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309389 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 30 :7389 1 PERMIT NO. 309309 IF COUNTY OF RIVERSIDE Community ✓I ^-��%S`� Valuation .. 3 p'7 Q JDST It CONSTRUCTION ESTIMATE Off. / lzpGl NO. ELECTRICAL FEES NO. PLUMBING FEES Micro Film Fee Cop E 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. Ce) trJ $ .••-Gly UNITS Mech. Fee Dbl E PI. Ck. Fee E Sbt acks FT. Cel YARD SPKLR SYSTEM Construction Fee • Dbl E 412- Electrical Fee Dbl E FT. Cel 4Z�� MOBILEHOME SVC. BAR SINK F FT. Cel +�' O 0 POWER OUTLET ROOF DRAINS S FT. Cel DRAINAGE PIPING Zone �2- FT. Ce) DRINKING FOUNTAIN Type r•v FT. Cal URINAL VALUATION $ /p WATER PIPING Plumbing Fee Dbl b NOTE: Not to be used as property tox valuation Plan No. ` SWIM POOL, PVT Final Date? ' FLOOR DRAIN Sp. Insp. Fee b MECHANICAL FEES Const. Lender Branch 'I certify that in the performance of the work for which ffin permit is issued i shall not employ any person to any manner so cis to become subject to the workmen s com- 5 pensation laws of California 'i City Zip Owner Signot— Budder S.gnaturc 2nt, SWIM POOL, COMM Mileage Fee $ WATER SOFTENER Reinsp. Fee S VENT SYSTEM FAN ❑ EVAP. COOL 5a HOW SIGN Address WASHER 1AUT01,ZDISH) O Received by Trees required APPLIANCE Z DRYER Tel. License N i Sewage System ?� LL P Sewer District 1 53�7q /v Form 284.208 (Rev. 4.77) ©s GARBAGE DISPOSAL City «y Zip Workers' Comp. yes I" no ❑ FURNACE ❑ UNIT O WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED O GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. WATER HEATER SQ. FT. RESID @ 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cat s/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE s DBL.TOTAL FEES act :° MOB. HM. FEE MICRO FEE M H. FEE a PL. CK. FEE CONST. FEE ELECT. FEE SMI FEET FEE PLUM. . FEE PERMIT NO. 30 :7389 1 Supp. Permit Job Address Space Zip 7 Z1 Owner ; L 1447,--w Community ✓I ^-��%S`� Valuation .. 3 p'7 Q Date G% off% % Dist. // Off. / lzpGl F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit wg Parcel No. _ Use No. Ck:by Mech. Fee Dbl E PI. Ck. Fee E Sbt acks Lot Size Construction Fee • Dbl E 412- Electrical Fee Dbl E Legal Description T /SIP- '0134K 100 F 1 "" S R� Zone �2- Grp Type r•v Unit SMI Fee E Plumbing Fee Dbl b Bond Amt. y Plan No. ` Plan Checker _ Final Date? ' Inspector Sp. Insp. Fee b Demol. Fee b Const. Lender Branch 'I certify that in the performance of the work for which ffin permit is issued i shall not employ any person to any manner so cis to become subject to the workmen s com- 5 pensation laws of California 'i City Zip Owner Signot— Budder S.gnaturc 2nt, Registr. Fee b Mileage Fee $ Witness Fee E _C Reinsp. Fee S Tel. Zip Total Fees $ Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by Trees required Contractor Tel. License N i Sewage System ?� LL P Sewer District 1 53�7q /v Form 284.208 (Rev. 4.77) ©s Address City «y Zip Workers' Comp. yes I" no ❑ THIS PERMIT SHALL BECOME VOIDrJF WORK 15 NOT COMMENCED WITHIN i20 DAYS. CESSATION OF ty. WORK FOR 120 BAYS 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 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS PaND PROFESSIONS CODE OF THE STATE OF CALIFORNIA