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303523 (SATT)FIELD OFFICE . DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT J F M A M J J A S O N D PERMIT NO.� 5 OWNER ' WV 1Y 1 / Or RIVERSIDE 77 COMM NITY DST �.. CONSTRUCTION ESTIMATE DST NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL. POR. 49A GAR. CAR P. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ ! 1 UNITS 78 M H PERMIT FEE SQ. FT. @ YARD SPKLR SYSTEM $ SQ. FT. @ 04 MOBILEHOME SVC. BAR SINK' E OF PERMI F.C. SUPP. TO`PERMll PE MIT NO. 03523 B PAGE PARCEL LEGALSC RIPTIO SQ. FT. @. Scg y POWER OUTLET ROOF. DRAINS COPIES SQ. FT. @ DRAINAGE PIPING FT. @ ` DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING MECHANICAL FEE NOTE: Not to be used as property tax valuation $ SWIM POOL, PVT FLOOR DRAIN ZONE SET BACK MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM kFAN ❑ EVAP. COOL allOOD SIGN WASHER(AUTO)(n1 APPLIANCE RYER GARBAGE DISPOSAL FURNACE ❑ UNIT Cl WALL ❑ FLOOR ❑ SUSPENDED i LAUNDRY TRAY PLAN CHECK FEE AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK PLAN CHECKER FINAL DATE OF ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET 4d Adel COMPRESSOR f' HP POLE, TEMP/PERM LAVATORY. CONSTRUCTION FEE DBL HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER NOL INVOLVED BOILER B.T:II. SQ.FT. @ ¢ BATH TUB' 'ELECTRICAL FEE DBL SQ.FT. @ ¢ WATER HEATER ADDRESS CITY STATE - Q.FT.RESID .@ 11/4a ISEWAGE DISPOSAL L4 •OWNER/AGENT'S SQ.FT.GAR @ a/4a HOUSE SEWER fotz . SIGNATURE - _ INSTRUMENTATION FEE GAS' PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL, I TOTAL FEESr' f MOB.HM.FEE MICRO FEE MEL". FEE ''- PL. CK. FEE CONST. FEE ELE`2117FEE SMI FEE FEE I LGWI3. FEE J F M A M J J A S O N D JOB ADDRESS SP NO I _ OWNER ' 76 77 COMM NITY VALUATION DATET DST OFFICE $ cu7-$-d 7/ '7 r 7 ! 1 T 78 M H PERMIT FEE $ - E OF PERMI F.C. SUPP. TO`PERMll PE MIT NO. 03523 B PAGE PARCEL LEGALSC RIPTIO MICROFILM FEE COPIES $ MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE G`R}P TYPE CK By i PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE OF INSPE$7TOR 3- i' �1`//� CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NOL INVOLVED 'ELECTRICAL FEE DBL $ ADDRESS CITY STATE - •OWNER/AGENT'S STRONG MOTION $ SIGNATURE - CONTRACTOR INSTRUMENTATION FEE i ,._ 'SPECIALINSP $ ADDRESS ADDRESS DEMOLITON FEE REGISTRATION .� PLUMBING FEE DBL $ clTrZIP CODE CITY ZIP CODE 74 TOTAL FEESTEL. $ NO. AREA CODE TCL. NO. AREA CODE LICENSE 4 CASH ❑CHECK =2 3 O � — '. 711 I/p�/�(� /f .O.❑N.C. � RECEIVED BY TREES REQUIRED IS- IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I B AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM / �* T /�� LL P H THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY wrnrtrian I ION INSUKANCE 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 264-206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.