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303804 (SFD)BUILDING PERMIT PERMIT NO..` 1303804 CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. Q gr 4�D $ 2ND FL. SQ. FT. @ POR. SQ. FT. tai GAR. SQ. FT. @ ter .. CAR P. SQ. FT.. 8 WALL SQ. FT. Q SQ. FT. Cei ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY FIELD'OFFICE COUNTY OF RIVERSIDE 110 1 NO. I ELECTRICAL FEES I I I NO. I PLUMBING FEES O 1 1UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL -WATER PIPING FLOOR DRAIN PERMIT NO. X03004 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SpaceOwner O ValuationDate 7 Dist. Off. .77 f VENT SYSTEM FAN CD EVAP. COOL HOOD SIGN WASHER (AUT?:(DISH) APPLIANCE DRYER ?Micro Film Fee GARBAGE DISPOSAL Use of Permit FURNACE O UNIT 0 WALL O FLOOR O SUSPENDED -11 �Rd��e LAUNDRY TRAY Use No. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Backs lot Size �O Type _Unit ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Zone Grp COMPRESSOR, _ AA 0 HP POLE, TEMP/PERM LAVATORY Plan No. HEATING S TEM FORCED C3 GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. p ¢ BATH TUB Const. Lender Address - SQ. FT. (a} ¢ WATER HEATER 'Mileage Fee $ _ Witness Fee $ SQ. FT. RESID @ 1'/.¢ SQ. FT. GAR 8 '/.¢ SEWAGE DISPOSAL HOUSE SEWER Owner/Agent Tel. GAS PIPING r PERMIT FEE Address PERMIT FEEZI PERMIT FEE City DBL. TOTAL FEES �9 Moe. HM. FEE MICRO FEE C E' . CK. FEE CONST. FEE EL . F E 72. 1- SMI FEE FEE co PERMIT NO. X03004 Supp. Permit Job Address -�Zip mmunity SpaceOwner O ValuationDate 7 Dist. Off. .77 f j F.C. 0/ 'MH Permit Fee $ i ?Micro Film Fee Cop $ Use of Permit , j�' /+ -11 �Rd��e Parcel No. Use No. Ck.by Mech. Fee Dbl $ SPI. Ck. Fee $t(J1„� Set Backs lot Size �O Type _Unit t sConstruction Fee Dbl $ •Electrical Fee Dbl $ 'rSMI Fee $ Legal Description �l/ �'�•DI�i%/�i� ��L/'.S%.s Zone Grp j Plumbing Fee f$p.Insp.Fee Dbl $ $ Bond Amt. $ Plan No. Plan Checker I u Final Dore Ins P, 7 ector Pemol. Fee $ Const. Lender Address - ranch -I ceraiy tha in the performance of the work for which this permit is issued I sholf .not employ any person in any manner so as io become subject to the workmen s com- pensation laws of California." City Zip Owner Signature Budder Signature •Registr. Fee $ 'Mileage Fee $ _ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip r Total Fees$ M.O. 0 N.C. ❑ Cosh Check Address City Zip I I Received by C0 rip or k. "s'/ Ad ress e � '�• ,,, - /�+� � (`..L7 Tel. r' City Zip License # 7 7 Workers' Comp. yes _ _ no 0' �Treez required .Sewage System .. / I LL 7.1 .Sewer District aeom Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF verified by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. / r 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, f 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