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303511 (SATT)
FIELD OFFICE DEPARTMENT OF BUILDING &-SAFETY BUILDING PERMIT ,. ....— —, �,,,�„�„�� , J F M A M J J A S O N D PERMIT NO.low\.V 0351 \J IY IT wr RI V CK31LPC - ' 'DST �1. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL. FOR. 4,n GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $t UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ ^�� POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ . WATER PIPING d NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN -6_ - MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER M H PERMIT FEE VENT SYSTEM FAN ❑ EVAP. COOL X HOOD146 SIGN WASHER(AUTO)(DL$1 $ APPLIANCE RYER GARBAGE DISPOSAL USE OF PERMIT ZfI:5""4 t1 ' FURNACE ❑ UNIT ❑ WALL [:]FLOOR ❑ SUSPENDED LAUNDRY TRAY SUPP. TO PERM AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET MICROFILM FEE COMPRESSOR :Z-1,fz -jf��HP + POLE, TEMP/PERM LAVATORY $ HEATING SYSTEM ❑ FORCED, ❑ GRAVITY AMPERES SERV ENT SHOWER BOOK PAGE PARCEL BOILER B.T.U. SQ.FT. @ a 7 BATH TUB SQ. FT. @ a WATER HEATER Q.FT.RESID @ 11/4a SEWAGE DISPOSAL 7,711 mar SQ.FT.GAR @ 3/44 HOUSE SEWER MECHANICAL FEE GAS PIPING $ PERMIT FEE PERMIT FEEPERMIT FEE NO. DBL. I TOTAL FEES i MOB.HM.FEE MICRO FEE MECH.FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A S O N D JOB ADDRESS SP NO 'J I - !/t L ff sce, OWNER ' 76 77 COMMMUNITY- VALUATION DATE DST OFFICE /c. / � � Ii i ,�,e $ �,2:�j './ © 7 i� it -6_ .78 M H PERMIT FEE $ USE OF PERMIT ZfI:5""4 t1 ' F.C. fatii SUPP. TO PERM 3 PE$ IIT NO. 03 MICROFILM FEE COPIES $ BOOK PAGE PARCEL L GAL DESCRIPTION 7,711 mar d'...� a? �''o�-./`: �- MECHANICAL FEE DBL- $ NO. ZONE SET AGK SIZE GRP, TYPE CK BY w/�USE �yq/� LOT V PLAN CHECK FEE $ BOND AMT. PLAN NO, PLAN CHECKER FINAL DATE INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LEN ER INVOLVED 0 tta op ELECTRICAL FEE DBL $ ADDRESS CITY STATE iL f� tS7- 41 STRONG MOTION $ OWNER/AGENTS SIGNATURE / CONT. R CT - - INSTRUMENTATION FEE 'SPECIALINSP $ ADDRESS AO RESS DEMOLITON FEE '' REGISTRATION L ' PLUMBING FEE DBL $ CITY ZIP CODE CIT ZIP CODE ✓ TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE o CASH OCHECKDKO.ON.C.0 tam O } k eS 4, RECEIVED BY TREES REQUIREDArR IT SH -ALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.,CE'SSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.' SEWAGE SYSTEM ' 1tl'ff� I,f�E'REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL p' Y 1 H THE LAWS Of RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY t_UMFtNJAI IUN INSURANCE UPUN 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 -20e (REV, 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE . OF CALIFORNIA.