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309381 (ELEC)BUILDING PERMIT ,jjjh,' DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 39933 PERM IT No. __ _ COUNTY OF RIVERSIDE Owner Community - A ©4 /nl7rff� DST Date / % % 30936fi .Off. -L F.C. MH Permit Fee E Micro Film Fee Cop E fr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Use No. NO. PLUMBING FEES �ech. Fee Dbl E 1ST FL. SQ. FT. Q $ UNITS Lot Size onstruction Fee Dbl E Legal Description /��! ., �/. / li�C .� ` %i 2ND FL. SQ. FT. G S S YARD SPKLR SYSTEM IElearicol Fee Dbl E O POR. SQ. FT. MOBILEHOME SVC. Type BAR SINK I GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS Plan No. CAR P. SQ. FT. @ Final Dore / �Ly 00 DRAINAGE PIPING Pp. Insp. Fee E WALL SQ. FT. Q Const. Lender Branch "1 certify that in the performonce of The, work for which this permit n issued I shall not employ any person in any manner so as to become subleci to -he workmen s com- pensation laws of Ca6fornta Address City Zip Owrwr S,gnarure BuAder Sranaturc DRINKING FOUNTAIN [Mileage Fee E S g SQ. FT. einsp. Fee E URINAL 0 Tel. Zip j ESTIMATED CONSTRUCTION VALUATION $ otal Fees $ ` WATER PIPING City Zip �, tY6> N•� NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Tel. MECHANICAL FEES SWIM POOL, COMM ISewoge System 1i k T LL ewer District WATERSOFTENER Address VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN ,10 DAYS CESSATION OF r f ea by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID - ! WASHER IAUTOI (DISH) APPLIANCE [3 DRYER GARBAGE DISPOSAL 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 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM C] FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Cay a BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Qa V44 SEWAGE DISPOSAL SQ. FT. GAR 6 14 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE GC PERMIT FEE DBL. TO FAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE i3 0o i3 po PERMITNO. 39933 Supp. Permit Job Address Space - Zip Owner Community - A ©4 /nl7rff� 'Valuation E Date / % % Dist. .Off. -L F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit `` �BD "J/� .7TcJ'd''�tt„ 4Yfif%j�sll[= Parcel No. '�d�G 3 —Q / / Use No. lo�. �ech. Fee Dbl E IPI. Ck. Fee E Set Backs Lot Size onstruction Fee Dbl E Legal Description /��! ., �/. / li�C .� ` %i F S S R IElearicol Fee Dbl E O Zone ,` Grp Grp Type Unit I T MI Fee E lumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Dore / �Ly Inspe o �. 0a 1 a Pp. Insp. Fee E emol. Fee E Const. Lender Branch "1 certify that in the performonce of The, work for which this permit n issued I shall not employ any person in any manner so as to become subleci to -he workmen s com- pensation laws of Ca6fornta Address City Zip Owrwr S,gnarure BuAder Sranaturc Registr. Fee E [Mileage Fee E S g itness Fee E einsp. Fee E Owner/Agent O. G 0 Tel. Zip j otal Fees $ ` Address > /Cs, / % �� Q G>�'G t [ G-lJ •L,//y%jrQ City Zip �, tY6> N•� I M.O. ❑ N.C. C] Cosh Check ❑ Received by Contractor Tel. License # , rees required ISewoge System 1i k T LL ewer District P Address City Zip Workers' Comp. yes ❑ no ❑i THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN ,10 DAYS CESSATION OF r f ea by. 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 ACCORDAN& WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SON ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 IRev. 4.771 ©s CALIFORNIA.