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286823 (SATT). DEPARTMENT OF BUILDING & SAFETY �, BUILDING PERMIT ,. l ,,,*`; ;1 � �,�,�I FIELD OFFICE - J F I M A M J J A S O N D PERMIT NO. 86823 -low Ujuvi1 ► Or Rjvcrt�lvc COMMUNITY - VALUATION DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. @ POR. 86 SQ. FT. @ GAR. SQ. FT. @ SSP CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION$ �_ >�2lJ 4t UNITS MOBILEHOME SVC. POWER OUTLET PE MI�NO YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING CIO; NOTE: Not to be used as property tax valuation SWIM POOL, PVT iI`f V.cG vg FLOOR DRAIN MECHANICAL FEES ,MICROFILM FEE SWIM POOL, COMM $ WATER SOFTENER BOOK PAGE PARfy�CMEJL LEGAALLj�DESCRIPTION VENT SYSTEM KFAN ❑ EVAP. COOL HOODS SIGN WASHER (AUTO ISH) . MECHANICAL FEE APPLIANCE WRYER $ USE NO.. GARBAGE DISPOSAL ASO SIZE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED TYPE IC"Y LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK. I. d�1« /SyET ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET 0_,e COMPRESSOR T,6 � HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ORCED ❑GRAVITY AMPERES SERV ENT SHOWER $ BOILER B.T.U. BOND AMT. SQ.FT. @ a PLAN CHECKER BATH TUB q, SQ.FT: @ a WATER HEATER 0 .a7'7� CONSTRUCTION FEE .FT.RESID @ M/4a $ SEWAGE DISPOSAL OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 'SQ.FT.GAR @ 3/4a jNAME ` HOUSE SEWER .sem • ELECTRICAL FEE DBL $ GAS PIPING ADDRESS CITY PERMIT FEE PERMIT FEES, 47Ss'1 PERMIT FEE , �A DBL. TOTAL FEES MOB.HM.FEE MICRO FEE J MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE - SMI FEE FEE PLUMB. FEE J F I M A M J J A S O N D JOB ADDRESS - SP NO I OWNER ,76 77 COMMUNITY - VALUATION DATE DST I OFFICE M H PERMIT FEE $ USE OF PERMIT //�� %% �♦��y. F.C. SUPP. TO PE MIT PE MI�NO 6 iI`f V.cG vg 00 ,MICROFILM FEE COPIES $ BOOK PAGE PARfy�CMEJL LEGAALLj�DESCRIPTION ��I ��rl / /(yy��f [t dfy AXs 31-11 134, 2qi � '1 6/! �I MECHANICAL FEE DBL $ USE NO.. ZONE BBACKt LOT SIZE GRP,*� TYPE IC"Y I. d�1« /SyET PLAN CHECK FEE $ BOND AMT. PLAN NO, �`ivSP PLAN CHECKER FINAL DATE INSPECTOR .a7'7� CONSTRUCTION FEE DBL $ (:) a OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED jNAME ` .sem • ELECTRICAL FEE DBL $ ADDRESS CITY STATE 47Ss'1 , �A : STRONG MOTION $ OWNER/ 6N 5 SI UR CONTRACTOR G % �g � " :INSTRUMENTATION FEE t� ISPECIAL INSP $ ADDRESS ADDRESS DEMOLITION ''REGISTRATION FEE f i � ;PLUMBING FEE DBL $ e0 CITY ZIP CODE CITY ZIP CODE TOTAL FEES is EL. N AREA CODE TEL. NO. AREA CODE LICENSE a ,.CASH❑CHEC .O.❑N.C.❑ PTC..' /./ 3 �1 / c RECEIVED BY TREES REQUIRED k IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF F R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID. SEWAGE SYSTEM 1�, REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ' T Q� LL P iil ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY " (_UfAI'ENJA I IUN INJURANCE 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. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.