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SFD (304097)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY . A&, FIELD OFFICE PERMIT NO, PERM IT NO. 30409'1 - IF COUNTY OF RIVERSIDE Space Zip Owner t 30409 DST CONSTRUCTION ESTIMATE -- NO. ELECTRICAL FEES r NO. PLUMBING FEES 1ST FL. 1,2621SQ. 2ND FL. FOR. GAR. SQ. CAR P. SO. WALL ESTIMATED CONSTRUCTION FT. 8 d UNITS � iMicro Film Fee Cop ---------------- E SQ. FT. ® T YARD SPKLR SYSTEM SQ. FT. © MOBILEHOME SVC. BAR SINK Use No. Ck, y ! F.T. Qct " t1 O>b POWER OUTLET ROOF DRAINS ;PI. Ck. Fee FT. @ DRAINAGE PIPING Legal escription SQ. FT. 8 DRINKING FOUNTAIN Set Bo s SQ. FT. @ URINAL Construction Fee Dbl E VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation ' SWIM POOL, PVT p FLOOR DRAIN MECHANICAL FEES one Grp Type SWIM POOL, COMM ;SMI Fee WATER SOFTENER VENT SYSTEM FAN C] EVAP. COOL HOOD SIGN E ® WASHER (AUTO) (DISH) G - Plan Checker Final Date Inspe 'or .q APPLIANCE DR ER 09 Sip. Insp. Fee E Demol. Fee b GARBAGE DISPOSAL n Brunch I certify that in the performance of the work for ch this permit is issued I shall not n employpers iia in manner so as to becom s lett to rhe workmen s coin. 'o^o laany FURNACE O UNIT C]WALL C]FLOOR ❑ SUSPENDED Address LAUNDRY TRAY City ,Zip Owner Signature AIR HANDLING UNIT CFM :Witness Fee b IDLE METER KITCHEN SINK Budder Saricuwe ABSORPTION SYSTEM O B.T.U. Reinsp.Fee TEMP USE PERMIT SVC Owner/Agent WATER CLOSET (� Tel. COMPRESSORHP POLE, TEMP/PERM EyAo LAVATORY HEATINGSYST ORCED 0 GRAVITY Zip AMPERES SERV ENT SHOWER. BOILER B.T.U. 'Received by ,�. SQ. FT. ¢ Contractor BATH TUB Tel. J License p SQ. FT. Ga ¢ Sewage System WATER HEATER A dress City SQ. FT. RESID p 1'/.¢ Workers' Comp. SEWAGE DISPOSAL ✓�� SQ. FT. GAR Ga 3/44 _ HOUSE SEWER GAS PIPING PERMIT FEE '" PERMIT FEE ERMIT FEES DBL. TOTAL FEEDS MOB. HM. FEE MICRO FEE CH. FEE PL. CK. FEE CONST. FEE CT. FEE L.SMIFEE FEE P MB. FEE PERMIT NO, Supp. Permit Job Address Space Zip Owner t 30409 _ -- mmunity10, L Al T= Voluation Dote t —.771'1/ Dist. Of . 11 1. QMH Permit Fee iMicro Film Fee Cop ---------------- E Use of Permit Parcel No. i s Use No. Ck, y ! 'Mech. Fee Dbl 5 ;PI. Ck. Fee $ w:-w.rZ Legal escription Set Bo s Lot Size �'� Construction Fee Dbl E F S p ;Electrical Fee Dblb one Grp Type Unit ;SMI Fee E / 61-14 — w i .Plumbing Fee Dbl E ® Bond Amt, $ on No. - Plan Checker Final Date Inspe 'or .q Sip. Insp. Fee E Demol. Fee b Const. Lender Brunch I certify that in the performance of the work for ch this permit is issued I shall not n employpers iia in manner so as to becom s lett to rhe workmen s coin. 'o^o laany �Regizrr. Fee $ Address City ,Zip Owner Signature 'Mileage Fee E :Witness Fee b Budder Saricuwe Reinsp.Fee E Owner/Agent Tel. Zip I •Total Fees EyAo ddress City Zip M.O. O . N.C. ❑ Cosh Check 'Received by ,�. _ Contractor Tel. J License p .Trees require Sewage System ` A dress City Zip Workers' Comp. �3li/i ✓�� _ yes no �± LL _ t,. A Form 284.208 (Rev. 4.771 Os HIS PERMIT bHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —I .d by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND JHE SjA,WE,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 CALIFORNIA.