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303340 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT �^e IUTv P%e RlveRelnr PERMIT NO. 3033401 JOB ADDRESS I SP NO 1 53-835 Ave. D.Laz I .VVI\11 Vr RIIIGR7I VG 76 77 COMMUNITY DST 1//l CONSTRUCTION ESTIMATE OFFICE NO. ELECTRICAL FEES Lal uipta NO. PLUMBING FEES 6-30-77 11 1ST FL. SQ. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ „ UNITS $ USE OF PERMIT SQ. FT. @ YARD SPKLR SYSTEM SUPP, TO PERMIT SQ. FT. @ MOBILEHOME SVC. BAR SINK NO, SQ. FT. @ POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL 001 VALUATION Is WATER PIPING 303341 NOTE: Not to be used as property tax valuation SWIM POOL, PVT MICROFILM FEE FLOOR DRAIN $ MECHANICAL FEES BOOK PAGE PARCEL SWIM POOL, COMM WATER SOFTENER VENT SYSTEM WAN ❑ EVAP. COOL IX400D 4- SIGN MECHANICAL FEE WASHER (AUTO H) $ APPLIANCE RYER USE NO. ZONE SET BACK IGARBAGE DISPOSAL eav FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED CK BY LAUNDRY TRAY 40 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. T. TEMP USE PERM SVC WATER CLOSET COMPRESSOR � HP HEATING SYSTEM .— ORCED [:)GRAVITYMPERES 6� POLE,"TEMP/PERM SERV ENT LAVATORY SHOWER S 5' R 13 BOILER B.T.U. R-3 SQ.FT. @ Q b S BATH TUB $ SQ.FT. @ a PLAN NO. WATER HEATER FINAL DATE INSP R Q. FT. RES] D @ I V44 G' SEWAGE DISPOSAL Q.FT.GAR @ 1/44 HOUSE SEWER DBL $ NAME OF CONST. LENDER BRANCH OFFICE NV NDER INVOLVED GAS PIPING PERMIT FEE t� PERMIT FEE PERMIT FEE DBL DBL. I TOTAL FEE�S�ys MOB.HM.FEE MICRO FEE MtiW. FEEL. CK, FEE I CONST. FEE ELECTFEE SMI F7E . _ZF FEE PL . FEE I+� J F M A M 1 J A S O N D P JOB ADDRESS I SP NO 1 53-835 Ave. D.Laz I OWNER , Dr.IT-ITDev. 76 77 COMMUNITY VALUATION DATE DST OFFICE Lal uipta 25,344 W 6-30-77 11 Iadit 78 M H PERMIT FEE $ USE OF PERMIT F.C. SUPP, TO PERMIT PERMIT NO, dwelling att. arae 001 29 421 303341 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION 4- t 4. block 199, Putt 19 MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK BY 40 —7n T. it -1 5` S 5' R 13 50X100 R-3 V- b S PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP R — / 7 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NV NDER INVOLVED t� ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNE R/AGENr5-SIG NATURE ` CONTRACTOR INSTRUMENTATION FEE Driscoll Dev. Con'. SPECIAL INSP $ ADDRESS ADDRESS DEMOLITION FEE REGISTRATION ax 9 PLUMBING FEE DBL $ cl ZIP CODE CITY ZIP CODE TOTAL FEES $ TEL. NO. AREA CODE T.L. NO. AREA CODE LICENSE n CASH QCHECK .O.ON.C.❑ a /564-11.59 RECEIVED BY -' TREES REQUIRED IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF K F 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH SEWAGE SYSTEM li1/r / �%//� T L p .G" THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE U ON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF Inc 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.