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304176 (SFD)BUILDING PERMIT .;,Mk DEPARTMENT OF BUILDING & SAFETY ,d&, FIELD OFFICE PERMIT NO. 1304176 il PERMIT NO. 304176 ip Owner Job Address Space�7- - - � _ Community Valuation Date Dist. Off. LFC. p =0 &zz�tij'"' b a: 1—: l Q COUNTY OF RIVERSIDE ,T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Use of Permit iL NO. PLUMBING FEES 'Pl. Ck. Fee $ 1ST FL. SQ. 2ND FL. SQ. POR. 414SQ. GAR. SQ. CAR P. SQ. WAIL SQ. SQ. ESTIMATED CONSTRUCTION FT. (a} $ UNITS Zone Grp Type FT. @ YARD SPKLR SYSTEM FT. C+3 ob MOBILEHOME SVC. BAR SINK Dbl E FT. @-"%2P POWER OUTLET ROOF DRAINS Plan No. FT. ® �. DRAINAGE PIPING DRINKING FOUNTAIN FT. Q Denial. Fee FT. Cri URINAL Const. lender Branch I certify that in the performance of the ark for which ih� permit is issued I shall trot employ any person rn any manner so as o become subject to the workmen s com- pensation laws of Cof fornw Address City Zip Ownv Signature _ Budde. Sianowre VALUATION $ WATER PIPING IV 'Mileage Fee $ d NOTE: Not to be used as property tax valuation SWIM POOL, PVT b FLOOR DRAIN De MECHANICAL FEES SWIM POOL, COMM Address WATER SOFTENER M.O. ❑ N.C. ❑ Cash ❑ Check_ Received by VENT SYSTEM ❑ FAN ❑ EVAP. COOL Q HOOD SIGN Tel. WASHER (AUTO -(DISH) Trees required 'Sewage System j T APPLIANCE DRYER Address City Zip GARBAGE DISPOSAL 0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF aeret•ed by. t WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCL WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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 Sewer District k. Form 284208 (Rev. 477) ©s FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATINGSYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. Qa ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Ca 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR @ Y. it HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES !4/ MOB. HM. FEE MICRO FEE 3 Grp H. L. CK. FEE aO CONST. FEE ao7 EL T. FEE SMI FEE '97 FEE PL B. FEE PERMIT NO. 1304176 il Supp. Permit ip Owner Job Address Space�7- - - � _ Community Valuation Date Dist. Off. LFC. p =0 &zz�tij'"' b a: 1—: l Q i ' •MH Permit Fee E i fj Micro Film Fee IIMech. Fee Cop I E Dbl b Use of Permit iL Parcel No. Use No. Ck.by 4:;FBac.ks Lot Size F S /� 'Pl. Ck. Fee $ �Construoion Fee �Elearicol Fee SMI Fee Dbl E Dbl E E Legal Description I`� �T �'� /�L 7 G%�� �� Zone Grp Type Unit )'Plumbing Fee Dbl E Bond Amt. b Plan No. Plan Checker Final Dote /- Inspector Sp. Insp. Fee E Denial. Fee E Const. lender Branch I certify that in the performance of the ark for which ih� permit is issued I shall trot employ any person rn any manner so as o become subject to the workmen s com- pensation laws of Cof fornw Address City Zip Ownv Signature _ Budde. Sianowre _ Registr. Fee E 'Mileage Fee $ Witness Fee b Re insp. Fee b Owner/Agent Tel. Zip �Totol Fees S Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check_ Received by Contractor Tel. License N I Trees required 'Sewage System j T X / LL G Address City Zip Workers' Comp. yes Q no ❑� 0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF aeret•ed by. t WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCL WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 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 Sewer District k. Form 284208 (Rev. 477) ©s