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303513 (SFD)DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT J-^1 u1Tv ^e mvese�ne I FIELD OFFICE S O J F M A M J J A N D PERMIT NO. 53] OWNER �.""' ' " RI Y 1%'i 'r. � ' c 1 DST � CONSTRUCTION ESTIMATE VALUATION NO. ELECTRICAL FEES DST NO. PLUMBING FEES 1 ST FL. SQ. 2ND FL. POR. 4A GAR. CAR P. WALL SQ. ESTIMATED CONSTRUCTION FT. @—, S +., UNITS I 78 SQ. FT. @ YARD SPKLR SYSTEM ca.� SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS M H PERMIT FEE SQ. FT. @ DRAINAGE PIPING $ FT. @ DRINKING FOUNTAIN USE OF PERMIT SQ. FT. @ URINAL SUPP, TO PERMIT VALUATION $ WATER PIPING MIT NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM 5eFAN ❑ EVAP. COOL HOOD MICROFILM FEE SIGN $ WASHER (AUTO)(DISN) Aw— LEGA DESCRIPTION APPLIANCE RYER GARBAGE DISPOSAL 4�4 40'x✓/ i MECHANICAL FEE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED $ USE NO.ZONE LAUNDRY TRAY SET ACK LO SIZE GRP TY�P/E AIR HANDLING UNIT- CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. /.. TEMP USE PERM SVC PLAN CHECK FEE WATER CLOSET $ COMPRESSOR HP NO._ PLAN NO. POLE, TEMP/PERM FINAL DATE INSPEGrTOR JLJ LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT V— SHOWER CONSTRUCTION FEE DBL BOILER B.T.U. SQ.FT. @ a BRANCH OFFICE BATH TUB SQ. FT. @ a WATER HEATER ELECTRICAL FEE DBL $ Q.FT.RESID @ 11/4a 1 SEWAGE DISPOSAL SQ.FT.GAR @ 3/4a IHOUSE SEWER STRONG MOTION $ OWNER/AGENTS SIGNATURE CONT R GAS PIPING �r PERMIT FEE PERMIT FEE SPECIALINSP PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MEC14. FEE -2•Z' PL. CK. FEE CONST. FEE �' ELECT. FEE PiJ� SMI FE�Ei `� - Pair FEE PLUMB. FEE 3-7 `0 S O J F M A M J J A N D JOB ADDRESS SP NO �r I "� '7 41.1aE I OWNER 76 c 1 77 COMMUNITY VALUATION DATE DST OFFICE -pot p 7 // I 78 rtia ca.� �7 . M H PERMIT FEE $ USE OF PERMIT F.C. SUPP, TO PERMIT PE MIT NO. z 00 Lj- MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGA DESCRIPTION 7 .� .�D 4�4 40'x✓/ i MECHANICAL FEE DBL $ USE NO.ZONE SET ACK LO SIZE GRP TY�P/E CK BY 4 y` -I1� S S R V ��� /.. PLAN CHECK FEE $ BOND AMT. NO._ PLAN NO. PLAN CHECKER FINAL DATE INSPEGrTOR JLJ V— i✓ - IQ - ? -7 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER/ NVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENTS SIGNATURE CONT R INSTRUMENTATION FEE r SPECIALINSP $ ADDRESS DEMOLITION FEE REGISTRATION ,, L .REGISTRATION PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE �d TOTAL FEES All. $ TEL. NO. AREA CODE TEL, NO, KREA CODECE SE CASH ❑CHECK .O.❑N.C. + CJ' �4 �,�i"3 % '-2-4 W RECEIVED BY TREES REQUIRED ISIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SEWAGE SYSTEM �X/ E Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL ffklftH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY FORM 284-208 IREV, 6-761 COMPENSATION INSURANCE UPON MY EMPLOYEES. C OMPUANC.t WITH IHE LAWS OF THE SIA E OF 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 OF CALIFORNIA.