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304211 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE PERMITNO. Supp. Permit 3 0 `; 211t - PERMIT NO."' 304211- Space COUNTY OF RIVERSIDE Owner r 7 F=ie mmuniy DST 'CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. aQt NO. PLUMBING FEES ,Micro Film Fee 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ SQ. FT. 8 Use of Permit Description 7- UNITS Parcel No. /C'�© Z2 1,47 ;AYD WLR SYSTEM CS FT. @ A4— ♦ L:i7 MOBILEHOME SVC. BAR SINK m FT. @k POWER OUTLET ROOF DRAINS in Lot Size FT. @ DRAINAGE PIPING S FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL Grp VALUATION $ aq WATER PIPING Unit / NOTE: Not to be used as property tax valuation Plumbing Fee SWIM POOL, PVT $ FLOOR DRAIN Plan No. Plan C ecker MECHANICAL FEES Inspector �y}� SWIM POOL, COMM Sp. Insp. Fee $ WATER SOFTENER $ VENT SYSTEV ❑ FAN ❑ EVAP. COOL ❑ HOOD p SIGN .Mileage Fee $ WASHER IAUTOI I DISH) Reinsp. Fee APPLIANCE DYER 0b Tel. GARBAGE DISPOSAL Total Fees 1$407-1 M.O. ❑ N.C. ❑ Cosh CT Check FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED City Zip LAUNDRY TRAY CJ AIR HANDLING UNIT CFM IDLE METER License # KITCHEN SINK LL ABSORPTION SYSTEM 0 B.T.U. City Zip Z/. z �C.,/ e– TEMP USE PERMIT SVC 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. WATER CLOSET VP COMPRESSOR HP d POLE, TEMP/PERM LAVATORY A HEATING SYST ❑ FORCED ❑GRAVITYU AMPERES SERV ENT + SHOWER BOILER B.T.U. SQ. FT. @ ¢ BATH TUB tlo SQ. FT. Ga ¢ WATER HEATER Q. FT. RESID 8 l tb¢ SEWAGE DISPOSAL SQ. FT. GAR C Y ¢ 4a HOUSE SEWER GAS PIPING p PERMIT FEE 4 PERMIT FEE PERMIT FEE r DBL. TOTAL EES �41/ az) moe. HM. FEE MICRO FEE CH. FEE PL. CK: FEE CONST. FEE A& -,? CT. FEE SMI FEE , ---) PEE F— UMB. FEE PERMITNO. Supp. Permit 3 0 `; 211t - Job Address �. Space Zip Owner r 7 F=ie mmuniy Valuation Dote ^Z I ! Dist. Off. F.C. aQt MH Permit Fee $ ,Micro Film Fee Cop $ Use of Permit Description 7- Parcel No. /C'�© Use No. Ck..�by 'Neth. Fee Dbl $ 'PI. Ck. Fee $ p Construction Fee Dbl $gol .Electrical Fee Dbl $ SMI Fee $ Set Backs Lot Size F_:24 S Zone Grp Type Unit / Plumbing Fee Dbl $ Bond Amt. Plan No. Plan C ecker Final Dote r 79 Inspector �y}� Sp. Insp. Fee $ 'Demol. Fee $ Const. Lender Address Branch . 'I certify that to the performance of the work for which this permit a issped I shall not employ any person to any manner so as to become suLNect to the workmen s com. pensation laws of California City Zip Owner S,gnpturp BuJder Signature Registr. Fee $ .Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees 1$407-1 M.O. ❑ N.C. ❑ Cosh CT Check Address City Zip Received by Trees regmre! Contractor. j y Tel. License # Sewage System LL Addr. _ . City Zip Z/. z �C.,/ e– Workers' Comp. yes no ❑ 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. -0.d by. Sewef Distrix �y�� 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 50 I I f HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Fcrm 284-208 (Rev. 4771 ©s CALIFORNIA.