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302224 (SFD)DEPARTMENT OF BUILDING &SAFETY FIELD OFFICE BUILDING PERMIT 7 _ J F I �M A M J J A S O N D PE30 RMIT NO. ww \.VVIVI T Vi RIVCK3IUC COMMUNITY j VAI A% r �y $ f �.✓ ice. DST DST 224 78 M H PERMIT FEE $ USE OF*ERMIr F.C. RNAT CONSTRUCTION ESTIMAt�T�nE, NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ. FT. @ `T�< $ UNITS MICROFILM FEE COPIES 2ND FL. SQ. FT. @ BOOK AGE PARCEL LEGAL DE RIPTION YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK DBL GAR. SQ. FT. @ vO POWER OUTLET ZO E ROOF DRAINS LOT SIZE CAR P. SQ. FT. @ CK BY DRAINAGE PIPING e+n�` WALL SQ. FT. @ it y� DRINKING FOUNTAIN I SQ. FT. @ S PLAN CHECK FEE URINAL $ ESTIMATED CONSTRUCTION VALUATION $ 24 ao'60 PLAN NO. PLAN CHECKER WATER PIPING 4149 NOTE: Not to be used as property tax voluation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL VHOOD SIGN WASHER (AUTO)(W"k 4:%t9 $ APPLIANCE DRYER ei0 BRANCH OFFICE NO LE, DER INVOLVED GARBAGE DISPOSAL d7« FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY DBL $ AIR HANDLING UNIT CFM ADDRESS IDLE METER STATE KITCHEN SINK el—) ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSETLAC?!5 $ COMPRESSOR HP .� OWNER/AGENTS SIGNATURE POLE, TEMP/PERM INSTRUMENTATION FEE LAVATORY (at? HEATING SYSTEM ORCED ❑ GRAVITYAMPERES SERV ENT GC3 SHOWER $ BOILER T. U. ADDRESS SQ.FT. @ a DEMOLITON BATH TUBj FEE SQ.FT. @ a WATER HEATER fk'7 SQ.FT.RESID @ I V44 Idl SEWAGE DISPOSAL PLUMBING FEE DBI $ SQ.FT.GAR @ 3/4a✓j CITY ZIP CODE HOUSE SEWER tY�j/��j�� t ire+ "` h TOTAL FEES $ GAS PIPING TEL. NO. AREA CODE PERMIT FEEp AREA CODE PERMIT FEE [�O PERMIT FEE ,,� �j . —10 I 1 DBL. TOTAL FEES MOB.HM.FEE MICRO FEE M . FEE FL. CK. FEE CONST. FEE EL FEE SMI FEE FEE PL MB. FEE -+ J .�..... 04 g3 0 ,,...., r 7 _ J F I �M A M J J A S O N D JOB ADDRESS SP NO OWNERI ('^ 76 77 COMMUNITY j VAI A% r �y $ f �.✓ ice. DATE DST OFFICE 78 M H PERMIT FEE $ USE OF*ERMIr F.C. RNAT PERMIT NO. ,' rx� MICROFILM FEE COPIES $' BOOK AGE PARCEL LEGAL DE RIPTION MECHANICAL FEE DBL $ USE NO. ZO E SET BACK LOT SIZE GRP TYPE CK BY e+n�` it y� I S S PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IjJSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LE, DER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONTRACTOR INSTRUMENTATION FEE w. SPECIALINSP $ ADDRESS ADDRESS DEMOLITON FEE REGISTRATION , PLUMBING FEE DBI $ CIT ZIP CODE CITY ZIP CODE tY�j/��j�� t ire+ "` h TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE 4 CASH ❑CHECK .O.❑N.C.❑ e:? d!5 � ,,� �j . —10 I 1 RECEIVED BY TREES REQUIRED®RR IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T Ll p AWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY LCJ. lR-lyAr LIAIVI..0 VVIIM Inc LA"a Vr IrIC JIAIC Vr CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM Zea -toe (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.