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308866 (SFD)
i BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY FIELD OFFICE PERMIT NO. COUNTY OF RIVERSIDE + DST 30000 _ DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ.FT. 8 $ d UNITS 2ND FL. SQ.FT. @ YARD SPKLR SYSTEM ` A MOBILEHOME SVC. BAR SINK POR. SQ.FT. POWER OUTLET ROOF DRAINS GAR. X SQ.FT. @ d0 � kGG� SQ.FT. @DRAINAGE PIPING WALL - SQ.FT. Q I �Q DRINKING FOUNTAIN SQ.FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ , WATER PIPING cPao NOTE:Not to be used as property tax valuation SWIM POOL,PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER VENT SYSTEALS 14FAN ❑EVAP.COOL ag„HOOD SIGN WASHER IAUTo1BiSHI APPLIANCE f(DRYER o GARBAGE DISPOSAL FURNACE ❑UNIT ❑WALL ❑FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT _ CFM IDLE METER KITCHEN SINK CAA510 ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET Od COMPRESSOR HP POLE,TEMP/PERM LAVATORY QU HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT 3 SHOWER B BOILER B.T.U. SQ.FT. B 2,BATH TUB J*y 10 SQ.FT. @ ¢ WATER HEATER OU Q.FT.RESID ® 1'/.¢ SEWAGE DISPOSAL 0 SQ.FT.GAR @ '/.¢ HOUSE SEWER / GAS PIPING OO PERMIT FEE evo PERMIT FEE PERMIT FEE �U DE1L. I TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FEE L.CK.FEE CONST.FEE ELECT.FEE SMI FEE FEE PLUMB.FEE 553 S sv ©� 3 PERMIT NO. Supp.Permit Job Address Space ZipOwner I 0 3866 -G#/ VF tZ3 .Sv�.� -.E f Com/mu-nity/4 Valuation J Date Dist. Off. F.C. :MH Permit Fee $ �V'�" eva."V l0* $ !Micro Film Fee Cop $ Use of Permit Parcel No. Use No. k.by ,Meth.Fee Dbl $ Sl y �A-4 � /l 74 �'��2/��i-�.� �7J 5-w- 4141.PI.Ck.Fee $ /D D Set Backs Lot Size rConstruction Fee Dbl $ Legal Description F,14:;;� S-S' S S l Electrical Fee DblZone$ Grp Type Unit �cyf' /3 TR .57%pz / �3 Vii✓ i :SMI Fee $ (Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final DQ,t� Inspector ,Sp.Insp.Fee $ $ :Demol.Fee $ Const.Lender Branch '1 certify that to the performance of the work JJr which this permit is issued I shall not employ any person in any manner so as to Liptforne subject to the workmen s com- IRegistr.Fee $ pensahon lows of California 'Mileage Fee $ Address City Zip Owner Signature !Witness Fee b Budder Srpnature f Owner/A ent Tel. Zi IReinsp.Fee $ 9 p —525,:3Address City - 11111111 VIII III VIII(III $0 'Total Fees $ Zip !. M.O.C] ❑N.C. ❑ Cosh C � k - IE Received by Contractor / Tel. License k Trees required �M .✓ �Gf��^ �O3 .° Sewage Systemss / Address / City L} Zip Workers'Comp. �D 1-2wV ef vY' f.,i� 1� yes) no ❑- f T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF e,.edby. Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t 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 PIANS AND SPECIFICATIONS HAS DONE SO 1N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208(Rev.4.771 &s CALIFORNIA.