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SFD (304244)BUILDING PERMIT DEPARTMENT OF -BUILDING &SAFETY FIELD OFFICE PERMIT NO. PERMIT NO.Q (/�jp�� 3 0MI tl 2 11 p Job Address, _ Space Zip COUNTY OF RIVERSIDE ' _ - DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Valuation ..... t $ NO. PLUMBING FEES Dist. / % ' 1ST FL. SQ. .2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. EEE]SQ, WALL SQ. ESTIMATED CONSTRUCTION FT, Q $A� UNITS. MH Permit Fee 8 FT. (t}. ' YARD SPKLR SYSTEM FT. ® Qo MOBILEHOME SVC. BAR SINK Parcel No. _ POWER OUTLET ROOF DRAINS FT. @ k.by FT. .(� DRAINAGE PIPING Set Backs DRINKING FOUNTAIN FT., 8 PI. Ck. Fee $/L SQ. FT. ® URINAL (Construction Fee Dbl $ VALUATION $ po WATER PIPING F NOTE: Not to be used as property tax valuation $ SWIM POOL, PVT [Electrical Fee Dial $ FLOOR DRAIN - Zone MECHANICAL FEES. Type SWIM POOL, COMM ` WATERSOFTENER VENT SYSTEM RFAN [:) EVAP. COOL HOOD SIGN WASHER (AUTO) I Plumbing Fee Dbl $ APPLIANCE DRYER Mot Plan Checker Final Date $1 GARBAGE DISPOSAL Sp. Insp. Fee 8 FURNACE 0 UNIT 0 WALL 0 FLOOR C] SUSPENDED $ o� LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Regisrr. Fee KITCHEN SINK pensation laws of California.' Address City • Zip Owner Signature - Builder Si nature ABSORPTION SYSTEM O B.T.U. Fee 8 TEMP USE PERMIT SVC WATER CLOSET Tel.. Zip COMPRESSOR 0 HP POLE, TEMP/PERM City Zip LAVATORY HEATING SYSTEM FORCED C] GRAVITY AMPERES SERV ENT Trees required SHOWER _ ISewoge System BOILER B.T.U. Address City Zip Workers' Comp. SQ. FT. @ BATHTUB T LL ' P THIS PERMIT SHALL BECOME VOID, IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF—Jiedby: wet Distric SQ. FT. 8 ¢ WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. WATER HEATER l SQ. FT. RESID @. 1 v a SEWAGE DISPOSAL 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 SQ. FT: GAR @ ' /.¢ 7 441 HOUSE SEWER Form 284.208 (Rev. 4.771 ©s CALIFORNIA. - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE • DBL - TOTAL FEES ' ]MO a. MM. Fee .MICRO FEE C .FEE Gtr PC. CK: FEE CONST. FEE' ��-__ £L T. E yf SMI FEE 71 FEE PLUMB. FEE PERMIT NO. Supp. Permit Job Address, _ Space Zip Owner. _ - 304-244 Community /�••— Valuation ..... t $ Date 4 7 7. 6� Dist. / % Off. F.C. MH Permit Fee 8 iMicro Film Fee Cop $ Use of Permit ` 4 • ���/�C ' Parcel No. _ Use No. k.by [Meth. Fee Dbl $ Set Backs La Size PI. Ck. Fee $/L y s� / (Construction Fee Dbl $ Legal Description F $ R [Electrical Fee Dial $ - Zone Grp Type Unit ,SMI Fee Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final Date Inspect " r Sp. Insp. Fee 8 $ o� bemol. Fee $ Const. Lender Branch 'I certify that nth performance oft 'k for which this permit is issued I shaft not employ any person in any manner so to come subject to the workmen s tom• Regisrr. Fee S pensation laws of California.' Address City • Zip Owner Signature - Builder Si nature ;Mileage Fee $ Fee 8 �Witness eisp. Fee $ Owner/Agent Tel.. Zip ,total Fees $ Address City Zip M.O.O N.C. 0 Cash Check jo Received by Contractor Tel. Tel. License N Trees required _ ISewoge System Address City Zip Workers' Comp. h, no 0i a T LL ' P THIS PERMIT SHALL BECOME VOID, IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF—Jiedby: wet Distric WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. l 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 Form 284.208 (Rev. 4.771 ©s CALIFORNIA. -