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SFD (304100)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. COUNTY OF RIVERSIDE'S 3041100 CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. Q $ 2ND FL. SQ. FT.' FOR. SQ. FT. ® Qo GAR. j4ydl SQ. FT.. CAR P. SQ. FT. WALL SQ. FT. 8 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMIT NO. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Owner j VENT SYSTEM FAN ❑ EVAP. COOL HOOD SIGN WASHER IAUTO IDISHI cka APPLIANCE DRYER GARBAGE DISPOSAL Dote G Z% FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Off. T LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET ' Use of Permit Parcel No. Use No. Ck.by �T Set Backs COMPRESSOR HP POLE, TEMP/PERM LAVATORY e=Jlif/L--G+ lot Size Legal Description _ F S ^' HEATING SYSTEM FORCED ❑ GRAVITY5koAgo AMPERES SERV ENT SHOWER Zone Grp Type Unit BOILER B.T.U. SQ. FT. @ ¢ BATH TUB _SMI Fee s SQ. FT. ¢ WATER HEATER Bond Amt. • SQ. FT. RESID 8 1 t/.¢ SEWAGE DISPOSAL Final Dote Inspect SQ. FT. GAR G 14¢ HOUSE SEWER g GAS PIPING /� 7� PERMIT FEE PERMIT FEEPERMIT FEE DBL..=EES 3 % M08. HM. FEE MICRO FEE CH. FEE Li `t✓ . PL. CK. FEE CONST. FEE EL T. E• - o� �� SMI FEE % 7 FEE PL B. FEE CG PERMIT NO. Supp. Permit Job Address C N .ZpoteZip Owner j 304100 Community Valuation Z.4 Dote G Z% Dist. Off. T F.C. MH Permit Fee E ,Micro Film Fee Cop b Use of Permit Parcel No. Use No. Ck.by �T Set Backs 'Mech. Fee ' DbI 8 ;PI. Ck. Fee $ e=Jlif/L--G+ lot Size Legal Description _ F S ^' Construction Fee Dbl E Electrical Fee DblE Zone Grp Type Unit ` /&7-/ A � / Z ,�/V� j IS"� + _SMI Fee s .Plumbing Fee Dbl $ Bond Amt. • Plan No. Plan Checker Final Dote Inspect Sp: Insp. Fee E g /� 7� Demol. Fee E Const, lender Branch 'I certify that in the performance o work for which th,s permit is issued I Shan not employ any person in any o , manner to become subject to the workmen s cam. Registr. Fee E - pensotion laws of California.' Address City Zip _ Owner Signature Budder Signature Mifeage Fee E Witness Fee b Reinsp. Fee $ Owner/Agent Tel. Zip ,Total Fees S Address City Zip r M.O. ❑ N.C. ❑ Cash ❑ eck 'Received by .. Contractor� / / Tel. License N 7 7 Trees required Sewage System Address • r City Zip Workeri Comp. 'I('/4 - y e_sZ no ❑ LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of verified by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. rSewer District w I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND JHE STATE. OF CALIFORNIAN _ 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 Form 284.208 (Rev. 4.771 ©s CALIFORNIA.