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309451 (RPL)' BUIIDING PERMIT 4,ft DEPARTMENT OF BUILDING & SAFETY AAk FIELD OFFICE PERMIT NO, 0 9 4 PERMIT No. 309451 Job Address Space r = fl v+7 COUNTY OF RIVERSIDE Owner I fI'0/F% Gi. Community ST vle CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Off. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. G �w� ESTIMATED CONSTRUCTION FT. @ $ UNITS Use of Permit Parcel No. Use No. Ck.by ✓/ d�//'�% �L Set Backs Lor Size Legal Description �G/od It/ Zone . Grp Type Unit 1441 / f Meth. Fee Dbl $ PI. Ck. Fee$ G YARD SPKLR SYSTEM SQ. FT. @ Electrical Fee Dbl $ 4110 FT. Ca3 MOBILEHOME SVC. BAR SINK Plumbing Fee Dbl $ FT. @POWER OUTLET ROOF DRAINS Plan No. FT. @ ; DRAINAGE PIPING Final Date — 42 lY FT. @ DRINKING FOUNTAIN SQ. FT. URINAL Dental. Fee - VALUATION $ WATER PIPING O NOTE: Not to be used os property tax voluotion SWIM POOL, PVT Witness Fee $ FLOOR DRAIN $ Owner/Agent MECHANICAL FEES SWIM POOL, COMM Total Fees WATER SOFTENER Address City Zip t VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Tel. 3--> S —Z �f License tt APPLIANCE ❑ DRYER Address ♦ / �` City Zip >�7L.Xl%% C G j GARBAGE DISPOSAL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —plied by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r: 1 HEREBY AGREE THAT ALL WORK 1N CONNECTION WITH TiiI�QERMIT WILL BE DF7fflE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREP4,RED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA FURNACE • ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM I B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. @ ¢ BATH TUB SQ. FT. @ ¢ WATER HEATER SQ. FT. RESID Cm 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR C Y c HOUSE SEWER GAS PIPING .? O PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES -7,1,;r '6=- Moe. HM. FEE MICRO FEE MECH. FEE' PL. CK. FEE / -*Go I CONST. FEE ;Ej'= ELECT. FEE "s d= SMI FEE 1 ZI FEE PLUMB. FEE / O PERMIT NO, 0 9 4 Supp. Permit Job Address Space r = fl v+7 I Zip Owner I fI'0/F% Gi. Community Valuation `O'qq� df Dote 10 Dist. Off. I F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit Parcel No. Use No. Ck.by ✓/ d�//'�% �L Set Backs Lor Size Legal Description �G/od It/ Zone . Grp Type Unit 1441 / f Meth. Fee Dbl $ PI. Ck. Fee$ G Construction Fee Dbl $ Electrical Fee Dbl $ 4110 SMI Fee- Y Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date — 42 lY Inspector yl Sp. Insp. Fee $ Dental. Fee - $ Const. Lender Branch 'I certify that in the performance of the wt for which this permit is issued I shall ' .not employ any person in any manner so os to come subject to the workmen s com- pensation laws of California' Address City Zip Owner Stgnoture Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address City Zip t M.O. ❑ N.C. ❑ Cash ❑ Che Received by Trees required Contractor 7 N _ 42'4'-1 Tel. 3--> S —Z �f License tt Sewage System T LL P Sewer District Form 284-208 (Rev. 4771 ©s Address ♦ / �` City Zip >�7L.Xl%% C G j Workers' Comp. yes no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —plied by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r: 1 HEREBY AGREE THAT ALL WORK 1N CONNECTION WITH TiiI�QERMIT WILL BE DF7fflE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREP4,RED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA