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301846 (SFD)
DEPARTMENT OF BUILDING 81 SAFETY FIELD OFFICE BUILDING PERMIT ,. ....— — �,•,�„I„�� I J F M A M 1 J A S O N D PERMIT NO. 6] 1301 OWNER � . �. <.V{JI I If %jr KIYCR3I11.1C COMMUNI ATE OST DST I / CONSTRUCTION ESTIMATE rFLU.TIO-LU�// NO. ELECTRICAL FEES NO. PLUMBING FEES .M H PERMIT FEE 1ST FL. 2ND FL. FOR. GAR. CAR P. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS F.C. SUPP. T FERMI PERMIT SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ �© MOBILEHOME SVC. BAR SINK SQ. FT. @ 4Jw POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING Lam/ FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $. !J WATER PIPING NOTE: Not to be used as property tax valuation COPIES SWIM POOL, PVT FLOOR DRAIN LEGAL DESCRIPTION MECHANICAL FEES SWIM POOL, COMM _ t WATER SOFTENER MECHANICAL FEE DBL VENT SYSTEM ACAN ❑ EVAP. COOL RHOOD 4T Gam+ SIGN ZONE WASHER (AUTO) iOa GyRj�P APPLIANCE RYER GARBAGE DISPOSAL QG? FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED. i�1 V LAUNDRY TRAY S R AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK PLAN NO. PLAN CHECKER�r ABSORPTION SYSTEM B.T.U. OR TEMP USE PERM SVC I 2,WATER CLOSET1.J COMPRESSOR % HP O POLE, TEMP/PERM LAVATORY DBL $ HEATING SYSTEM ORCED ❑GRAVITY NAME OF CONST. LENDER BRANCH MPERES SERV ENT NOI&DERINVOLVED SHOWER BOILER B.T.U. SQ. FT. @ a BATH TUB 14440 $ ADDRESS CITY SQ.FT. @ ¢ STATE WATER HEATER '22 da Q.FT.RESID @ 11/4a SEWAGE DISPOSAL lsfi $ OWNER/AGENTS SIGNATURE CONTRACTOR SQ.FT.GAR @ 3/4a INSTRUMENTATION FEE HOUSE SEWER 'SPECIAL INSP GAS PIPING L!^i $ PERMIT FEE ( PERMIT FEE DEMOLITON PERMIT FEE tY� DBL. TOTAL FEES (/ MOB.HM.FEE MICRO FEE M GH. FEE L. CK. FEE CONST. FE�,E/�c/�y ELECT.FEE SMI AleFEE PLUMS F4FEEEE/+� J F M A M 1 J A S O N D JOB ADDRESS SP NO � I OWNER � . �. 760.'zz�- 77 COMMUNI ATE OST OF CE rFLU.TIO-LU�// 71 78 .M H PERMIT FEE $ USE OF'PERMIT F.C. SUPP. T FERMI PERMIT NO. Lam/ -MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION _ t a1.— � _� /! MECHANICAL FEE DBL $ USE NO. ZONE SET BACK I LOT SIZE GyRj�P TYPE CK BY i�1 V S S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER�r FINAL DATE INSP OR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NOI&DERINVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONTRACTOR ..' INSTRUMENTATION FEE 'SPECIAL INSP $ ADDRESS AD E S DEMOLITON FEE �l REGISTRATION /,P, 4, PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE • g: TOTAL FEES * $ TEL. NO. AREA CODE T L. O Clcmst a �AREACODE CASH ❑CHECK .❑N.C.❑ Q y/ RECEIVED BY .. TREES REQUIRED T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF RK 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I E AGREE THAT All WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM / T LL p THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY AADCAICATI( klCl G I-VIV\f LC VVll ll IIIC LHYVJ IJr Ir1C JIMIC Vr CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 204-208 IREV. 6.761 SO IN ACCORDANCE WITH SECTION 55A1 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.