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SFD (303795)
BUILDING PERMIT S DEPARTMENT OF BUILDING 8 SAFETY,, 0- , FIELD OFFICE - PERMIT NO. PERMIT NO. 303795- Job Address COUNTY OF RIVERSIDE Space Zip Owner DST CONSTRUCTION ESTIMATE } 3 0 3 7 9151 NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ UNITS SQ. FT. @ YARD SPKLR SYSTEM Community - i �. / SQ. FT.Cyp MOBILEHOME SVC. BAR SINK ((j FT. 8 00 POWER OUTLET ROOF DRAINS Dist. FT. ® 99 _r DRAINAGE PIPING F.C. /So V FT. (a} DRINKING FOUNTAIN SQ. FT. URINAL Micro Film Fee VALUATION 60 WATER PIPING Ito NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN se No. Ck. by MECHANICAL FEES Pl. Ck. Fee SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN ❑ EVAP. COOL HOOD _ t Backs - S R SIGN WASHER (AUTO DISH) DO ':Electrical Fee APPLIANCE DYER GARBAGE DISPOSAL one Grp ype FURNACE. ❑ UNIT ❑ WALL ❑ rOOk ❑ SUSPENDED ISMI Fee LAUNDRY TRAY Q AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK i Plumbing Fee ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Plan Final Dote COMPRESSO _ HP Q POLE, TEMP/PERM LAVATORY Q E HEATINGSY EM FORCED ❑GRAVITY p AMPERES SERV ENT low SHOWER / BOILER B.T.U. SQ. FT. (a} ¢ BATH TUB E Const. Lender Branch 'I cemiy itinthe performance of r not employ any person in any manner so z SQ. FT. p a WATER HEATER Address SQ. FT. RESID p 1'149t SEWAGE DISPOSAL :Mileage Fee E t Witness Fee E SQ. FT. GAR 6 1/.¢ HOUSE SEWER Builder Signature GAS PIPING s Reimp. Fee E PERMIT FEE Owner/Agent PERMIT FEE PERMIT FEE Q Zip DBL. I TOTAL FEES MOB. HM. FEE . MICRO FEE H. FEE leo— L. CK. FEE �,,,�./ CONST. FEE EL CT. FEE Lid� �Q L14` SMI FEE FEE PL MB. FwEyE r - PERMIT NO. Supp. Permit Job Address Space Zip Owner } 3 0 3 7 9151 Community - i �. / o nation E�i y,� '3 ((j Date Dist. Off. F.C. /So V IMH Permit Fee E Micro Film Fee Cop E Use o4emill Parcel No. se No. Ck. by SMech. Fee Dbl E 0 Pl. Ck. Fee $## _ t Backs - S R Lot Size � -- 0 ;Construction Fee bl E Legal Description ':Electrical Fee Dbt E one Grp ype Unit ISMI Fee E Q / 9sGIt.�a/ i Plumbing Fee Dbl E Bond Amt.! Plan No. Plan Final Dote Inspecto �Sp. Insp. Fee E /Checker / Demol. Fee E Const. Lender Branch 'I cemiy itinthe performance of r not employ any person in any manner so z ork for which this pert is issued I sholl to become subject to the workmen s com- nRegistr. Fee E Address pensat,on City Zip laws of California. Owner Signature :Mileage Fee E t Witness Fee E Builder Signature s Reimp. Fee E Owner/Agent Tel. Zip •Total Fees E Address City Zip ' M.O. ❑ N.C. ❑ Cash ffKec 'Received Contractor "��� /'�' Tel. Licenseq Trees requirit e Sewage System Address City Zip orkit amp. no. ❑� i Sewer,'"r'r Form 284.208 (Rev. 4-77) ©S IHIz, PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ,,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 DiE STATE OF CALIFORNIA. I 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 CALIFORNIA. �• hed by.