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SFD (303909)
'DEPARTMENT OF BUILDING & SAFETY BUILDING PERMIT �d�Yd. FIELD OFFICE PERMIT NO. PERMIT NO. 303909 Job Address - COUNTY OF RIVERSIDE Space Zip Owner- DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO: PLUMBING FEES 1ST FL. SQ. FT. $ 21\0, FL. SQ. FT. (} POR. SQ. FT., m0 GAR. SQ. FT. CAR P. SQ. FT. Cql WALL SQ. FT. (a} SQ. FT., ESTIMATED CONSTRUCTION VALUATION$ 04 O p0 �+jQ +� UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING O NOTE: Not to be used as property rax valuation 4W I IF SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Community w SWIM POOL, COMM V01 ation : $ WATER SOFTENER ., Dist. - Off. F.C. 0 VENT SYSTEM O FAN 0 EVAP. COOL N.,2 HOOD ..Micro Film Fee i..MecK SIGN j WASHER (AU DISH) d APPLIANCE DYE Q Fee $ D RPI-Ck. Fee GARBAGE DI POSAL p /• Legal Descri i1F. FURNACE ❑-UNIT O WALL O R O SUSPENDED Ser Backslot SizelConstructlon LAUNDRY TRAY jElectrical Fee E AIR HANDLING UNIT CFM ...�/•+ j/jJ /!�'� �J' - 1 `�8,6 IDLE METER .r KITCHEN SINK O SMI Fee Feel ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC 2 WATER CLOSET ZL 00 COMPRESSO � HP $ POLE, TEMP/PERM Bon`d Amt. E LAVATORY Plan Checker HEATING SYSTEM FORCED GRAVITY (� AMPERES SERV ENT -' - SHOWER C $ BOILER B.T.U. Const. Lender SQ. FT. p ¢ - - 'I certify that to the performance of the w k for which this perms is issued I shall - not employ any person many manner so as to become subject to the workmen s mm• BATH TUB p Address -SQ. FT. @ C. pensation Zip - _ WATER HEATER O 'Mileage Fee $ ,,Witness Fee E Teinsp. Fee SQ. FT. RESID B 1'/.¢ SEWAGE DISPOSAL ZAS X15�. - } -I Tel. s - Zip SQ. FT. GAR Cel , 'K.a p HOUSE SEWER - Address _ _ City . Zip GAS PIPING PERMIT FEE d PERMIT FEE p PERMIT FEE - DBL. TOTAL FEES 3/ MOB. MM. FEE MICRO FEE 2 C . E£ t sd PL. CK. FEE �.-- CONST: FEE Iso ECT. FEE 94� SMI FEE g rl FEE9.G ®o PERMIT NO. Supp. Permit Job Address - Space Zip Owner- 303909 - e Community w V01 ation : $ Dote 00 ., Dist. - Off. F.C. 0 $ FeejDob ..Micro Film Fee i..MecK E Use o.mitParcel + No. Use No. Ck.by Fee $ D RPI-Ck. Fee E - /• Legal Descri i1F. Ser Backslot SizelConstructlon Fee E • jElectrical Fee E ...�/•+ j/jJ /!�'� �J' - 1 `�8,6 .r one - Grp ype UnitIIf SMI Fee Feel $ / .{j/�/ APJ-/ I^�,Plumbing Fee $ Bon`d Amt. E Pion No. Plan Checker Finial Date / .. - Inspector - ISp. Insp. Fee E' !Demol. Fee $ Const. Lender Branch - - 'I certify that to the performance of the w k for which this perms is issued I shall - not employ any person many manner so as to become subject to the workmen s mm• 'Regisrr. Fee $ I Address City pensation Zip - _ laws of California.' Owner Signature _ BuJde* Stgnawre- - 'Mileage Fee $ ,,Witness Fee E Teinsp. Fee $ Owner/Agent X15�. - } -I Tel. s - Zip (`gTotal Fees $ - Address _ City . Zip M.O. 0 N.C. 0 Cos o Che FReceived by Contractor ' Tel. License # � Trees requi e 'Sewage System Address City Zip Workers' Comp. % yes C] no 0' M Form 284.208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF vented by. WORK FOR, 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . 0 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. 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.