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286363 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE J F M A M J J A S O N D PERMITNO. 286363 OWNER e� .JO•J Ig/ N bVVlr11 Vr RIYCRJIVC 7" —a57 G DjjjjST i CONSTRUCTION ESTIMATE VALUATION $ NO. ELECTRICAL FEES DST NO. PLUMBING FEES 1 ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ $ UNITS M H PERMIT FEE FT. @ YARD SPKLR SYSTEM $ FT. @ MOBILEHOME SVC. BAR SINK USE PERMIT 0/ AAL 47r FT. @ POWER OUTLET ROOF DRAINS SU . TO PERMIT �PEZR FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN COPIES SQ. FT. @ URINAL VALUATION $ .4-0 WATER PIPING LEGAL DESCRIPTION NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN 0""a6A X _ MECHANICAL FEE MECHANICAL FEES $ SWIM POOL, COMM USE NO. WATER SOFTENER SET BACK LOT LOT SIZE AOIX rO VENT SYSTEM >OAN ❑ EVAP. COOL XHOOD I SIGN S A WASHER (AUTO) PLAN CHECK FEE APPLIANCE XRYER BOND AMT. PLAN NO. GARBAGE DISPOSAL DATERS OR t FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY jS AIR HANDLING UNIT, CFM IDLE METER DBL KITCHEN SINK NAME OF CONST, LENDER v BRANCH ABSORPTION SYSTEM B.T.U. NO LENDER INVOLVED TEMP USE PERM SVC WATER CLOSET 00 COMPRESSOR 3 770jt)E�� HP C-9 POLE, TEMP/PERM DBL LAVATORY ADDRESS CITY HEATING SYSTEM FORCED ❑ GRAVITY BOILER B.T.U. Gid 400 AMPERES SERV ENT SQ.FT. @ a Q„Q SHOWER BATH TUB UCa J SQ.FT. @ a WATER HEATER �3 OWNER/AGENTS SIGNATURE CO ACTOR N � + P. Q.FT.RESID @ I lAc SEWAGE DISPOSAL 'q%fj SPECIAL INSP SQ.FT.GAR @ 3/4a ' HOUSE SEWER ADDRESS ADDRESS DEM REGISOTRATTIION FEE GAS PIPING PERMIT FEE 00 PERMIT FEE PLUMBING FEE PERMIT FEE $ 33 DBL. TOTAL FEES jMOB.HM,FEEj MICRO FEE MECH. FEE PL. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE J F M A M J J A S O N D JOB ADDRESS SP NO hvQ �`*0 i OWNER e� .JO•J Ig/ N ' 76 —a57 G 77 COMMUNITY 0410 f -A VALUATION $ DATE �/ DST OFFICE 76 / A M H PERMIT FEE $ USE PERMIT 0/ AAL 47r F., '00 SU . TO PERMIT �PEZR MICROFILM FEE COPIES $ BOOK AGE PARCEL LEGAL DESCRIPTION -�f� 0 0""a6A X _ MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT LOT SIZE AOIX rO GRP TYPE CK By . I S/ S A R / PLAN CHECK FEE $ BOND AMT. PLAN NO. PLANECKEFINAL DATERS OR t jS -�� CONSTRUCTION FEE DBL $ NAME OF CONST, LENDER v BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE J /, J STRONG MOTION INSTRUMENTATION FEE $ �3 OWNER/AGENTS SIGNATURE CO ACTOR N � + P. .�I 'q%fj SPECIAL INSP $ ADDRESS ADDRESS DEM REGISOTRATTIION FEE �C PLUMBING FEE DBL $ 33 CITY ZIP CODE CITY ZIP CODE 9:2A 71/ , TOTAL FEES $ s� TEL. NO. AREA CODE TEL, NO.AREA CjO(D�E LICENSE n CASHQCHECK .O.E)N.C.❑ ` pp� �'r � �"� r F ��� Ut/ RECEIVED BY REES REQUIRED kORM11SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T 149,091 LL P� ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY I FORM 2114-208 IREV. 6-761 C-VMPENSAIR)IV InJUKANCE UPON MT EMPLOYEES. C OMPUANCE WnN THE LAWS OFTHE STATE Vr CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.