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SFD (304099)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE t PERMIT NO. 304099 PERMITNO. 304099 COUNTY OF RIVERSIDE - DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL.SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q 0 $ UNITS SQ. FT. 1 YARD SPKLR SYSTEM SQ. FT. @ " ov MOBILEHOME SVC. BAR SINK FT. Q "a Gts POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. Q DRINKING FOUNTAIN SQ. FT. .C�3 URINAL VALUATION $ pp WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN I Mech. Fee Dbl $�Pl Ck. Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Lot Size Unit VENT SYSTEM FAN C3 EVAP. COOL HOODSIGN WASHER IAUTOI 1 DI HI Legal Description /G.. ®�% /Ai.%3 �/✓/% �J APPLIANCE DRYER GARBAGE DISPOSAL IQ 60 Plumbing Fee FURNACE ❑ UNIT O WALL ❑ FLOOR C] SUSPENDED LAUNDRY TRAY Bond Amt. $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Plan Checker ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Final Date J COMPRESSOR1 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED O GRAVITY AMPERES SERV ENT SHOWER Sp. Insp. Fee $ BOILER � B.T.U. SQ. FT. p ¢. BATH TUB $ SQ. FT. @ a WATER HEATER 'I certify that to the performance oft w rk which this permita Issued Ishall not employ any person in any manner so s become subject to the workmen s com• pensotion laws of California.' Zip Owner Signature Builder St nature SQ. FT. RESID 8 1'A aSEWAGE DISPOSAL SQ. FT. GAR Ga V ¢ HOUSE SEWER Mileage Fee $ GAS PIPING Reinsp. Fee PERMIT FEE PERMIT FEE PERMIT FEE Owner/Agent DBI. TOTAL FEES 75 ]MOB. HM. FEE MICRO FEE PL. CK. FEE CONST. FEE EL SMI FEE 0031r FEE PL B. cb t PERMIT NO. 304099 Supp. Permit Job Address - -/- - Community ._ Space Zip Owner az.� Valuation gnco Dote $ 174 — 1 t ivy sS Dist. Off. F.C. , ®O{ I. MH Permit Fee $ [Micro Film Fee Cop $ Use of Permit ins -AvCF1--e— 1,"e7 77 �j Parcel No. Use No. Ck.by I Mech. Fee Dbl $�Pl Ck. Fee $ Set Becks Zone Grp Type _ Lot Size Unit ConstruxionFee Dbl $ Electrical Fee Dbl $ Legal Description /G.. ®�% /Ai.%3 �/✓/% �J SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. CP 3427 Plan Checker Final Date J Inzpexo Sp. Insp. Fee $ �Demol. Fee $ Const. Lender. Bron' ch Address City 'I certify that to the performance oft w rk which this permita Issued Ishall not employ any person in any manner so s become subject to the workmen s com• pensotion laws of California.' Zip Owner Signature Builder St nature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip {Total Feez $ i Address City Zip j M.O. p N.C. 0 Cash Check Received by Contractor d ss Tel. License # 3a 77 9t✓ City 5 Zip Workers' Comp. Trees required Sewage System ?Po LL �Xr/4 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. OF verified by: ? Sewer Distrix �► �tJ IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWSOFRIVERSIDE COUNTY AND THE STATE.OFCALIFORNIA. II 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 Form 284.2081Rev. 4.771 ©s CALIFORNIA.