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SFD (304251)BUILDING PERMIT DEPARTMENT OF BUILDING &-SAFETY 1. FIELD OFFICE PERMIT NO. 304251 PERMIT NO. 304251 Job Address. Community COUNTY OF RIVERSIDE Space Zip Owner ( Date +� ' Dist. Off. F.C. Qv 1 DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Micro Film Fee Cop NO. PLUMBING FEES Use of Permit Legol escription 2 / 1 ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. SQ. FT. (+} UNITS Ck.by II?Z; YARD SPKLR SYSTEM g FT. . 4 MOBILEHOME SVC. BAR SINK I Lot Size �y� Y � V A / 10 10 FT. ® POWER OUTLET ROOF DRAINS 5 FT. @ i DRAINAGE PIPING Rl FT. 8 DRINKING FOUNTAIN Grp SQ. FT. URINAL Unit VALUATION $ WATER PIPING 52 NOTE: Not to be used as property tax valuation Bond Amt. E SWIM POOL, PVT FLOOR DRAIN Final Dote Inspectors MECHANICAL FEES SWIM POOL, COMM $ WATER SOFTENER Branch 'I certify that in the performance of , work for which this permit is issued I sholl not employ any person in any manner m to become subject to the workmen s com- pensation lows of California City Zip Owner $tgnotvre Budder Siqnature Regisir. Fee 8 VENT SYSTEM 0 FAN 0 EVAP. COOL 0 HOOD d SIGN $ WASHER (AUTO) (DISH) As o Tel. APPLIANCE 0 DRYER i Total Fees S M.O. 0 N.C. 0 Cosh'C] Check 0 Address ! r GARBAGE DISPOSAL d Zip FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED + e Contractor Address LAUNDRY TRAY 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 irQ HEATING SYSTEM 0 FORCED. 0 GRAVITY AMPERES SERV ENTSHOWER 4-4 BOILER B.T.U. SQ. FT, p C BATH TUB p SQ. FT. 6 C WATER HEATER t� SQ. FT. RES ID © 1'Aa f SEWAGE DISPOSAL SQ. FT. GAR @ 1a¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE- PERMIT FEE .r DBL. TOTAL FEES MOB. HM. FEE MICRO FEE FEE CH. PL. CK. FEECONST. FEE CT. FEE SMI FEE' FEE PL B. FEE PERMIT NO. 304251 Supp. Permit Job Address. Community Voluatio S Space Zip Owner ( Date +� ' Dist. Off. F.C. Qv 1 MH Permit Fee E Micro Film Fee Cop $ Use of Permit Legol escription 2 / Parcel No. Use —(� No. Ck.by II?Z; Mech. Fee Dbl E 04O. PI. Ck. Fee E Construction Fee Dbl E Electrical Fee E ` t Backs I Lot Size �y� Y � V A / 10 10 F �i 5 S Rl one �` Grp Type �% I' / Unit SMI Fee E plumbing Fee b rDbi Sp. In Fee $ Bond Amt. E Plan No. Plan Checker y� Final Dote Inspectors Demol. Fee $ Const. Lender Address Branch 'I certify that in the performance of , work for which this permit is issued I sholl not employ any person in any manner m to become subject to the workmen s com- pensation lows of California City Zip Owner $tgnotvre Budder Siqnature Regisir. Fee 8 Mileage Fee $ Witness Fee b P.einsp. Fee $ Owner/Agent + Tel. Zip i Total Fees S M.O. 0 N.C. 0 Cosh'C] Check 0 Address ! r City Zip Received by h"r Trees requir Sewage System + e Contractor Address Tel. T� License N City Zip Workers' Comp. yes no 0] Sewer District Form 284.208 [Rev. 4771 ©s THI$ PERMIT SHALL ACOME VOID 'IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CLSSATION OF venhed by. RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WIL -B& DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. So �HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.