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302236 (SFD)• BUILDING PERMIT DEPARTMENT , OF BUILDING & SAFETY FIELD OFFICE J F M A M J J A S O N D PERMIT NO. wow :.VVIYI i Or RIYCR5IVC COMMUNITY VALUATI DATE - DST CONSTRUCTION,ESTIMATE I -A % NO. ELECTRICAL FEES 1 NO. PLUMBING FEES 78 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ $ UNITS USE OF RMI F.C. SUPP. O PERhCT PERMIT SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @pry MOBILEHOME SVC. BAR SINK SQ. FT. @4,,22 4Q POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL MICROFILM FEE VALUATION $ �p�p WATER PIPING 6i2i NOTE: Not to be used as property tax valuation BOOK PA E PARCEL LEGAL DESCRIPTIO SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES DBL 1SWIM POOL, COMM WATER SOFTENER ZONE SET BACK VENT SYSTEM [f FAN ❑ EVAP. COOL &OHOOD TYPE CK BY SIGN WASHER(AUTO)(a" 00 APPLIANCE RYER �,4w GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 7 LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK PLAN CHECK FEE ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC PLAN NO. WATER CLOSET 00 COMPRESSOR HP� POLE, TEMP/PERM LAVATORY �15� % N- 4--7,7 .c HEATING SYSTEM ORCED ❑ GRAVITY 24s AMPERES SERV ENT Al 4D SHOWER pp NO LENDEINVOLVED BOILER B.T.U. SQ. FT. @ a Qap BATH TUB pQ ELECTRICAL FEE DBL SQ.FT. @ a WATER HEATER— C? STATE 2JISQ.FT.RESID @ 111/4a J SEWAGE DISPOSAL :A STRONG MOTION SQ.1' GAR @ s/44 Q HOUSE SEWER INSTRUMENTATION FEE/,4r, �1 GAS PIPING PERMIT FEE pts PERMIT FEE 7!X3 IPERMIT FEE CJv ....- DBL. I TOTAL FEES MOB.HM.FEE MICRO FEE J M .FEE L. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE1,93 J F M A M J J A S O N D JOB ADDRESS SP NO OWNER I t� L e -31 &Q 76 —_t 77 COMMUNITY VALUATI DATE DST I OFFICE I -A % $ 1 78 M H PERMIT FEE $ USE OF RMI F.C. SUPP. O PERhCT PERMIT NO. r 3022 MICROFILM FEE COPIES $ BOOK PA E PARCEL LEGAL DESCRIPTIO MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK BY 00 7 4 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INS CsTCR �15� % N- 4--7,7 .c CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDEINVOLVED Qap ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONTRACTOR INSTRUMENTATION FEE/,4r, �1 SPECIALNSP $ ADD ESSADDRESS DEMOLITON I �l FEE REGISTRATION 1 PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 410 42 92,2260. TOTAL FEES is TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE 4 CASHOCHECK O.ON.C.❑ 490017-7 RECEIVED BY, TREES REQUIRED T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. WAGREE SEWAGE SYSTEM �:✓ ` I THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL p THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY MPENS -TION 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 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.