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302099 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE- BUILDING PERMIT „�, ,�,�„ — �,,,�1., , J F M A J S O M J A N D PERMIT NO. 'Row I I Vr RI YLR JIVG 7' / DST302099 {j /! CONSTRUCTION ESTIMATE IT/'� �( NO. ELECTRICAL FEES NO. PLUMBING FEES DST 1ST FL. ' 2ND FL. POR. GAR. C CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION SQ. FT. @ $ M H PERMIT FEE UNITS $ SQ. FT. @ YARD SPKLR SYSTEM F.C. SQ. FT. @ L MOBILEHOME SVC. BAR SINK MIT SQ. FT. @ 1<25-0 Sd POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL �- VALUATION$ �w WATER PIPING Q 40 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 �JAAN ❑ EVAP. COOL OOD 00 SIGN WASHER (AUTO) (!jjW MECHANICAL FEE DBL APPLIANCE DRYEA 00 USE N . Z09E GARBAGE DISPOSAL LOT SIZEGRP FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM lz I IDLE METER KITCHEN SINK S s -S ,3 ABSORPTION SYSTEM B.T.U. PLAN CHECK FEE TEMP USE PERM SVC WATER CLOSET BOND AMT. COMPRESSOR - I HP PLAN CHECKER POLE, TEMP/PERM7 LAVATORY HEATING SYSTEM FORCED ❑GRAVITY ©Q AMPERES SERV ENT 00 SHOWER e 7 7 BOILER B.T.U. CONSTRUCTION FEE SQ.FT. @ a BATH TUB 6 NAME OF CONST. LENDER BRANCH OFFICE NO LENDO INVOLVED SQ.FT. @ ¢ WATER HEATER �d Q.fT.RESID @ 11/4¢ SEWAGE DISPOSAL DBL $ ADDRESS CITY SQ.FT.GAR @ 3/4a HOUSE SEWER z C GAS PIPING STRONG MOTION PERMIT FEE 9�1131 5ME. OW /AGENTS IG NATURE CONTRACTOR.R PERMIT FEE PERMIT FEE Q DBL. I TOTAL FEES MOB.HM.FEE MICRO FEE J FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE JEEPLUMB. FEE J F M A J S O M J A N D OB ADDRESS SP NO J�` I OWNER Ail, 76 / 5`4 O:A J f 77 IT/'� �( VALUATIO j DATE j `� DST OFFICE M H PERMIT FEE $ USE OF PERMIT , F.C. SUPP. TO PERMIT PE MIT NO. �- 102099 MICROFILM FEE COPIES $ BOOK PAG PA EL LEGAL DESCRIPTION t — — G > 0 X` I MECHANICAL FEE DBL $ USE N . Z09E SET BACKK LOT SIZEGRP T1YtPE CK BY �O lz I �r 1 ^� S s -S ,3 '} R4- PLAN CHECK FEE $ BOND AMT. PLAN/NOOK PLAN CHECKER FINAL DATE INSP R e 7 7 QLc CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDO INVOLVED �d ELECTRICAL FEE DBL $ ADDRESS CITY STATE z C STRONG MOTION Q D / OW /AGENTS IG NATURE CONTRACTOR.R INSTRUMENTATION FEE 70 �^ 9d 'SPECIAL $ ADD �4 ADDRESS' INSP DEMOLITON FEE REGISTRATION PLUMBING FEE DBL $ CITYZIP CODE CITY ZIP CODE Z 5'0'0 ..J Fes- �� TOTAL FEES * $ TEL. NO. RE DE TEL. NO. AREA CODE LICENSE u CASH❑CHECK V.O.❑N.C.❑ ( RECEIVED BY TREES REQUIRED T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF K 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN'ACCORDANCE THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY SEWAGE SYSTEM T L (� t P �/� F -'--- - - - LUMYtNDA I IUN IINJUKAINL.t UYUN MT EMYLOTttS. CUMPLIANCt VVI IH IHt LAWS OF IHt 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.