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286075 (SFD)BUILDING PERMIT A DEPARTMENT OF BUILDING & SAFETY - FIELD OFFICE J F M AIM J 1 A S O N D PERMIT NO. 1 �_%J%p v l L Vr RI V CICJIL7L2.86075 COMMUNITY t VALUATION $ � S6 ? cscs DST CONSTRUCTION ESTIMATE �' -: NO. ELECTRICAL FEES M H PERMIT FEE NO. PLUMBING FEES $ 1 ST FL. SQ. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ $� ffi.� UNITS PE MI NO SO. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS G f6075 FT. @ 41_4* DRAINAGE PIPING FT. @ DRINKING FOUNTAIN ow_ URINAL VALUATION $ - Lr WATER PIPING �. NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MICROFILM FEE MECHANICAL FEES $ SWIM POOL, COMM BOOK AGE PARCEL WATER SOFTENER VENT SYSTEM AFAN ❑ EVAP. COOL Dk2lOOD SIGN , WASHER (AUTO) (QU) QQ $ APPLIANCE [XDRYER S ZONE SET BACK GARBAGE DISPOSAL GRP TYPE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK. I ID S / ABSORPTION SYSTEM B.T.U. R� TEMP USE PERM SVC WATER CLOSET 4kp PLAN CHECK FEE COMPRESSOR HP Q POLE, TEMP/PERM BOND AMT. LAVATORY PLAN CHECKER FINAL DATE INSP HEATING SYSTEM D<FORCED ❑ GRAVITY > MPERES SERV ENT SHOWER / � BOILER B.T.U. a-� SOFT. @ a CONSTRUCTION FEE BATH TUB d NAME OF CONST. LENDER BRANCH OFFICE SQ.FT. @ a WATER HEATER„ d FT.RESID @ 11A4 �Ls� SEWAGE DISPOSAL du ADDRESSJ�` CITY SQ.FT.GAR @ 3/aa HOUSE SEWER STRONG MOTION GAS PIPING $ 1� PERMIT FEE O••,b PERMIT FEE PERMIT FEE 4 DBL. TOTAL FEES �pj•]MOB.HM.FEEI MICRO FEE ME H. FEE PL. CK. FEE CONST. FEE EL FEE SMI FEE FEE FEE PLUMB. FEE J F M AIM J 1 A S O N D JOB ADDRESS SP NO 71 Aye I OWNER ^t r 0 1\•.' 76 77 COMMUNITY t VALUATION $ � S6 ? cscs DATE ��// f 76 DST OFFICE �' -: 78 M H PERMIT FEE $ USE PERMIT F.C. SUPP. O PE IT PE MI NO 1 /�' 0 G f6075 .f !fie MICROFILM FEE COPIES $ BOOK AGE PARCEL LEGAL DESCRIPTION -0l4 , MECHANICAL FEE DBL $ USE NO, ZONE SET BACK LOT SIZE GRP TYPE CK BY ~� I ID S / I� S jI' R� S, PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP CTOR P4� / � , se a-� � , CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED d ELECTRICAL FEE DBL $ ADDRESSJ�` CITY STATE STRONG MOTION $ 1� OWNER/AGENTS SIGNATURE CONTRACTOR INSTRUMENTATION FEE SPECIAL INSP $ ADDRESS ADDRESS DEMOLITION FEE �-^ 1 &Ij®X REGISTRATION RS �.7 ! PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 33 TOTAL FEES $ TEL NO. AREA TEL. NO. AREA CODE17' CASH ❑CHECK .O.❑N.C.❑ ` -. RECEIVED BY TREES REQUIRED. ERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID. SEWAGE SYSTEM T(p/�TV r LL P / y�//x AITH'OR REBY AGREE THATALLWORK IN CONNECTION WITH THIS PERMITWILLBE DONE INACCORDANCE THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY o W L.UMrr"aAmDN INJUKANi-r UFON MT CMYLOTEES.C0N%rLIANLt WIltl INt LAWJ Uh INt JIAIt Ur 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.