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304126 (BLCK)BUILDING PERMIT dilh, DEPARTMENT OF BUILDING & SAFETY �jib, FIELD OFFICE PERMITN 'll 30410-26 PERMIT No. 304126 I COUNTY OF RIVERSIDE DST , CONSTRUCTION ESTIMATE .f NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS FT. @ YARD SPKLR SYSTEM FT. @ MOBILEHOME SVC. BAR SINK FT. Q POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ ofiS DRINKING FOUNTAIN FT. @ URINAL VALUATION $ A6 WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) I DISH) FMicro Film Fee APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Parcel No. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK k.by ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET 'PI. Ck. Fee 5 COMPRESSOR HP POLE, TEMP/PERM LAVATORY Lot Size HEATING SYSTEM (3 FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Construction Fee Dbl E CIO BOILER B.T.U. SQ. FT. 8 a BATHTUB F SQ. FT. Ga ¢ WATER HEATER S SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL %Electrical Fee Dbl E SQ. FT. GAR Ga Y.a HOUSE SEWER Type GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE IPlumbing Fee r DBL.FTAL,,F�S - �— MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT.FEE SMIFEE �' 00 FEE PERMITN 'll 30410-26 Supp. Permit Job Address Space All Zip Owner Community •r Valuation $ Date _ Dist. Off. F.C. :MH Permit Fee E FMicro Film Fee Cop b Use of Permit ��'�A�� ' ` Parcel No. Use No. k.by .Meth. Fee Dbl E- 'PI. Ck. Fee 5 Set Backs Lot Size Construction Fee Dbl E CIO Legal Description ��D 7/2o��% F S S R %Electrical Fee Dbl E ZoneGrp Type Unit s t,'SMI Fee E IPlumbing Fee r Dbl E Bond Amt. S Plan No. Plan Checker Final Date i Inspector a ISp. Insp. Fee E Demo]. Fee E Const. Lender Branch 'I certify that to the performance of the work for which this permit is issued I shall not empfoy any person in any manner so as to become subject to the workmen s com. pensmion lows of California-' Address City Zip Owner Signature Budder Signoture Regntr. Fee b Mileage Fee j Witness Fee 5 Reinsp. Fee b Owner/Agent Tel. Zip Total Fees g Address I, - City Zip M.O. ❑ N.C. ❑ C.,hig Check ❑_ Received by Trees required' Contractor Tel. License # _ - Sewage System T LL Sewer District -_ Form 284.208 (Rev. 4.771 ©s P Address City Zip . 'Workers' Comp. yes ❑ 'Ino ❑ THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 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. I 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. —,hed by, s, W