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303574 (SFD)
BUILDING PERMIT 1A11111i, DEPARTMENT OF BUILDING 8 SAFETY Alibi. FIELD OFFICE PERMIT NO. 13035741 PERMIT NO. - 1303574 '� COUNTY OF'RIVERSIDE Owner t Community � ����/i Va�Uation E b " 63' 6, ® CONSTRUCTION ESTIMATE Dist. // NO. ELECTRICAL FEES F.C. do/ NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. (a} P $ �QD UNITS Use of Permit `OS /jr Parcel No. DO YARD SPKLRSYSTE FT. (a3 DO GO CO MOBILEHOME SVC. BAR SINK FT. @ Oo S'O 00 POWER OUTLET ROOF DRAINS FT. (a} Construction Fee Dbl E FT. @ DRAINAGE PIPING F 3s SQS DRINKING FOUNTAIN FT. FT. @ URINAL Zone I Grp /�` VALUATION d $ 00 WATER PIPING Unit NOTE: Not to be used as property tax valuation SMI Fee $ SWIM POOL, PVT Bond Amt. E FLOOR DRAIN Plan CChhhee"ckey Final Date MECHANICAL FEES SWIM POOL, COMM Demol. Fee WATER SOFTENER Const. Lender Branch I certify that to the performance of the work for which this permit is issued I sholl not employ any person to any manner so as to become subjeci to the workmen s com• pensotion laws of California.' Address City Zip Owner Signature - Builder Signature Registr. Fee $ VENT SYSTEM AN ❑ EVAP. COOL HOOD Oo SIGN $ WASHER (AUTO)H) Tel. Zip APPLIANCE RYER 00 Address City Zip GARBAGE DISPOSAL de FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Tel. vQ $•- ///. License N 3/s-,? 9 Trees required LAUNDRY TRAY GAO /I��j,S �.Ziip/ =16 ���'/ 9=16 AIR HANDLING UNIT CFM THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF v 4,ed by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK )j4;CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE t 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 IDLE METER KITCHEN SINK 990 ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC _ WATER CLOSET COMPRESSOR -3T P POLE, TEMP/PERM LAVATORY Od HEATING SYSTEM FORCED ❑ GRAVITY 1 AMPERES SERV ENT , SHOWER BOILER B.T.U. SQ. FT. @ ¢ BATH TUB p0 SQ. FT. @ ¢ WATER HEATER FT. RESID @ 1'/.¢ D SEWAGE DISPOSAL O� OSQ. FT. GAR @ s/.¢ O HOUSE SEWER GAS PIPING PERMIT FEE OO PERMIT FEE DO / PERMIT FEE 00 DBL. I TOTAL FEES s�3 s MOB. HM. FEE MICRO FEE M CH. FEE PL. C FEE ,� �O CONST. FEE X71, ELECT. FEE S0.6b SMI FEE C9 FEE PLUMB. FEE /o/ as PERMIT NO. 13035741 Supp. Permit Job Address Space Zip >' Owner t Community � ����/i Va�Uation E b " 63' 6, ® Date' _` ;2 ",� Dist. // Off. F.C. do/ MH Permit Fee $ Micro Film Fee Cop $ Use of Permit `OS /jr Parcel No. Use No. Ck. by Mech. Fee Obl E- PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl E Legal Description �• �J/�j //N /' S / F 3s SQS 5 /2 Electrical Fee Dbl $ _ Zone I Grp /�` TypeType d—)C•, Unit SMI Fee $ Plumbing Fee Dbl E © 1 Bond Amt. E Plan No. .mss Plan CChhhee"ckey Final Date Inspector r Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch I certify that to the performance of the work for which this permit is issued I sholl not employ any person to any manner so as to become subjeci to the workmen s com• pensotion laws of California.' Address City Zip Owner Signature - Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address City Zip M.O. ❑ ❑ Cash ❑ Check ' Received by Co / 1 1 �,�% Q/� Tel. vQ $•- ///. License N 3/s-,? 9 Trees required Sewage System Sewer District 771 s Form 284-208 (Rev. 4 © Address /iJ o ���/i ♦ �� Q� /I��j,S �.Ziip/ =16 ���'/ 9=16 Workers' Comp. yes V no C] THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF v 4,ed by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK )j4;CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE t 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