NO. TEMP USE PERM SVC FINAL CD—ATE' I I�rg/q��C WATER CLOSET COMPRESSOR HP J4 4W POLE, TEMP/PERM LAVATORY ; HEATING SYSTEM ORCED ❑ GRAVITY 0£ AMPERES SERV ENT 22 3SHOWER BRANCH OFFICE NO BOILER B.T.U. SQ.FT. @ a BATH TUB QO SQ.FT. @ a DBL WATER HEATER caCD ADDRESS CITY STATE W�FQQ.FT.RE50 @ 11/aa SEWAGE DISPOSAL 0 SQ.FT.GAR @ 3/aa f HOUSE SEWER GAS PIPING f PERMIT FEE 3 $ PERMIT FEE C7i� PERMIT FEE tyC3 DBL. TOTAL FEE�S]MOB.HM.FEEI MICRO EE �MyE�C�yHy. FEE/✓� L. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEEree J F M A M J J A S O N D JOB ADDRESS SP NO I 50A2%. OWNER 76 77 COMMUNITY VALUATION DAT DST OFFICE M H PERMIT FEE$ USfJEO PER IT ¢ F.C. SUPP. TO PERMIT PERMIT O. N28 MICROFILM FEE COPIES $ BOOrKy PAGE �� PARCEL LEGAL, DESCRIPTIOlq MECHANICAL FEE DBL $ USE NO. [ZONE SET BACK LOTSIIE GRP TYPE CK BY IRyS SIR �r v/7 1 S V jftA I PLAN CHECK FEE $ BONDAMT. . PLAN NO. PLAN CHECKER FINAL CD—ATE' I I�rg/q��C ;CONSTRUCTION FEE DBL $ NAME OF'CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED :ELECTRICAL FEE DBL $ ADDRESS CITY STATE " J` 4 S :STRONG MOTION $ OWNER/AGENTS SIGNATURE CONTRACT!/`•t 'INSTRUMENTATION FEE SPECIALINSP$ ADDRESS ADDRESS DEMOLITION REGISTRATION FEE r3- 740 PLUMBING FEE DBL $ 00 CITY ZIP CODE CITY ZIP CODE TOTAL FEES$ TEL. NO. AREA CODE TEL. AREA CODE LICENSE ate,/ CASH ❑CHEC .O.❑�❑ jNO.. /�j / 73`J'i~3— / g, it RECEIVED BY TREES REQUIREDI SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF O 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I - B AGREE 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 MPENSATION INSUR ;SEWAGE SYSTEM T � LL P �y yS ANLE UPON MY EMPLOYEES. COMPLIANCE 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE FORM 284.208 (REV. 6-761 OF CALIFORNIA.