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304435 (SFD)BUILDING PERMIT - DEPARTMENT OF BUILDING & SAFETY . FIELD OFFICE PERMIT•NO. 1304435 t- 1i� COUNTY OF RIVERSIDE. PERMIT NO.Supp. Permit Job Address OST .CONSTRUCTION ESTIMATE NO., ELECTRICAL, FEES NO. PLUMBING FEES - 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ SQ. FT.. (o} 041 UNITS YARD SPKLR SYSTEM -' MOBILEHOME SVC. BAR SINK SQ. FT. .Ca} FT. 0 O� POWER OUTLET ROOF DRAINS Dist. FT. 8 DRAINAGE PIPING F.C. - DRINKING FOUNTAIN FT. @ $ SO. FT. URINAL VALUATION $ QG WATER PIPING LT NOTE: Not to be used as property tax valuation SWIM POOL, PVT Micro Film Fee FLOOR DRAIN Use of Permit- -MECHANICAL FEES Use No. SWIM POOL, COMM Mech. Fee WATER SOFTENER r� „��/�C. VENT SYSTEM FAN ❑ EVAP. COOL IV HOOD o SIGN PI. Ck. Fee WASHER (AUTOI SH) Set Backs APPLIANCE ❑ DRYER- Construction Fee Dbl $ GARBAGE DISPOSAL O F 'FURNACE ,❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Dbl $one _ AIR HANDLING UNIT CFM Grp F� ./ IDLE METER Unit / KITCHEN SINK O SMI Fee ABSORPTION SYSTEM 0 B.T.U. Plumbing Fee TEMP USE PERMIT SVC Bond Amt. Plan No. • ., WATER CLOSET p COMPRESSOR HP--;7- Sp. Imp. Fee POLE, TEMP/PERM LAVATORY ` .HEATING SYSTEM' AFORCED . ❑ GRAVITY, O AMPERES SERV ENT 00 SHOWER BOILER B.T.U. not employ any person in any manner so o to become subject SQ. FT. @ ¢ P.egistr. Fee BATH TUB p pensation lawsCalifornia.' - Mileage Fee SQ. FT. Q ¢ Address City Zip WATER HEATER p ' 8 SQ. FT. RESID I V.¢ SEWAGE DISPOSAL to Owner/Agent Tel. SQ. FT. GAR HOUSE SEWER .g rotal Fees$ M.O. [3N.C. ❑ Cash ❑ Chec Address s GAS PIPING City /!�. ^.� Zip. 2�? PERMIT FEE - PERMIT FEE PERMIT FEE 3 06� DBL•.60TA—L—F—E ?�E Sry MOB. HM: FEE MICRO FEE" H. FEE PL. CK. FEE 'CONST. FEEELECT�F'E�E" :�L SMI%FSE/yE S.i�3Z FEE PL MB. FEE 1911, PERMIT NO.Supp. Permit Job Address Space Zip Owner 3 0 4.43 - � � r Community Voluori�on+ Date Dist. Off. F.C. - INH Permit Fee $ / Q�`% 'Parcel O Micro Film Fee Cop. $ Use of Permit- No. Use No. Ck.by Mech. Fee Dbl $i9Z r� „��/�C. r / - ' PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ tion Legal Description - s . 9 P F S 'Electrical Fee Dbl $one // 2 /, "� r / V�••� Grp F� ./ Type Unit / y _ 1 SMI Fee $ Plumbing Fee Dbl $ Bond Amt. Plan No. • ., Plan Checker Final Date Inspector Sp. Imp. Fee $ f ` Dental. Fee $ _ Const. Lender Branch ' 'I certify that in the performance of the/work fpr which this permit is Issued I shall not employ any person in any manner so o to become subject to the workmen s com. P.egistr. Fee $ pensation lawsCalifornia.' - Mileage Fee $ Address City Zip Owner Signature Witness Fee 8 Builder Signature P.einsp. Fee $ Owner/Agent Tel. Zip .g rotal Fees$ M.O. [3N.C. ❑ Cash ❑ Chec Address s City /!�. ^.� Zip. 2�? Received by - Contractor Tel. ,� License # 1 Trees req uir . Sewage System Address City _ Zip Workers' Comp. ' .... .. -� yes ❑ no ❑' LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: wer Distract ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - r = I'HEREBY AGREE THAT ALL`WORK IN CONNECTION WITH THIS.PERMIT WILL BE DONE IN ACCORDANCE ' WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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 Form 284.208 IRev. 4-771 ©s CALIFORNIA. '