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348875 (SFD)BUILDING PERMIT fir•^�,` DEPARTMENT OF BUILDING & SAFETY ■/^�■ FIELD OFFICE r 1 IA�rTV Ar A wPAr ! 1 3 4 8t8 7 5 �_.�..��0.�� rT CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES v 1ST FL. SQ, FT, .rpil 2ND FL. SQ. FT. @ POR. G' SQ. FT- r+' �� GAR. SO. FT, @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. Cw ESTIMATED CONSTRUCTION VALUATION — UNITS YARD SPKLR SYSTEM �� ~ MOBILEHOMESVC- BAR SINK 3�p 0; POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ p� j°� WATER PIPING 00_ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEMZ,KFAN ❑ EVAP. COOL 9 HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE g DRYER 0 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK r ABSORPTION SYSTEM 0 B.T U TEMP USE PERMIT SVC OZ WATER CLOSET .41 COMPRESSOR 0 HP 7 aM POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY 3 B U a AMPERES SERV ENT % Sv SHOWER BOILER [== B.T.U. SQ, FT. Cam ¢ BATHTUB T SQ, FT. Cs ¢ WATER HEATER e y .-:�effSQ. FT. RESID Ga 1'/.(; 3r�� SEWAGE DISPOSAL /A"* 04) SQ. FT. GAR @/,¢ HOUSE SEWER GAS PIPING PERMIT FEE [) PERMIT FEE -3 r-p PERMIT FEE y7j DEL ALFFES mats HM FEE MICRO FEE MECH. FEE PL. CK FEE CONST. FEE ELECT, FEE SMI FEE FEE PLUMB. FEE P E Ftm ITNOQ. % 3 4 U U I Supp Permit Job Address Space Zip 2 Z->-3 Owner .-:-, li, � /✓cF , Community Valuation o7 � 7J dj r Date // �� f Dist, �� Off. 1 F.C. eel Permit Fee rim Film Fee Cop E Use of Permit mo�tt// /yLli :'�-• Parcel No Use No ar /73 C4. by It, Fee Dial E c,�� .� pi. Ck Fee E Set Balks Lot S ize J�left ructian Fee Dbl E '1 Legal Description �— /�� p-l"m 7 T'! J c. f" CO Q S V S J � 3 Electrical Fee Dbl E [F—> sGrp ,/-'�y�� Type Unit tSMI Fee E lPlumbing Fee Dial E JI 0ijr Bond Amt. E Plan No. 37/ 3 Plan Checker La,...� „✓� Final Date .. g . ,�� Inspector . _ r5p- Insp. Fee E y{}entol. Fee i! E Const Lender Branch I certify that in the prrfhe work for wlrt this permit is issued I shall rent emplay any person in any manner so as to become subject to the workmen's com. pensation laws of California' - [/-City � Zip Owner Siignutwr Build,Sig+tbtw. RRegiur. Fee E Mileage Fee E Witness Fee E Insp. Fee E Owner/Agent got Te}, y� ZIP r E ' Address 7> City Zip Ljotoles MO ❑ N.0 ❑ Cash ❑� Check lfgcerved by Contractor Tel License # Trees required Sew age System T LL P Address City Zip Workers'Comp yes ❑ no ❑ THIS PrERMlT SHALL BlIr ME 1.1010 IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF veri ied by WORK FOR 120 DAYS SHg..a AU E� BECOME VOID. I HEREBY AGREE TH [ i10N WITH iHiS PERMIT WILL BE DONE IN ACCORDANCE } ' WITH THE LAWS OF RIVBRSIRECO i r r.... HE STATE01"CAUPOFINIA. So �HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE N ACCORDANCE WITH SECIION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA, Sewer District t,. �V Form 204-208 (Rev. 4-77) ©s