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301845 (SFD)FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY BUILDING PE4 5RMIT J FIM A M J J A SIO N D PERMIT NO. 3 01 Naw <.VVIVI i Vi RIVCRJIUC COMMUNITY { t 3� 0 t Ai VALUATION D E DSTf DST CONSTRUCTION ESTIMATE M H PERMIT FEE NO. ELECTRICAL FEES $ NO. PLUMBING FEES USE OF PERMIT F.C. SUPP. TO PERMIT 1 ST FL. 2ND FL. POR. GAR. 1 CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ 4"?00'4 •$ d7/ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @--41 44 *'+ MOBILEHOME SVC. BAR SINK SQ. FT. @ d POWER OUTLET ROOF DRAINS SQ. FT. @ 'ofDRAINAGE PIPING MICROFILM FEE SQ. FT. @ DRINKING FOUNTAIN $ SQ. FT. @ URINAL BOOK PAGE PA EL VALUATION $ 7 WATER PIPING NOTE: Not to be used os property tax valuation r SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEE DBL MECHANICAL FEES SWIM POOL, COMM ZONE WATER SOFTENER LOT SIZE GRP VENT SYSTEM 5fFAN ❑ EVAP. COOL SZHOOD CK BY SIGN WASHER(AUTO)(D APPLIANCE DRYER Q jj IFSVjq GARBAGE DISPOSAL I S FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED !♦ .,yl R 2 J PLAN CHECK FEE LAUNDRY TRAY BOND AMT. AIR HANDLING UNIT CFM PLAN CHECKER IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET ' & CONSTRUCTION FEE COMPRESSOR -0. "� HP $ POLE, TEMP/PERM NAME OF CONST, LENDER LAVATORY NO LET INVOLVED HEATING SYSTEM FORCED ❑GRAVITY AMPERES SERV ENT SHOWER ELECTRICAL FEE BOILER B.T.U. $jr SQ.FT. @ a ADDRESS BATH TUB STATE SQ.FT. @ a WATER HEATER STRONG MOTION INSTRUMENTATION FEE $ j2jpAySQ.FT.RESID @ 11/aa OWNER/AGENTS SIGNATURE SEWAGE DISPOSAL SQ.FT.GAR @/aa HOUSE SEWER $ ADDRESS GAS PIPING INSP DEMOLITON REGISTRATION �l PERMIT FEE PERMIT FEE PERMIT FEE ` DBL. TOTAL FEES , �z- 33 IMOB,HM.FEE1 MICRO FEE M H. FEE rd PL. CK. FEE CONST. FEE EL -- FEE 6r.9�� SMI FEE FEE PLUMB. FEE 3-7 J FIM A M J J A SIO N D JOB ADDRESS I SP NO OWNER I c.+ G f > C elm Si 76 77 COMMUNITY { t 3� 0 t Ai VALUATION D E DSTf OFFICE 78 M H PERMIT FEE $ USE OF PERMIT F.C. SUPP. TO PERMIT PE MIT NO, F 00 MICROFILM FEE COPIES $ BOOK PAGE PA EL LEGAL DESCRIPTION MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK BY �F. l Jf' IFSVjq I S 5 !♦ .,yl R 2 J PLAN CHECK FEE $ BOND AMT. PLAN NO, PLAN CHECKER FINAL DATEINSPECTOR .�. ' & CONSTRUCTION FEE DBL $ NAME OF CONST, LENDER BRANCH OFFICE NO LET INVOLVED ELECTRICAL FEE DBL $jr ADDRESS CITY STATE � .— STRONG MOTION INSTRUMENTATION FEE $ C3 OWNER/AGENTS SIGNATURE CONTRACTOR SPECIAL $ ADDRESS ADDRESS INSP DEMOLITON REGISTRATION �l FEE ` PLUMBING FEE DBL $ ''j � CITY ZIP CODE CITY ZIP CODE F TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. CODE LICENSE 4 CASH❑CHECK .O.❑N.C.❑ 4AREA 7d -TA /t• 91 %fQ40 RECEIVED BY TREES REQUIRED SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF Kt 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Y GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM �-40 �T/o �y P✓` THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY CVmrtINJA IIUN INDUKANCE 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 2e4-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.