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303527 (SATT)FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT a � r%i mivw �r nwLne.— I J F M A M J J A S. O N D PERMIT NO. 5t OWNER - Wvvi 1 I %jr RI cKallJC 77 COMMUNITY DS7 CONSTRUCTION ESTIMATE DST NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 91 2ND FL: POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ a... UNITS 78 M H PERMIT FEE SQ. FT. @ YARD SPKLR SYSTEM $. SQ. FT. @-� MOBILE HOME SVC. BAR SINK USE OF PERMIT SQ. FT. @ POWER OUTLET ROOF DRAINS SUPP, TO PERMIT rE�IITIT SQ. FT. @ DRAINAGE PIPING NO. SQ. FT. @ DRINKING FOUNTAIN . MICROFILM FEE SQ. FT. @ URINAL $ VALUATION $ WATER PIPING BOOK PAGE PARCEL NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN 7 - 21 Ca!b? MECHANICAL FEES MECHANICAL FEE swim POOL, COMM WATER SOFTENER USE NO. VENT SYSTEM AN ❑ EVAP. COOL OOD SET BACK SIGN WASHER(AUTO)(D" O CK BY APPLIANCE [DRYER 72, GARBAGE, DISPOSAL {j Imo` I FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED .fi'� LAUNDRY TRAY • -' I -741 S S AIR HANDLING UNIT CFM RQ�t� IDLE METER KITCHEN SINK $ ABSORPTION SYSTEM 0 B.T.U. PLAN NO. TEMP USE PERM SVC WATER .CLOSET p COMPRESSOR HP POLE, TEMP/PERM 7,1AVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT da SHOWER $ BOILER B. T. U. OFFICE SQ.FT. @ ¢ BATH TUB .t SQ.FT. @ ¢ WATER HEATER A� DBL $ Q.FT.RESID @ 11/4¢ SEWAGE DISPOSAL STATE SQ.FT.GAR @ 3/4¢ HOUSE SEWER GAS PIPING PERMIT FEE `jam PERMIT FEE d PERMIT FEE v OWNER/AGENTS SIGNATURE CONTRACTOR OBL..' TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL: CK. FEE CONST. FEE ELECT. FEE MI FEE FEE PLUMB. FEE J F M A M J J A S. O N D JOB ADDRESS SP NO I - OWNER - 76 77 COMMUNITY VALUATION DATE DST OFFICE $ �. {/p� 1 / j 78 M H PERMIT FEE $. USE OF PERMIT F.C. SUPP, TO PERMIT rE�IITIT NO. 5, MICROFILM FEE COPIES $ BOOK PAGE PARCEL LE AL 1EICRIPT109 7 - 21 Ca!b? ..- ,e9� T4s MECHANICAL FEE DBL $ USE NO. ZONjE���je SET BACK LOT SIZE/ GRP TY�P�Efj CK BY 72, �YV {j Imo` I q 1 4 .fi'� &b I -741 S S im S y�� RQ�t� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER . FINAL DATES '7' ` INSP/EC R CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER 'BRANCH OFFICE NO L R INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY ` STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONTRACTOR S 7� ?t 1 INSTRUMENTATION FEE N S 'SPECIALINSP $ .ADDRESS ADDRESS. DEMOLITION FEE REGISTRATION 40', s' PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODE LICEN F CASH ❑CHECK .O.❑W.C. 1T -.:sem ' °7W -244 � RECEIVED BY' TREES REQUIRED MIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF j�R R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM E Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE . T}� LL P H THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE' TO CARRY COMPENSATION 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 284-208 (REV. 8-78) - SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.