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296750 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT — PERMIT NO. 967-5 OWNER ' ✓ COUN 1 T Or KI V CKNUC COMMUNITY VALUATIQmp i . J , ,, . F;�]DST CONSTRUCTION ESTIMATE OFFICE NO. ELECTRICAL FEES NO. PLUMBING FEES M H PERMIT FEE 1 ST FL. ' 2ND FL. POR. GAR. CAR' P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ On UNITS C U SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. 4 00 MOBILEHOME SVC. BAR SINK SQ. FT. @ 00 POWER OUTLET ROOF DRAINS , . SQ. FT. @ 'f DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN MICROFILM FEE SQ. FT. @ URINAL $ VALUATION $M6.4*0 j WATER PIPING 46 NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN '5;�' /0-3- 19 /W 6 f0 -f -Q nr`' USE NO.ZO E SET BACK LOT SI GRP�Ck-gY MECHANICAL FEE MECHANICAL FEES $ SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL 5eHOOD r�lJj-} I S S R �Yi SIGN WASHER (AUTO ISH) Pr APPLIANCE WRYER C Co PLAN CHECKER GARBAGE DISPOSAL eso CONSTRUCTION FEE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED $ LAUNDRY TRAY BRANCH OFFICE NO LE ER INVOLVED AIR HANDLING UNIT CFM IDLE METER I KITCHEN SINK ABSORPTION SYSTEM B.T.U. ELECTRICAL FEE TEMP USE PERM SVCWATER CLOSET ADDRESS COMPRESSOR HPe2 STATE POLE, TEMP/PERM LAVATORY 0- t� �� 9 -HEATING SYSTEM &ORCED ❑ GRAVITY 400 AMPERES SERV ENT 4>6 SHOWER �o BOILER T. U. SQ.FT. @ ¢ BATH TUB Cycv $ SQ. FT. @ ¢ WATER HEATER pQ REGISTRATION "IAQ.FT.RESID @ 11/a¢�� SEWAGE DISPOSAL HCl PLUMBING FEE DBL SQ.FT.GAR @ 3/a¢ HOUSE SEWER CITYZIP CODE CITY ZIP CODE GAS PIPING C� PERMIT FEE OBL. Tol FEES MOB.HM.FEE MICRO yEEQ Com: ME . FEE PERMIT FEE AL. CK. Fj CONST. FEE PERMIT FEE ELE T. FEE SMI FEE I FEE PL B. FEE J F M A M J J A S O N D JOB ADDRESS SP NO I OWNER ' ✓ 76 77 at COMMUNITY VALUATIQmp i . J , ,, . DATE D sr OFFICE 78 M H PERMIT FEE USE OP'PERMIT C U PERMIT NO. , . 2967 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRI ION -- '5;�' /0-3- 19 /W 6 f0 -f -Q nr`' USE NO.ZO E SET BACK LOT SI GRP�Ck-gY MECHANICAL FEE DBL $ r�lJj-} I S S R �Yi PLAN CHECK FEE 10 $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE 4PI INSPEC CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LE ER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION INSTRUMENTATION FEE t� �� OWNER/AGENTS SIGNATURE^. f { t- -�•TL" r� CONTRACTOR sw bj SPECIALINSP DEMOLITON FEE $ ADDRESS �� � '�L f ADDRESS REGISTRATION , PLUMBING FEE DBL $ �+-j ��j CITYZIP CODE CITY ZIP CODE TOTAL FEES$ % TEL.NO. J AREA CODE TEL. NO. AREA CODE LICENSE a CASH❑CHEC O.❑N.C.❑i 0 RECEIVED Bl( �� TREES REQUIRED jj0IrHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM T LL P WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSA 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 264-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.