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SFD (304091)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY „gkk, FIELD OFFICE i PERMIT NO. 304091 PERMIT NO. 304091: �.. COUNTY OF RIVERSIDE J DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. FOR. SQ. GAR. SQ. CAR P. SQ. WALL $Q. ESTIMATED CONSTRUCTION FT. Q 'i_O It UNITS SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK FT. @ ofA"! FT. Qb POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SQ. FT. ® URINAL VALUATION $ asj WATER PIPING NOTE: Not to be used as property tax voluotion SWIM POOL, PVT FLOOR DRAIN F.C. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER I"MH Permit Fee E j VENT SYSTEM FAN ❑ EVAP. COOL HOOD SIGN WASHER (AUT I DISHI Cop $ APPLIANCE)DRYER GARBAGE DISPOSAL ! FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Parcel No. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Ck.by ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET t acks COMPRESSOR � HP POLE, TEMP/PERM LAVATORY Construction Fee Dbl E HEATING SYST M FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER i�3 BOILER B.T.U. SQ. FT. p ¢ BATH TUB F SQ. FT.. f 10 WATER HEATER SSz SQ. FT. RESID p 1 t/.¢ SEWAGE DISPOSAL Electrical Fee Dbl E MI Fee E SQ. FT. GAR Col '/.¢ HOUSE SEWER Grp GAS PIPING Unit PERMIT FEE PERMIT FEE PERMIT FEE Plumbing Fee Sp. Insp. Fee DBL. TOTAL FEES a/ MOB. HM..FEE MICRO FEE L. CK. FEE erp CONST. FEE EL T. FEE SMI FEE ea .rf� 79 FEE PL B. FEE eo i PERMIT NO. 304091 Supp. Permit Job Address Space Zip Owner ommunity L•I'HitM1if�"T Valuation E DateDist. �� Off. F.C. I"MH Permit Fee E j Micro Film Fee Cop $ Use of Permit ... fa�erL(/L.� ! Parcel No. Use No. Ck.by Mech. Fee Dbl E 'PI. Ck. Fee E t acks Lot Size Construction Fee Dbl E Legal Description �OT� i�3 C/N!i /,��' F S SSz Electrical Fee Dbl E MI Fee E Zone I Grp Type Unit Plumbing Fee Sp. Insp. Fee Dbl E E Bond Amt. E Plan No. Plan Checker Final Dote�7 Inspe/gtb� L \l I Dental. Fee - E Const. Lender Address Branch City 'I certify that in the pufarmonce of work for wh ch this permit is issued I shaft not employ any person -n any manner s44 to become subtect to the workmeq s corp• pensohon laws of Coliformo Zip Owner Signature Budder S gnoture pp rRegistr. Fee E Mileage Fee E Witness Fee E �Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E M.O. ❑ N.C. � C3Cash ❑ —CheckjL I Address City Zip Received by Contractor Ad ress Tel. OZ 7 71• City License M 7 Zip Workers' Corhp. Ye no 0 9 Trees required [Sewage iiSystem E v Sewer District A Form 284.208 (Rev. 4.77) ©s i inw rtKMII 3NALL att-Umt vU(U Ir WUKtc IJ NUI C.UMMtNCLO WIIHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 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, t 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 CALIFORNIA. venfied by. s