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335030 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE r'nIl 1IAITV f%C orveneme ESTIMATED CONSTRUCTION VALUATION PERMIT NO. 335030 MECHANICAL FEES Job Address j 19 3. r SWIM POOL, COMM Spaceip WATER SOFTENER Community ([J y/+ Valuation! Dote �� / VENT SYSTEM FAN C3 EVAP. COOL HOOD (¢L1 SIGN MH Permit Fee $--y�. WASHER IAUTOI:=HI Cop $ Use of Permit ,(" b� ' % 7 �,.�/ xw t� i APPLIANCE DRYER 3 Q'Q Use No. Xby Mech. Fee Dbl $ 7 1 - D GARBAGE DISPOSAL Set Backs Lot Size �' Y Construction Fee Dbl $ t / f t FURNACE C1 UNIT 0 WALL 0 FLOOR 0 SUSPENDED 5,.� t Gc...•s� 7 � �- F V S �lJ LAUNDRY TRAY R Electrical Fee Dbl $ Z` ne {' \� J AIR HANDLING UNIT Type � IDLE METER SMI Fee' $ KITCHEN SINK Dbl $ Bond Amt. $ ABSORPTION SYSTEM 0 B.T.Ur Plan Ch44- / /' .P 4-`'� i TEMP USE PERMIT SVC Inspeectoo WATER CLOSET Dental. Fee $ COMPRESSOR HP ✓ POLE, TEMP/PERM Mileage Fee $ - Witness Fee .$ LAVATORY $ Owner/Agent HEATING SYSTEM FORCED 0 GRAVITY Tel. Zip AMPERES SERV ENT 7D $ SHOWER a - City Zip BOILER B.T.U. Received by f f b" f Com, SQ. FT. p ¢ Tel. •� /y % BATH TUB Trees required tj �u/o/�F�� - .L�l�?-rti Address SQ. FT. Go ¢ Workers' Comp. yes C] no WATER HEATER G4 YJ !S ' SQ. FT. RES ID p 1 %a �� J l SEWAGE DISPOSAL A/A/9 SQ. FT. GAR 6 '/.¢ 3 3 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE �(j PERMIT FEE DBL. • TOTAL FEES .. , MOB. HM.FEE MICRO FEE - 'MECH. FEE as 50 PL. CK. FEE CONST. FEE ELECT, FEE a SMI FEE � � FEE PLUMB. FEE . PERMIT NO. 335030 Supp. Permit Job Address j 19 3. r I r Spaceip Owner Community ([J y/+ Valuation! Dote �� / Dist. Off. F.C. MH Permit Fee $--y�. Micro Film Fee Cop $ Use of Permit ,(" b� ' % 7 �,.�/ xw t� i Parcel No. 7 7 3 Use No. Xby Mech. Fee Dbl $ 7 1 - D PI. Ck. Fee $ -�":� Set Backs Lot Size �' Y Construction Fee Dbl $ t / f t Le al Descri ton { p r- ! �dS 5,.� t Gc...•s� 7 � �- F V S �lJ 5! R Electrical Fee Dbl $ Z` ne {' \� J Grp �f �,3 Type � Unit , SMI Fee' $ Plumbing Fee .-T Dbl $ 37 Bond Amt. $ PionNo. ,.7 } r�Li Plan Ch44- / /' .P 4-`'� i Final Date Inspeectoo Sp. Insp. Fee. $ Dental. Fee $ Const Lender - Address Branch 'I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the workmen's com. pensotion lows of California." City Zip Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ - Witness Fee .$ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ �/ Fr �� Address City Zip M.O.C] N.C. Cash C] Check X] Received by f f b" f Com, Contractor r r 7 Tel. •� /y % License # Trees required Sewage System i �i ..-•n �u/o/�F�� - .L�l�?-rti Address Ci Zip Livy��,� //04 :5� Workers' Comp. yes C] no T[ JU U LL P"t—L Sewer District IV lit, ,. Form 284-208 ll?m 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF -. •verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. / - IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH'THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVWIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 :OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.