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PAT (304408)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY &h,. FIELD OFFICE PERMIT NO. PERMITNO. - 304400 1W COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS SQ. FT. @ YARD SPKLR SYSTEM FT. ow MOBILEHOME SVC. BAR SINK .� POWER OUTLET ROOF DRAINS FT. (4 FT. @ DRAINAGE PIPING FT. Qa DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION a Is OP WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER oluation _ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) ( DISH) APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY !MH AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK $ ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM' ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER ,Micro Film Fee BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. @ it WATER HEATER Use�of Per it t17 �� D SQ. FT. RESID @ 1 '/.¢ SEWAGE DISPOSAL Parcel No. SQ. FT. GAR @ Y.¢ HOUSE SEWER No. .by ;Meth. Fee Dbl $12 GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE ;Construction Fee Dbl $ DBL. TOTAL FEES to Ir IMOB.HM.FEEI MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Supp. Permit Job Address Space Zip Owner 304400 1"U �- Community oluation _ Dote Dist. f. F.C.' !MH Permit Fee $ 14S-17 '71 ,Micro Film Fee Cop $ Use�of Per it t17 �� D Parcel No. IlJse ' / No. .by ;Meth. Fee Dbl $12 ;Pl. Ck. Fee $ i Set Backs Lot Size ;Construction Fee Dbl $ Legal Description F S S R (Electrical Fee Dbl $ ZoneGrp Type Unit ;SMI Fee 7S Plumbing Fee Dbl $ Bond Amt. $ Plan No. - Pion thecke, Final Dote 3p. Insp. Fee $ IDemol. Fee $ Const. Lender Branch I certify that in the performance of thawor for which this permit a issued I shall not employ any person in any manner so as to come subject to the workmen s tom. f Registr. Fee $ Address City pensotion laws of Zip , California. Owner Signala ` !Mileage Fee $ Witness Fee $ 0 Budder Signolure iReinsp. Fee $ Owner/Agent 4' Tel. Zip i i :Total Fees $�' Address City Zip M.O. ❑ N.C. C] Cash C]Check `Received by Contr Co Tel. License # ',Trees requ irecl adz ,Sewage System Address City Zip Workers' Comp. yes ❑ no ❑ T LL P .4THIS PERMIT SH LL BECOME VOID IF WORK IS NOT COMMENCE WITHIN 121) DAYS: CESSATION OF verified by. Sewer District ffur_ WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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. II HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 [Rev. 477) ©s CALIFORNIA.