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286331 (RPL). A. DEPARTMENT OF BUILDING FIELD OFFICE BUILDING PERMIT �„�„�,�„ ,, J F M A M J J A S O N D PERMIT NO. 86 331 'ROW CVVIVIT Vi RIYCR3IVC 76 77 COMM�yUNITY `� I� VALUATION /� $ !r'C/:ds' oe CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES M H PERMIT FEE 1ST FL. SQ. 2ND FL. POR. GAR. CAR P. SQ. WALL SQ. i�7lkJf ESTIMATED CONSTRUCTION FT. @ $ UNITS USEF PERMIT �{�� F.Cq. SUPP, TO PERMIT SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. @ . URINAL 86331- VALUATION Is efap +w WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT COPIES FLOOR DRAIN BOOK PAGE PARCEL MECHANICAL FEES ISWIM POOL, COMM WATER SOFTENER VENT SYSTEM [J FAN ❑ EVAP. COOL ❑ HOOD SIGN DBL WASHER (AUTO) (DISH) USE NO. APPLIANCE ❑ DRYER SET BACK LOT SIZE GARBAGE DISPOSAL TYPE C/rKB�Y)/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY 1 1 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK I S ABSORPTION SYSTEM . B.T.U. TEMP USE PERM SVC PLAN CHECK FEE WATER CLOSET $ COMPRESSOR HP POLE, TEMP/PERM PLAN CHECKER LAVATORY TOR HEATING SYSTEM ❑ FORCED [:)GRAVITY AMPERES SERV ENT liteW SHOWER BOILER B.T.U. SQ.FT. @ a CONSTRUCTION FEE BATH TUB $ NAME OF CONST. LENDER BRANCH SQ.FT. @ a NO LENDIR INVOLVED WATER HEATER d� SQ.FT.RESID @ 111/4a SEWAGE DISPOSAL ELECTRICAL FEE DBL $ SQ.FT.GAR @ 3/44 ADDRESS CITY HOUSE SEWER STATE / A/ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES .r - MOB.HM.FEE MICRO FEE MECH. FEE PL. GK. FEE A0 �`� ,� CONST. FEE 32 �__ ELECT. FEE / SMI FEE ,� FEE PLUMB. FEE r Cies J F M A M J J A S O N D JOB ADDRESS SP NO 77” OWNER L 76 77 COMM�yUNITY `� I� VALUATION /� $ !r'C/:ds' oe DATE... DST` OFFICE A/ 78 M H PERMIT FEE $ USEF PERMIT �{�� F.Cq. SUPP, TO PERMIT PE MIT NO 4 86331- MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION i - �q MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE C/rKB�Y)/ 1 1 %� I S S .,3 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER NAL Q T) 1 ` INSP TOR 7�/.1 liteW 1: CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFI E NO LENDIR INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE / STRONG MOTION $ � OWNER/AGENTS SIGNATURE CONTR - O ./LOX4 �krew INSTRUMENTATION FEE 2�.7� w SPECIAL INSP $ ADDRESS ADDRESS DEMOLITION REGISTRATION FEE PLUMBING FEE DBL ,$ CITY ZIP CODE CITY ZIP CODE % f J G TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. f AREA COD,/ -7 LICENSE a CASH❑CHECK .O.❑N.C.❑ /Z) 'oma^- i .6- 5 '3 RECEIVED BY TREES REQUIRED THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ,SEWAGE SYSTEMI HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE T LL P��t WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO -AGREE TO CARRY " r• w, CVMPtNSAIIUN INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 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.