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308755 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY . FIELD OFFICE PERMIT NO. 3-�,,✓ 00755 PERM IT NO.] 300755 Job Address Space COUNTY OF RIVERSIDE Community - Valuation Date p�`S CONSTRUCTION ESTIMATE Off. ELECTRICAL FEES NO. PLUMBING FEES Wcro Film Fee 1ST FL. SQ. . 2ND Fl. SQ. POR. SQ. GAR. SQ. CAR P. SQ, WALL SQ. SQ. ESTIMATE IN /NO. FT. @ $ 4�; Parcel No. UNITS Ck.b v Mech. Fee DbI $ 'PI. Ck. Fee $ YARD SPKLR SYSTEM FT. (a3 Lot Size 7 oZ g ao MOBILEHOME SVC. BAR SINK FT. @ "'2` Legal Description - / y�=�.{�s�- FT. Q °+ S Ob POWER OUTLET _ ROOF DRAINS S � FT, DRAINAGE PIPING R 40 F.T. DRINKING FOUNTAIN Zone". I FT. URINAL Type VALUATION $. BiJ WATER PIPING NOTE: Not to be used as property tax voluotion Plumbing Fee SWIM POOL, PVT Bond Amt. $ FLOOR DRAIN Plan Checker _ Final Date �, MECHANICAL FEES SWIM POOL, COMM DemoL Fee WATER SOFTENER Const. Lender Branch 1 certify that in the performance 90he work for which this permit is issued t shall - not employ any person in any manner o as to become subject to the workmen s com. pensation laws of California.' Address - City Zip Owner Signature r • - Builder Signature iRegistr. Fee $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL • ❑ HOOD Witness Fee $ SIGN $ WASHER (AUTO) (DISH) Tel. - Zip APPLIANCE ❑ DRYER $ a"'t s'- Address City' _ Zip j GARBAGE DISPOSAL ,Received by FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED. Tel. License # + Trees required Sewage System _ T LL P Sewer District y41 Form 284.208 (Rev. 4.77) ©s LAUNDRY TRAY CityZip �� �• Zip^ Workers' Comp. "` /`� /'r J� �.'t�L �'. " aes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ve,.hed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 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 FWD PROFESSIONS CODE OF THE STATE OF CALIFORNIA. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 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. p ¢ 'BATH TUB SQ. FT. 8 ¢ WATER HEATER SQ.'FT. RESID @ 1'/.¢ SEWAGE DISPOSAL SQ, FT. GAR @ '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. FALFEESMOB. • fa4 so HM. FEE MICRO FEE MECH. FEE PL. CK. FEE' • CONST. FEE. �a� ELECT. -FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3-�,,✓ 00755 Supp. Permit- Job Address Space Zip Owner s Community - Valuation Date p�`S Dist. Off. F.C. 'MH Permit Fee E Wcro Film Fee Co b Cop Use of Permit nn /"L� �✓ �G.L auL•+r / •t(sim Parcel No. Use No. Ck.b v Mech. Fee DbI $ 'PI. Ck. Fee $ Set Backs Lot Size ecnstruction Fee Dbl $ Legal Description - / y�=�.{�s�- F �400 S � 5 i (% R 40 Electrical Fee Dbl b Zone". I Grp Type Unit SMI Fee - b Plumbing Fee Dbl E Bond Amt. $ Plan No. 104/47 Plan Checker _ Final Date �, Inspector Sp Insp. Fee b DemoL Fee .$ Const. Lender Branch 1 certify that in the performance 90he work for which this permit is issued t shall - not employ any person in any manner o as to become subject to the workmen s com. pensation laws of California.' Address - City Zip Owner Signature r • - Builder Signature iRegistr. Fee $ Mileage Fee E Witness Fee $ Reinsp. Fee $ Owner/Agent •" Tel. - Zip Total Fees $ a"'t s'- Address City' _ Zip j ' M.O. ❑ N.C. ❑ Cash ❑ Check ,Received by n or - Tel. License # + Trees required Sewage System _ T LL P Sewer District y41 Form 284.208 (Rev. 4.77) ©s Address m� J� - CityZip �� �• Zip^ Workers' Comp. "` /`� /'r J� �.'t�L �'. " aes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ve,.hed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 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 FWD PROFESSIONS CODE OF THE STATE OF CALIFORNIA.