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301955 (SATT)
PERMIT molppwlw—,..Frqnl DEPARTMENT OF BUILDING & SAFETY rni IAITV nc' DIVCDcinc- dil FIELD OFFICE J F M A M J J A S O N D .JOB ADDRESS SP NO I 1 -Ale,, I IT NO. 5 77 COMMUNITY VAL/UAAT,IrON' DATEf � OFFICE DST r CONSTRUCTION ESTIMATE $ NO. ELECTRICAL FEES NO. PLUMBING FEES 78 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @4jM$ $ UNITS USE OF ER' T SUPP. TO PERMIT019 SQ. FT. @ YARD SPKLR SYSTEM NO. SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ o POWER OUTLET ROOF DRAINS SQ. FT.. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN ' SQ. FT. @ URINAL VALUATION $ WATER PIPING OC> NOTE: Not to be used os property tax valuation 00, MICROFILM FEE SWIM POOL, PVT $ FLOOR DRAIN AGE e PA LEGAL DESCRIPTION MECHANICAL FEES SWIM POOL, COMM �BOOK �y f F S G✓ . a( e WATER SOFTENER DBL $ VENT SYSTEM ❑ FAN ❑ .EVAP. COOL OOD 00 SIGN SET BACK WASHER(AUTOr H) GR/P�� TYPE CK BV APPLIANCE RYER 40 1 GARBAGE DISPOSAL �1. D �R ��SJ FURNACE ❑UNIT' C:)WALL ❑ FLOOR ❑ SUSPENDED /' ICI S' LAUNDRY TRAY R PLAN CHECK FEE AIR HANDLING UNIT CFM $ IDLE METER BOND AMT. KITCHEN SINK �1 ECT R ABSORPTION SYSTEM B.T.U. OF TEMP USE PERM SVC 2,WATER CLOSET [PLANf�NJO, COMPRESSOR HP CONSTRUCTION FEE POLE, TEMP/PERM Q LAVATORY NAME OF CONST. LENDER BRANCH OFFICE HEATING SYSTEM ORCED ❑ GRAVITY n AMPERES SERV ENT____5.420 � SHOWER BOILER B.T.U. SQ.FT. @ a BATH TUB ELECTRICAL FEE SQ. FT. @ a $ WATER HEATER (' STATE Q.FT.RESID @ 11/aa 460 SEWAGE DISPOSAL SCF STRONG MOTION SQ.FT.GAR, @ 3/<a ? HOUSE SEWER OWNER/AGENTr S!SIGNATURE CONTRACTOR INSTRUMENTATION FEE GAS PIPING 'SPECIAL INSP PERMIT FEEG ► $ PERMIT FEE ADDRESS ADDRESS PERMIT FEE rJCa FEE DBL. I TOTAL FEES0. MOB,HM.FEE J MICRO FEE MECH. FEE PL. CK. FEE CON/SpT, FEE ELECT, FEE`E('j - SMI FEE FEE PLU/fB�. �Fj�E/}�fEy��/ J F M A M J J A S O N D .JOB ADDRESS SP NO I 1 -Ale,, I OWNER - }©ea 0 -os 76 77 COMMUNITY VAL/UAAT,IrON' DATEf DST OFFICE / $ `` 78 M H PERMIT FEE $ USE OF ER' T SUPP. TO PERMIT019 PE$MIT NO. .+F.C. MICROFILM FEE COPIES $ AGE e PA LEGAL DESCRIPTION �BOOK �y f F S G✓ . a( e MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GR/P�� TYPE CK BV 1 ..... �R ��SJ P r /' ICI S' S5-1 R PLAN CHECK FEE $ BOND AMT. PLAN CHECKER FINAL DAT ECT R OF - [PLANf�NJO, CONSTRUCTION FEE DBL` Q NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTr S!SIGNATURE CONTRACTOR INSTRUMENTATION FEE 'SPECIAL INSP .' $ ADDRESS ADDRESS - DEMOLITON FEE REGISTRATION? PLUMBING FEE DBL $ CITY CODE CITY ZIP ZIP CODE � TOTAL FEES $ E O AR A'CODE TEL. NO. AREA CODE tt CASH ❑CHECK .O.❑N.C.❑ [LICENSE RECEIVED BY TREES REQUIRED THI SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO'BECOME VOID. (O GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM f �// T Ll P 6i�^i THE LAWS OF'RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY CUmrervaA I IUIN fNZ>UKA1NC.t UPUIN MY tMPLUYttS. CUMPLIANCE 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 ORM 264.206 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.