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SFD (304090)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. '> COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1 ST FL. /c;j SQ. FT. @ O $ 2ND.FL. SQ. FT. POR. SQ. FT. 8 01 AO GAR. SQ. FT. Q S CAR P. SQ. FT. (a} WALLEEE] SQ. FT. Oa SQ. FT. C FURNACE ❑ UNIT O WALL FLOOR O SUSPENDED ESTIMATEDCONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL PVT FIELD OFFICE NO. [PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FI (XOR hRAIN PERMITNO, MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Space I Zip Owner VENT SYSTEM 0 FAN 0 EVAP. COOL HOOD g, 0 a SIGN WASHER (AUTO) II APPLIANCE DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT O WALL FLOOR O SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET ;Micro Film Fee COMPRESSOR ! ..— HP POLE, TEMP/PERM LAVATORY dA Use No. JICI by HEATING SYST M FORCED GRAVITY AMPERES SERV ENT SHOWER r(i�L w Legal Description BOILER B.T.U. SQ. FT. (a} ¢ BATH TUB :Construction Fee Dbl E Electrical Fee Dbl $Ty`3 SQ. FT. Ga ¢ WATER HEATER _ Zone I Grp Type Unit -SMI Fee '.SQ. FT. RESID Q 1'/.¢ SQ. FT. GAR Ga `/.¢ SEWAGE DISPOSAL HOUSE SEWER ogg _ 'Plumbing Fee GAS PIPING Bond Amt. PERMIT FEE PERMIT FEE PERMIT FEE Inspector/ DBL. TOTAL FEES ]mos. 2" NM. FEE MICRO FEE CH. F E a� �'� PL. CK. FEE CONST. FEE E T. ao 3 `t SMI FEE � 7 FEE PL B. FEE OO PERMITNO, Supp. Permit Job Address Space I Zip Owner i 304090 - - Communiry aluation Date [$V.71,1 `=" el -11 -1 Dist. Off. F.C. QMH Permit Fee $ ;Micro Film Fee Cop $ Use of Permit n -X_ '� / Parcel No. ��RGh_ ZZ Z1% Use No. JICI by 'Meth. Fee Obl E i ' PI. Ck. Fee $ r(i�L w Legal Description Set acks F S Lot Size :Construction Fee Dbl E Electrical Fee Dbl $Ty`3 _ Zone I Grp Type Unit -SMI Fee E _ 'Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final Dote Inspector/ :Sp. Insp. Fee $ $ 'Demol. Fee $ Const. Lender Address - Branch City 'I' certify that to the performance of the r or w this permit is issued I $hall not employ any person in any manner so as o come subject to the workmen s com- pensation lows of California. Zip - Owner Signature Budder Signature 'Registr. Fee $ 7Mileage Fee E Witness Fee $ ;Reinsp. Fee $ Owner/Agent Tel. Zip r Total Fees $ Address City Zip M.O. O N.C. O Cosh Check Received by Contra Tel. License p Trees required Sewage System dress City Zip Workers' Comp. /.a/�/i �� ✓�� ye no O, u — lSewer District (� -.- Form 284.208 IRev. 4.77' ©s I HIS PERMII SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.. CESSATION OF venhed by. a 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 t WITH THE LAWS OF RIVERSIDE COUNTY ANDJHE STATE OF CALIFORNIA. _ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 1 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.