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309300 (SFD)
BUILDING PERMIT PERM IT NO. 309300' MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY, COUNTY OF RIVERSIDE .� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES IST FL. 2ND FL. POR. 300 GAR. CAR P. WALL SQ. FT. (. v $ • UNITS SQ. FT. Ca} GARBAGE DISPOSAL SQ. FT. @ • O �� �%�®O MOBILEHOMESVC. SQ. FT. @ -- m0 POWER OUTLET AIR HANDLING UNIT CFM SQ. FT. KITCHEN SINK SQ. FT. @ ABSORPTION SYSTEM B.T.U. ESTIMATED CONSTRUCTION VALUATION $ VCY NOTE: Not to be used as property tax voluation POLE, TEMP/PERM SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK K.. ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN %I PERMIT NO. - MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN — WASHER (AUTO) (DISH) ion APPLIANCE ❑ DRYER Dot Dist. GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Use of Permit �y /�// /�% `C/.�/'] � ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Ck.by COMPRESSOR HP POLE, TEMP/PERM LAVATORY Lot Size HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER F b S 14 G/ BOILER 0 B.T.U. SQ. FT, p ¢ BATH TUB Zone Grp SQ. FT. Qa ¢ WATER HEATER I tSMI Fee E SQ. FT. RESID -p I'/.¢ SEWAGE DISPOSAL Plan No. r Plan Checker SQ. FT. GAR @ '/.¢ HOUSE SEWER �Sp.Insp. Fee E Demol. Fee GAS PIPING Const. Lender Branch 'I certify that m the performance oft .` k for wh,ch this permn is issued I shag not employ any person in any monner so s t •became subject to the workmen s com. pensolion jaws bf California.- Address - City Zip ' Owner Signature Budder Signotvre PERMIT FEE PERMIT FEE PERMIT FEE !Witness [Reinsp. Fee DBL. I TOTAL FEESMoe.14M. �Q FEE MICRO FEE MECH. FEE PL. CK'. FEE V 1? 0 CONST. FEE. ELECT: FEE SMI FEE FEE PLUMB. FEE PERMIT NO. - Supp. Permit Job Address Space Zip Owner �re•E~ �e CommunityF$VIIIUOI � ��/ � ion Dot Dist. j AJ - F.C. _ LMH Permit Fee $ :Micro Film Fee Cop $ Use of Permit �y /�// /�% `C/.�/'] � Parcel No. Use No. Ck.by �Mech. Fee Dial l b `PI. Ck. Fee $ Set Backs/ Lot Size yConstruction Fee Dbl E legal Description •C>G>�5 / / J''•— v �� /I# F b S 14 G/ S/� '.Eledricol fee Dbl $ Zone Grp Type Unit I tSMI Fee E Plumbing Fee Dbl 8 Bond Amt. $c}C( Plan No. r Plan Checker Final Date Inspe or \1 �Sp.Insp. Fee E Demol. Fee $ Const. Lender Branch 'I certify that m the performance oft .` k for wh,ch this permn is issued I shag not employ any person in any monner so s t •became subject to the workmen s com. pensolion jaws bf California.- Address - City Zip ' Owner Signature Budder Signotvre �Regiztr. Fee $ Wileoge Fee $ - Fee $ !Witness [Reinsp. Fee $ t „i Tel. Zip !Total Fees $ 040 i M.O. ❑ .C. ❑ Cash ❑ Check Addres i D, '1'i,lox Cit p Y ' Zi _� r(��� 92�. ' Received by Contractor Tel. License p !Trees required Sewage System s Address City Zip , Workeri Comp. Yes ❑ no ❑` THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ecnhed by, FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBYTHAT 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. - Sewer DistrictX%A,�ORK �i Form 284.208 1Rev. 4.77) ©s