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302022 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT rni iwirV AC DIVCDCllnC I PERMIT NO. ���• v. .... �...•.rr DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. i� SO. FT. @ SO. FT, @ SQ. FT. @= SQ. FT. @ SO. FT. @ SQ. FT. @ VALUATION UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK D� f POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ ° WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM6k FAN ❑ EVAP. COOL >eHOOD OU SIGN WASHER (AUTOH) APPLIANCE RYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK -2 gal ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET ga4l> COMPRESSOR HP POLE, TEMP/PERM LAVATORY 00 HEATING SYSTEM ORCED ❑ GRAVITY AMPERES SERV ENT f' SHOWER Z)g BOILER E:== B.T.U. SQ.FT. @ ¢ BATH TUB �4 SQ. FT. @ FWATER HEATER !Jd ,I %&MI'T.RESID @ 11/4¢ SEWAGE DISPOSAL Q.FT.GAR @ 3/4¢ HOUSE SEWER GAS PIPING PERMIT FEE d! PERMIT FEE (PERMIT FEE O� DBL. TOTAL PEE'W MOB.HM.FEE MICRO FEE MECH. F�EEEEr� PL. C FEE CONrS�T./FEE ELEChTT. FEEEEE SMI FEE(/� FEE PLUMB. FpVEy.E�/•�� 154 J F M A M J J A S O N. D JOB ADDRESS Sp NO I 6--'tt jej di OWNER 44 76 77 COMMUNITY VALUATION DATE bse I OFFICE 78-=F-- M H PERMIT FEE $ USE OF='PERMfr F.C. SUPP. O PERMIT P KNIT NO. <e _,A MICROFILM FEE COPIES $ BOOK AGE PARCEL LEGAL DESCRI !aN MECHANICAL FEE DBL $ USE'No 20NE SET LOT SIZEn GRP TYPE CK BY 39 .7G.Jy ^BACK PLAN CHECK FEE $ BOND AMT. PLAN NO.p PLAN CHECKER FINALk.7 i `, y INSPEC.TOR CONSTRUCTION FEE DBL $ NAME OF CONST. LEN f BRANCH OFFICE NO LEN ER INVOLVED d O ELECTRICAL FEE DBL $ ADDRESS CITY STATE =TRONG MOTION C d per► OWNER/AGENTS SIGNATURE CONTRACT INSTRUMENTATION FEE 3 �7�I SPECIALINSP DEMOLITON FEE ADDRESS AODRESW pti REGISTRATION 0, PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE 3 % }}�� � TOTAL FEES $ j4 TEL NO AREA CODE TEL NO, AREA EO DE I. C2E NSE # CASH❑CHEC O.❑N.C.❑ _3,J 7/ 3g4, XF 6 RECEIVED BY TREES REQUIRED SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIOIIJ OF F DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, E REE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE SEWAGE SYSTEM r T/i LL P� L S OF RIVE R5iDE.COUNTY AND THE STATE OF CALIFORNIA, !,ALSO AGREE TO CARRY CkAICA Tlnkl l"CI I .. •" •' •• �'.� •.I444 IIrL e++•*Vtil I14� J,nll-ul CnLIFORNIA 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 FORM 284-208 (REV 6-761 OF CALIFORNIA.