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301850 (SFD)r . DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT o-o%i m ry o%r R,vienri e I FIELD OFFICE R PERMIT NO.. 3018501 I VVV•�r Vr Rr�GRJIVG �' - 76 DST Lff CONSTRUCTION ESTIMATE VALUATION NO. ELECTRICAL FEES DST NO. PLUMBING FEES 1 ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION 50. FT. @ UNITS 78 M H PERMIT FEE 50. FT. @ YARD SPKLR SYSTEM $ SQ. FT. @ MOBILEHOME SVC. BAR SINK USE OFf PER T I POWER OUTLET ROOF DRAINS 5Q. FT. @ JX 49X, eg SUPP. TOPERMIT 5Q. FT. @• DRAINAGE PIPING 5Q. FT. @ DRINKING FOUNTAIN 50. FT. @ I URINAL VALUATION $ WATER PIPING. f iC.+o I NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN' MICROFILM FEE COPIES MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM 5eAN ❑ EVAP. COOL kHOOD 1410 SIGN $ WASHER (AUTO) (Qft USE NO. ZONE APPLIANCE RYER LOT IZE RP TYPE ICK BY GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY, AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 1 S R ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET BOND AMT. COMPRESSOR HP PLAN CHECKER POLE, TEMP/PERM R LAVATORY (jQ HEATING SYSTEM ORCED ❑ GRAVITY may. MPERES SERV ENT SHOWER CONSTRUCTION FEE BOILER B.T.U. $ SQ.FT. @ aATH NAME OF CONST. LENDER TUB NO LEND VOLVED SQ.FT. @ a WATER HEATER OCT ELECTRICAL FEE DBL $ "' .FT.RESID @ 11/44 ADDRESS SEWAGE DISPOSAL D© " SQ.FT.GAR @ 3/4a HOUSE SEWER $ OWNER/AGENTS SIGNATURE - GAS PIPING tJl� PERMIT FEE DBL. TOTAL FEES,�% MOB.H M.FEE MICRO FEE M fJ .FEE PERMIT FEE . CK. FEE CONST. FEE EL T. FEE 3rp-p 7 PERMIT FEE SMI FEE FEE -20 / PLUM B. FEE R JOB ADDRESS I SP NO OWNER J I F I M A M J J A S O N D I 76 77 C MMUNITY VALUATION DATE DST ICE /• ✓�.. ��/y $ /� I ..... 11-21 78 M H PERMIT FEE $ USE OFf PER T I F.C. SUPP. TOPERMIT PERMIT O. f iC.+o I 301 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPT ON MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT IZE RP TYPE ICK BY 1 S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPEC R J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LEND VOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE j $ OWNER/AGENTS SIGNATURE - CONTRft,(r,✓ CTOR��• STRONG MOTION �... J INSTRUMENTATION FEES SPECIAL INSP $ ADDRESS A D ESS DEMOLITON FEE REGISTRATION PLUMBING FEE DBL $ CITY ZIP CODE CWY ZIP CODE TOTAL FEES $ TEL. NO. AREA CODE EL. REACbbE LC N CASH❑CHECK O.❑N.C.❑ RECEIVED BY TREES REQUIRED IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM / rA011F GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL p AWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY= NSATION INS U ANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE Or. 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 FORM 284-ZOB IREV. 6-1e1 OF CALIFORNIA.