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286662 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT �•�� ulTv �r nlv0nrl J F M A M J J A S O N 0 PERMIT NO.�r -_wwri I 1 Vr ni v crtaluC �' 77 COOMMMMUNITY u-li) lI DST J/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES f �7 / 1 ST FL. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ ' M H PERMIT FEE UNITS $ USE F PE MIT SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ sit MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING e� FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL MICROFILM FEE VALUATION $ WATER PIPING $ NOTE: Not to be used as property tax valuation BOOKPAG[E� P;Q LEGAL DESCRIPTION SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES DBL SWIM POOL, COMM t WATER SOFTENER ZONE,/% LOT SIIZZ[E %0� GRP SET BACK LOT VENT SYSTEM 5<AN ❑ EVAP. COOL OOD Q SIGN WASHER(AUTO ISH) APPLIANCE RYER I S S w.I R �I �I GARBAGE DISPOSAL —04, $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED BOND AMT. ` PLAN CHECKER lop LAUNDRY TRAY INSP CTOR AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ;:L :5 T? ABSORPTION SYSTEM B.T.U. CONSTRUCTION FEE TEMP USE PERM SVC WATER CLOSET NAME OF CONST. LENDER BRANCH OFFICE COMPRESSOR. A) � HP `. POLE, TEMP/PERM LAVATORY , HEATING SYSTEMORCED ElGRAVITY Q2 AMPERES SERV ENT $ SHOWER QQ cm BOILER B.T.U. SQ.FT. @ a BATH TUB .a STRONG MOTION SQ. FT. @ a $ WATER HEATER OVINMERIAGENIS SIGNATURE CONTRACTOR INSTRUMENTATION FEE ` Q.FT.RESID @ 11/4¢ SEWAGE DISPOSAL :'SPECIAL INSP qkl4ZQ.FT.GAR @ t/4¢ $ HOUSE SEWER ADDRESS ADDRESS ,,REGISSTRATTIION FEE GAS PIPING PERMIT FEE Q ISL DBL PERMIT FEE PERMIT FEE CITY ZIP CODE DBL. TOTAL FEES MOB.H M.FEE MICRO FEE MEC H. FEE L. CK. FEE CONST, FEE ELECT. FEE SMI FEE FEE PLUMB. FEEAT J F M A M J J A S O N 0 JOB ADDRESS SP NO OWNER 1 � Ake I {, ' A 276 - O j � 77 COOMMMMUNITY u-li) lI $ ,U+AATION DATE .r.� "%t /DST JOFFICE 78 X3'7 f �7 / / M H PERMIT FEE $ USE F PE MIT F.C. SUPPI TO PE T PERMIT NO. e� MICROFILM FEE COPIES $ BOOKPAG[E� P;Q LEGAL DESCRIPTION 'MECHANICAL FEE K DBL $ / t USE NO. ZONE,/% LOT SIIZZ[E %0� GRP SET BACK LOT TYPE C K BY I� S I S S w.I R �I �I `PLAN CHECK FEE —04, $ BOND AMT. PLAN NO, PLAN CHECKER lop FINAL DATE INSP CTOR AV4 ;:L :5 T? _1_s� CONSTRUCTION FEE DBL$ sa NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED `. 'ELECTRICAL FEE DBL $ A°°res a cm STATE .-- STRONG MOTION $ g OVINMERIAGENIS SIGNATURE CONTRACTOR INSTRUMENTATION FEE Indian Wlllis Const. Co. :'SPECIAL INSP $ ADDRESS ADDRESS ,,REGISSTRATTIION FEE P 0 Box 917 ".PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 37 ' La Quinu, CA 92253 TOTAL FEES $ 00 TEL. NO. AREA CODETEL. 7///, NO. AREA CODE LICENSE.n CASH❑CHECK O.❑N.C.❑ 01 -'RECEIVED BY �• REES REQUIRED I ERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF W RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY i(1M0FAICATlI &I—CIIDA—cI l .SEWAGE SYSTEM T /�!� f� LL �j �`� P �N LIMI`ILC YYlin InC LM vvJ Vr In 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.