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309394 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 30939" Supp. Permit COUNTY OF RIVERSIDE Space -Zip � 3 Owner 1` j DST CONSTRUCTION ESTIMATENO. Voluation ELECTRICAL FEES Date NO. PLUMBING FEES F.C. I ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. • $ r% UNITS Cop E Use of Permit @YARDSPKLRSYSTEM FT. Parcel No. V- FT. go-. 9110 MOBILEHOME SVC. BAR SINK Mech. Fee Dbl E FT. �► b Q� POWER OUTLET ROOF DRAINS Set Backs FT. @ DRAINAGE PIPING Construction Fee Electrical Fee SMI Fee FT. (a} DRINKING FOUNTAIN d FT. URINAL VALUATION $ OBJ WATER PIPING SJ NOTE: Not to be used as property tax valuation SWIM POOL, PVT Grp 3 FLOOR DRAIN Unit I MECHANICAL FEES Dbl E SWIM POOL, COMM Bond Amt. E WATER SOFTENER Plan `FjgpDgt;� 2 _ n Inspector 1��� ��/ 4C! �/e� 'C!X VENT SYSTEM FAN ❑ EVAP. COOL >0 HOOD SO SIGN Denial. Fee WASHER (AUTGQW) O Const. Lender Branch I certify that in the performance of t ork for which this permit is issued I shall not employ any person in any manner so -• to become subject to the workmen s com- pensotion laws of California Address City Zip Owner Signature � Budder Signature APPLIANCE DRYER Ci Witness Fee E Reinsp. Fee GARBAGE DISPOSAL ` ry e / ' - FURNACE ❑ UNIT ❑ WALL ❑ rLOO'R ❑ SUSPENDED Zip O Total Fees LAUNDRY TRAY ; Address N•Zh AIR HANDLING UNIT CFM ip / s IDLE METER Received by KITCHEN SINK Contractor ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVCWATER Trees required CLOSET2/ ,! COMPRESSOR HP City POLE, TEMP/PERM Workeri Comp.I yes ❑ no ❑+ LAVATORY HEATING SYSTEM XFORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. pa ¢ BATH TUB SQ. FT. Ca ¢ WATER HEATER SQ. FT. RESID Q 1 t/.¢ q SEWAGE DISPOSAL SQ. FT. GAR C z/.¢ 9 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE O PERMIT FEE b DBL. TOTAL FEES L16 MOB. HM. FEE MIGRO FEE MECH. FEE S-� PL CK. FEE dd 5"b CONST. FEE ��� �-Q ELECT..yF ESE .� ASMI FEE /.� FEE PLUMB. FEE �© PERMIT NO. 30939 4 Supp. Permit Job Address - o ,�,�,e>�Al ,� Space -Zip � 3 Owner 1` j Community Voluation Date Dist. Off. F.C. MH Permit Fee E9�� Micro Film Fee Cop E Use of Permit Parcel No. V- Use No. Ck.by Mech. Fee Dbl E PI. Ck. fee E Set Backs Lot Size Construction Fee Electrical Fee SMI Fee Dbl E Dbl E E d Legal Description /ja.� 6/ I �' /✓ 1 J���/ , SJ 6— Zone �• f I`' Grp 3 Type LEE Unit I Plumbing Fee Dbl E Bond Amt. E P�lan�No. (J��!✓ Plan `FjgpDgt;� 2 _ n Inspector 1��� ��/ 4C! �/e� 'C!X Sp. Insp. Fee E Denial. Fee E Const. Lender Branch I certify that in the performance of t ork for which this permit is issued I shall not employ any person in any manner so -• to become subject to the workmen s com- pensotion laws of California Address City Zip Owner Signature � Budder Signature Regisir. Fee b Mileage Fee E Witness Fee E Reinsp. Fee E ` ry e / ' - Tel. XJ — �! Zip O Total Fees E 6 Address N•Zh City �%� ip / s M.O. C]N.C. C] Cash C]Checkleo Received by Contractor Tel. License # Trees required Sewage System ,! Address City Zip Workeri Comp.I yes ❑ no ❑+ I Sewer District LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF -.).ed by. 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. Form 284-208 (Rev. 4.771 ©s 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