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303993 (RER)
BUILDING PERMIT PERMIT NO. 30993 CONSTRUCTION ESTIMATE 1 ST FL/ SQ. FT. 8 $ 2ND FL. SQ. FT. FOR. SQ. FT. GAR. SQ. FT. @ CAR P. SQ. FT. WALL SQ. FT. �►� SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN i PERMIT NO. 13a3993 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Cop E APPLIANCE ❑ DRYER Parcel No. Use No. Ck.by GARBAGE DISPOSAL iPl. Ck. Fee E Construction Fee Dbl E ' Electrical Fee Dbl E Q FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Backs Lot Size ype Unit LAUNDRY TRAY L , SMI Fee E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK an h cker ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Denial. Fee COMPRESSOR HP POLE, TEMP/PERM LAVATORY Mileage Fee E - HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Owner/Agent /� j BOILER � B.T.U. SQ. FT. p ¢ BATH TUB •Total Fees E M.O. ❑ N.C. ❑ CoshNfT Check` Address G� SQ. FT. Ga ¢ WATER HEATER ' Received by Trees requir SQ. FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL License # I Sewage System T SQ. FT. GAR Ge Y. HOUSE SEWER City Zip Workers'Comp. yes ❑ no 01 t GAS PIPING Sewer District Form 284.208 (Rev. 4.771 ©s PERMIT FEE PERMIT FEE PERMIT FEE Q DBL. TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE PL. CK. FEE I 40 CONST. FEE ECT. FEE . e LOW, SMI FEE FEE MB. FEE i PERMIT NO. 13a3993 Supp. Permit Job Address Space Zip Owner om unity Valuation Date ist. d a., I Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use ofer i �D A� egal Description _ r Parcel No. Use No. Ck.by Mech. Fee Dbl E iPl. Ck. Fee E Construction Fee Dbl E ' Electrical Fee Dbl E Q Set Backs Lot Size ype Unit SAr one Grp L , SMI Fee E 1 9 Plumbing Fee !Sp. Insp. Fee Dbl E E Bon Am . Ion o. E an h cker Final ate �{� ',,Inspector ` a- •; P ector Denial. Fee E Const. Lender Branch i cenify that in the performance of the wort for -fwh this permit is issued I shall not employ any person in any manner so as to come subject to he workmen s com- pensation laws of California Address City Zip Owner Signature -Budder Signature Registr. Fee E Mileage Fee E - Witness Fee b Reinsp. Fee E Owner/Agent /� j Tel. Zip •Total Fees E M.O. ❑ N.C. ❑ CoshNfT Check` Address G� City Zip ' Received by Trees requir roctor } Tel. License # I Sewage System T LL P Address ) City Zip Workers'Comp. yes ❑ no 01 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK FOR J 20 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 _ 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 1,-d by Sewer District Form 284.208 (Rev. 4.771 ©s