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SFD (304088)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY` FIELD OFFICE RMIT 64fi8 PERMIT NO. .3040881 A9/•Ab0^Qj`j9,8 JobAddress Community 44, COUNTY OF RIVERSIDE Voluation E � Space Zip Owner Date b e0 � Z Dist. O f. F.(f. D S T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES MH Permit Fee E NO. PLUMBING FEES Cop E 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. $ d UNITS Use No. Ck.by Mech. Fee Dbl E FT. © i YARD SPKLR SYSTEM FT. @ MOBILEHOME SVC. BAR SINK acks POWER OUTLET ROOF DRAINS FT. (a} Lot SizeConstruction FT. ® DRAINAGE PIPING Dbl E fj DblE E FT. Q DRINKING FOUNTAIN FT. URINAL VALUATION WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Unit MECHANICAL FEES Dbl E SWIM POOL, COMM Pion No. WATER SOFTENER Pion Checker ✓ Final Dote VENT SYSTEM FAN ❑ EVAP. COOL HOOD pp SIGN Sp. Insp. Fee E WASHER IAUTO IDISHI d Const. Lender - q Address APPLIANCE DRYER Branch '.I certify that in the performance of t' not employ any person to any manner so pensation laws of California City Zip Owner Signature Budder Signature work for which this permit is issued I sho8 to become subsea to the workmen s com. Registr. Fee E GARBAGE DISPOSAL Witness Fee E Reinsp. Fee FURNACE . ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent - LAUNDRY TRAY Zip AIR HANDLING UNIT CFM E IDLE METER KITCHEN SINK City Zip r ABSORPTION SYSTEM B.T.U. Received by TEMP USE PERMIT SVC Contractor WATER CLOSET Tel. 1 COMPRESSOR HP p POLE, TEMP/PERM Address lie i LAVATORY City ` p HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT b SHOWER p BOILER B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Ca ¢ WATER HEATER SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL Q SQ. FT. GAR Cc 3/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEEp PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE' CH. FEE PL. CK. FEE CONST. FEE - E T: FEE SM�IfFEnE FEE PL S.FEE RMIT 64fi8 Supp. Permit JobAddress Community 44, ' Voluation E � Space Zip Owner Date b e0 � Z Dist. O f. F.(f. MH Permit Fee E Micro Film Fee Cop E Use of ermit II�'�� f(l l [6/x"9,9 (.��/J p -PI. Use No. Ck.by Mech. Fee Dbl E Ck. Fee E acks Lot SizeConstruction Fee Fee SMI Fee Dbl E fj DblE E Legal Descriptio/oElectrical .yamType �i/ t Unit Plumbing Fee Dbl E Bond Amt. ESM Pion No. Pion Checker ✓ Final Dote Inspe�ior Sp. Insp. Fee E Demol. Fee E Const. Lender - q Address Branch '.I certify that in the performance of t' not employ any person to any manner so pensation laws of California City Zip Owner Signature Budder Signature work for which this permit is issued I sho8 to become subsea to the workmen s com. Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent - Tel. Zip .Total Fees E Address . City Zip r M.O. ❑ N.C. ❑ Cash ❑ Chec Received by Contractor Tel. 1 License P q VA Trees req re 17`„9 Sewage System Address lie i City ` p Zip Workers' Comp. yes Ino ❑ RI Form 284.208 (Re, 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF +e,hed by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r I 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, y __ 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 CALIFORNIA