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290781 (SOTB)
• ` • DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT /`/11 silty ~ nw�ne — J F I M A M J J A S O N D PERMIT NO. 290 7 811 VVV171 t V'r RIYLR�IVC 1/7 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ UNITS 2ND FL. SQ. FT. @ YARD SPKLR SYSTEM FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ DRINKING FOUNTAIN ASQ. FT.@ �•• URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN 77 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VALUATION $ 3 3 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) DST // APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY /_4✓ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET ' COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER OB. T. U. SQ.FT. @ a BATH TUB F.C. SQ.FT. @ a WATER HEATER PMO, SQ.FT.RESID @ 11/4a SEWAGE DISPOSAL SQ.FT.GAR @ 1/4a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTA/L/ FEESgq! MOB.HM.FEE MICRO FEE MECH. FEE PL, CK. FEE zx COflNWEE 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 (4 m OWNER A 76 �[�0 /& C 77 COMMUNITY : VALUATION $ 3 3 DATE -1171/77 DST // OFFICE 78 /_4✓ ,to- / ' M H PERMIT FEE $ USE OF PERMIT F.C. SUPP. TO PERMIT PMO, c, `.MICROFILM FEE COPIES $ BOOOK.� PAGE P,A�R+,C/EL LEGAL DESCRIPTION / (4 Fo ,MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE I GRP I TYPE BY ICK j I � S .✓ S � R / � �� `PLAN CHECK FEE $ O© BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE I➢15.PECTOR Dl (:CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE 'STRONG MOTION $ OWNER/AGENTS SIGNATURE T INSTRUMENTATION FEE 9� SPECIAL INSP $ ADDRESS ADDRESS DEMOLITION FEE +moi REGISTRATION i '�.T� — /7,/ -PLUMBING FEE DBL $ CITY ZIP CODE CIT tl C IP CODE TOTAL FEES � $ �f } TEL. NO. AREA CODE TEL. NO. / LA LICENSEvp o CASH HECK❑,{ya O.❑N.C.❑ yGODE f i10 "'T�%S ' RECEIVED BY TREES REQUIRED THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 'SEWAGE SYSTEM I I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY -' L.UMrtNZOAIIUN IrvJUKArvLt UPON MT EMYLOfEES. wmrUANC.t WITH THE LAWS OF THE STATE Vr CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 IREV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE / OF CALIFORNIA.