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297167 (AR)BUILDING • PERMIT . DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE J F M A M J J A S O N PERMIT NO. 2971 NEW CV VIV 1 T Or RI V CK3IUC COMMUNITY VALUATION s $l.��Q"moo 04 0 % DATE DST j DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES M H PERMIT FEE NO. PLUMBING FEES $ 1ST FL. 2ND FL. , POR. GAR. CAR P. WALL a-4), MATED ESTICONSTRUCTION SQ. FT. @ $ UNITS SUP TO PER I PE MIT SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS i SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN MICROFILM FEE @ URINAL SQ. FT.A $ VALUATION $ r WATER PIPING dam, NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM DBL WATER SOFTENER USE NO. VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) TVPE CK BYJ APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY �JLOTSIZE AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC S119 WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY BOND AMT. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT F HALF NAL D� INSPECTOR SHOWER BOILER B.T.U. SQ.FT. @ a BATH TUB J SQ. FT. @ 4 DBL WATER HEATER NAME OF CONST. LENDER BRANCH OFFICE Q.FT.RESID @ 1l/4¢ e f SEWAGE DISPOSAL SQ.FT.GAR @ 3/4¢ HOUSE SEWER DBL $ ADDRESS CITY GAS PIPING PERMIT FEE j PERMIT FEE(1 PERMIT FEE STRONG MOTION DBL. TOTAL FEES 1116 MOB.OIM.FEE MICRO FEE MECH. FEE IrL. CK. FEE I CONST. FEE Ove7 10 0 4A o ELECT. FEE fZr SMI FEE FEE PLUMB. FEE 400 J F M A M J J A S O N JOB ADDRESS ' I SP -NO OWNER r 77 COMMUNITY VALUATION s $l.��Q"moo 04 0 % DATE DST j OFFICE 78 .ren• M H PERMIT FEE $ 5 O PE RMIT F.C. SUP TO PER I PE MIT i Oejg-Z MICROFILM FEE COPIES $ BOOK P E AR LEGAL DESCRIPTION MECHANICAL FEE DBL $ USE NO. ZO E BACK GRP TVPE CK BYJ �JLOTSIZE �jj 1 WS�ET S J S119 R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER - F HALF NAL D� INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENPA INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONYrRAC R INSTRUMENTATION FEE � ` LJ i 'SPECIALINSP$ ADDRESS ADDRESS— DEMOLITION FEE REGISTRATION r� .+ ! ' PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE C3 Ca -[- TOTAL FEES $ TEL. NO. AREA CODE TEC NO. AREA CODE LICENSE a CASH ❑CHECK .O.❑N.C.❑ RECEIVED BY TREES REQUIREDIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF K FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM I HIS AGREE THAT ALL WORK IN CONNECTION WITki THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P WITH THE LAWS OF_RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE 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 FORM 284-20e (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.