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303697 (SFD)
4. BUILDING PERMIT z DEPARTMENT OF BUILDING & SAFETY 'fes � FIELD OFFICE - _ PERMIT NO.Supp. 303697 PERMITNO. 303697 Job Address • COUNTY OF RIVERSIDE ` ay Owner x;,/• OST CONSTRUCTION ESTIMATE Community �^r► �/�. v/j7 NO. ELECTRICAL FEES NO. PLUMBING FEES Dist. /1 1ST FL. SQ. 2ND FL. POR.SQ. GAR. SQ. CAR P. SQ. WALL ESTIMATED CONSTRUCTION FT. • tai $ ifl,00 UNITS t Cop $ SQ. FT. @ YARD SPKLR SYSTEM - FT. @ U_6 MOBILEHOME SVC. BAR SINK Use No.. F.T. 8 0 Sp POWER OUTLET ROOF DRAINS 41ech. Fee Dbl E� FT. DRAINAGE PIPING Set Backs SQ. FT. Q DRINKING FOUNTAIN :onstruxion Fee Pexricol Fee_ WI Fee SQ. FT. ® URINAL Legal Description (,�/ �t�� �� / VALUATION $ 40 WATER PIPING F NOTE: Not to be used as property tax valuation S SWIM POOL, PVT FLOOR DRAIN Grp Type VAI 1, 1MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER ON E E Bond Amt. $ - VENT SYSTEM I,FAN ❑ EVAP. COOL ygJ HOOD "' SIGN WASHER (AUTO) UXSbfl Inlfpe or APPLIANCE DRYER $ Const. Lender Address GARBAGE DISPOSAL tegisir. Fee $ IAileage Fee $ FURNACE 0 UNIT O WALL FLOOR O SUSPENDED teinsp. Fee $ LAUNDRY TRAY Tel.- .. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Address - ABSORPTION SYSTEM 0 B.T.U. Zip j - TEMP USE PERMIT SVC WATER CLOSET Contra COMPRESSOR 0 HP r POLE, TEMP/PERM LAVATORY - LL P - Address HEATINGSYSTEM FORCED 0 GRAVITY Workers' Comp. , yes no 1 AMPERES SERV ENT SHOWER BOILER' 0 B.T.U. SQ. FT, p ¢ BATHTUB SO. FT. p ¢ WATER HEATER SQ. FT. RESID p 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ail HOUSE SEWER GAS PIPING _ PERMIT FEE PERMIT FEE PERMIT FEE DBL. �E;4 [,7;7T0;7T moe. Hm. FEE MICRO FEE MECH. F,EE PL. CK. FEE CONST. FEE ELECT. FEE b Flo ?r2 -Z SMI FEE FEE I i PLUMB. FEE 37 eo PERMIT NO.Supp. 303697 Permit Job Address Space Zip ay Owner x;,/• Community �^r► �/�. v/j7 Valuation $ �� �y Date 7 / 1 •7 7 Dist. /1 Off; .1_ F.C. AH Permit Fee $ Micro Film Fee Cop $ Use of Permit — "" "6, - Parcel No. Use No.. Ck.by 41ech. Fee Dbl E� tl. Ck. Fee $ Set Backs Lot Size �lQQ :onstruxion Fee Pexricol Fee_ WI Fee Dbl $ Dbl $ $ Legal Description (,�/ �t�� �� / /,�,� �"'�+ / /� iI/i/�% a F S S Zane Grp Type VAI Unit Unit siumbing Fee ip. Insp. Fee ON E E Bond Amt. $ - Pion No. Plan CheckerFinal fiy �/_ a Inlfpe or )emol. Fee $ Const. Lender Address Branch 'I certify that to the performance of thew rk for which this permit is issued I sholl not employ any person in any monnet-so as to become subject to the workmen s com. pensotion lows of California. City Zip • Owner Signature Builder Signature tegisir. Fee $ IAileage Fee $ Witness Fee $ teinsp. Fee $ Owner/Agent Tel.- .. Ztp i jJ 'otol Fees $ Address - City Zip j - M.O. ❑ N.C. C] Cash O Check teceived by frees required . ! Contra Tel. !� License # iewage System T wer Distrix - LL P - Address City Q Zip Workers' Comp. , yes no 1 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, - ve,.hed by: - - CU's I I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS -PERMIT WILL -BE DONE IN ACCORDANCE a WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I 1 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 arm 284-2081Rev. 4771 ©s CALIFORNIA.