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296643 (SFD)
. DEPARTMENT OF BUILDING & SAFETY. BUILDING PERMIT FIELD OFFICE JOB ADDRESS SP NO J F M A M 1 J A S O N D I PERMIT NO. 4 31 2 96 -low�.V V1�11 Vr R111GR71VG 77 OMMUNITY VALUATIO DATE DST CONSTRUCTION ESTIMATE 78 ' NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL. POR. A0 GAR. CAR P. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ 1E'% UNITS FF�Cyy. SUPP- TO PERM PE MI SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. MOBILEHOME SVC. BAR SINK SQ. FT. @ .S � POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING V FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ O WATER PIPING ew NOTE: Not to be used os property tax valuation $ SWIM POOL, PVT AL DESCR ION FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM DBL WATER SOFTENER USE N ZONE VENT SYSTEM Ej FAN ❑ EVAP. COOL OOD !Se SIGN WASHER(AUT SH) O APPLIANCE AORYERri /GRRP / w I GARBAGE DISPOSAL +5G3 R FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED $ BOND AMT. LAUNDRY TRAY PLAN CHECKER FINAL DATE INSPECTOR AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK CX9 ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC DBL WATER CLOSET NAME OF CONST. LENDER BRANCH OFFICE COMPRESSOR HP POLE, TEMP/PERM LAVATORY lei r ✓' HEATING SYSTEM NeORCED ❑ GRAVITY i AMPERES SERV ENT !XJj SHOWER ap BOILER T. U. SQ.FT. @a BATH TUBS STRONG MOTION $ OWNE ' /AG TS SIGDIATU CONTRACTOR SQ.FT. @ a INSTRUMENTATION FEE WATER HEATER 40110 SPECIAL Q.FT.RESID @ 111/a4 SEWAGE DISPOSAL cla? S ADDRESS INSP DEMOLITON Q.FT.GAR @ 3/na HOUSE SEWER REGISTRATION GAS PIPING ttt!!! • PERMIT FEE .CA'i PERMIT FEE $ PERMIT FEE A. DBL, TOTAL FEES MOB.HM.FEE MICRO FEE M . FEE61L. K. FEE CONST. FEE ELECT. FEE SMI FEE —I—L FEE PL FEE JOB ADDRESS SP NO J F M A M 1 J A S O N D I OWNER 77 OMMUNITY VALUATIO DATE ST OFFICE 78 ' M H PERMIT FEE $ USE OppER IT FF�Cyy. SUPP- TO PERM PE MI O. V MICROFILM FEE COPIES $ BOOK PAG PARC L AL DESCR ION MECHANICAL FEE DBL $ USE N ZONE SET BACK LOT SIZE TYPE CK BAY(/ op /GRRP / w I S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ®� r ✓' ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNE ' /AG TS SIGDIATU CONTRACTOR INSTRUMENTATION FEE SPECIAL $ S ADDRESS INSP DEMOLITON FEE REGISTRATION ttt!!! • PLUMBING FEE DBL $ CITY ZZIIPPPCCODDE CITY ZIP CODE ...... /i 6i J T+�J TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE a CASH (]CHECK .O.(:)N.C.❑ © ♦ {� © C RECEIVED BY TREES REQUIRED OOMSSTENSATION P" SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM ! BY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P L? HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 286-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.