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SFD (303794)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY , k FIELD OFFICE PERM IT NO. PERMIT ND. 303794 Job Address Space Zip Owner COUNTY OF RIVERSIDE W 303794 DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Community al///uoIi.nOate Dist. % S 72049/77 / 1ST FL. SQ. 2 ND FL. FOR. GAR, SQ. CAR P. SQ. WALL SQ. FT. $ UNITS SQ. FT. @ YARD SPKLR SYSTEM Micro Film Fee SQ. FT. @ A Q� MOBILEHOME SVC. BAR SINK Use of P mit Parcel No. Use No. POWER OUTLET ROOF DRAINS FT. (a3 Wech. Fee Dbl E FT. @ DRAINAGE PIPING $ DRINKING FOUNTAIN FT. (a} SQ. FT. ® URINAL ! legal Desc prion S S ESTIMATED CONSTRUCTION VALUATION $ tVVV :construction Fee Db E 0 [Electrical fee WATER PIPING G,r�pf Type Unit NOTE: Not to be used as property rax valuation IN iSMI Fee SWIM POOL, PVT FLOOR DRAIN bi plumng Fee MECHANICAL FEES Bond Amt. SWIM POOL, COMM WATER SOFTENER Final Date Inspe VENT SYSTEM FAN ❑ EVAP. COOL HOOD 22_SIGN ;)emol. Fee WASHER (AUT IDISH) Const. LenderBranch t certify that in the performance of w rl for which this permit is issued I shall nal employ any person m any manners s tr become sufgect to the workmen s com- APPLIANCE DRYER E pensation laws of California. Address City Zip Owner Signature - Builder Signature PO GARBAGE DISSAL 00 �. /Oitness Fee E FURNACE ❑ UNIT ❑ WALL ❑ FLOO ❑ SUSPENDED E Owner/Agent LAUNDRY TRAY do— AIR HANDLING UNIT CFM y IDLE METER KITCHEN SINK Zip M.O. ❑ N.C. ❑ Cash ❑ Chec ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Contract, COMPRESSOR HP ry POLE, TEMP/PERM LAVATORY i 2�% HEATINGSYSTE FORCED ❑GRAVITY Sewage System AMPERES SERV ENT SHOWER City Zip - Workers Comp. BOILER B.T.U. SQ. FT. p ¢ BATH TUB AL21no ❑ THIS PERMIT SHALL BEC(fME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.ESSATIOJd OF YORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID ver�tiedby. r T LL P SQ. FT. (a} ¢ WATER HEATER 0 IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE'IN ACCORDANCE k SQ. FT. RESID p I V4 SEWAGE DISPOSAL I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SQ. FT. GAR 6 1/.it HOUSE SEWER SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF 'Form 284.2081Rev.4.77) ©s CALIFORNIA. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE O DBL. - / []OTAL-1E.E5'44011 MOB. NM.1=EE MICRO FEE CH- Z?'. FEE Do L. CK. FEE CONST. FEE EL . FEE ao SMIFEE % FEE PL M8. FEE 00 PERM IT NO. Supp. Permit Job Address Space Zip Owner , 303794 Community al///uoIi.nOate Dist. % S 72049/77 / Off. F.C. MH Permit Fee $ Micro Film Fee Cop E Use of P mit Parcel No. Use No. ik.by Wech. Fee Dbl E I SPI. Ck. Fee $ _ _ ;2:41elicks Lot Size ! legal Desc prion S S tVVV :construction Fee Db E 0 [Electrical fee Dbl E G,r�pf Type Unit iSMI Fee E u� bi plumng Fee Dbl E Bond Amt. Plan No. Plan Checker Vii/ Final Date Inspe 1,5p. Insp. Fee S ;)emol. Fee E Const. LenderBranch t certify that in the performance of w rl for which this permit is issued I shall nal employ any person m any manners s tr become sufgect to the workmen s com- .`=!egistr. Fee E pensation laws of California. Address City Zip Owner Signature - Builder Signature %.Aileage Fee $ �. /Oitness Fee E yteinsp. Fee E Owner/Agent Tel. Zip I,7�otal Fees y Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Chec received by Contract, Tel. License p I gees req ue i 2�% r Sewage System Address - City Zip - Workers Comp. j AL21no ❑ THIS PERMIT SHALL BEC(fME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.ESSATIOJd OF YORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID ver�tiedby. r T LL P `Sz wer Distri. P IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE'IN ACCORDANCE k 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 284.2081Rev.4.77) ©s CALIFORNIA.