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SFD (304245)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ,, FIELD OFFICE PERMIT NO. 30424� PERMIT NO. 30424-51 �. COUNTY OF RIVERSIDE 1 Owner �- Y;3 DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Dote Q �S %�'�' NO. PLUMBING FEES /Off. i 1ST FL. SQ. FT. 2ND FL. - SQ. FT. ®' FOR. SQ. FT. 6 GAR. SQ. FT. (a} CAR P. SQ. FT. @ WALL SQ. FT. Q SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ UNITS CIO MOBILEHOME SVC. POWER OUTLET .- 40 MH Permit Fee $ YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING Cop $ NOTE: Not to be used os property tax valuation SWIM POOL, PVT Parcel No. ^ ev -7 FLOOR DRAIN ` k.by !Meth. Fee Dbl $ SPI. Ck. Fee $ 'MECHANICAL FEES SWIM POOL, COMM !Construction Fee iElectrical Fee WATER SOFTENER Legal Description h �I /G� �7Y ��//✓%{f �j VENT SYSTEM FAN _ EVAP. COOL HOOD , SIGN WASHER IAUTOI j"WI / Grp APPLIANCE DRYER Unit - t GARBAGE DISPOSAL - Dbl $ z97 AO. $ FURNACE O UNIT O WALL O FLOOR O' SUSPENDED Plan No LAUNDRY TRAY Final Date Inspe�cto/r//1 AIR HANDLING UNIT CFM, IDLE METER Demol. Fee KITCHEN SINK Const. Lender Address Branch 'I certify that in the perlormonce of t rk for which this permit is issued 1 shaft not employ any person m any manners o o come subject to the workmen s com. - pensoiion laws of California.' City Zip Owner Signature Builder Signature ABSORPTION SYSTEM 0 B.T.U.. TEMP USE PERMIT SVC 'Witness Fee $ WATER CLOSET $ Owner/Agent COMPRESSOR HP POLE, TEMP/PERM Zip LAVATORY ,total Fees$ M.O. O N.C. O Cash O Check Address HEATING SYSTEM FORCED O GRAVITY ` . AMPERES SERV ENTSHOWER Zip 1 ;Received by Contractor d ress BOILER B.T.U. SQ. FT. 8 ¢ License p l O Tey II BATHTUB t Zip Workers' Comp. es no ❑I SQ. FT. 8 ¢ WATER HEATER SQ. FT. RESID 8 1 tG¢ SEWAGE DISPOSAL SQ. FT. GAR p HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 'PL. PERMIT FEE DBL -' TOTAL FEES Za �� M09. HM. FEE MICRO FEE H. CK. FEE - � 1 CONST. FEE o0 E C 3� rsMI FEE 7 FEE • PL B. FEE 3 PERMIT NO. 30424� ,Supp. Permit Job Address - - Space Zip.. Owner �- Y;3 Community G/ //✓Tf� Valuation. // 8rt��j lO, 70® Dote Q �S %�'�' Dist. Dist. �� /Off. i F.C. r, MH Permit Fee $ Micro Film Fee Cop $ Use of Permit ♦ '�W�`-� C/� ^ k Parcel No. ^ ev -7 Use No. k.by !Meth. Fee Dbl $ SPI. Ck. Fee $ Set Backs I Lot Size �� �rOLj - !Construction Fee iElectrical Fee Dbl $ Dbl $ 2:7Zone Legal Description h �I /G� �7Y ��//✓%{f �j F S / Grp Type _ .� Unit - t SMI Fee $ 'Plumbing Fee ;Sp. Insp. Fee Dbl $ z97 AO. $ Bond Amt. Plan No Pion Checker Final Date Inspe�cto/r//1 Demol. Fee $ Const. Lender Address Branch 'I certify that in the perlormonce of t rk for which this permit is issued 1 shaft not employ any person m any manners o o come subject to the workmen s com. - pensoiion laws of California.' City Zip Owner Signature Builder Signature Registr. Fee $ ,Mileage Fee $ 'Witness Fee $ �Reinsp. Fee $ Owner/Agent Tel. Zip ,total Fees$ M.O. O N.C. O Cash O Check Address - City Zip 1 ;Received by Contractor d ress F�.r---. - Tel. 721 License p l O Tey II :Trees required - Sewage System X/Z City % S Zip Workers' Comp. es no ❑I T — LL E wer District C: �t Form 284.208 IRev. 4771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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. ' venhed. by: 1