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303577 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY �I► FIELD OFFICE HIIIIIIIIIII PERMITNO. 3035`* -1 PERMIT NO. 3035?7 Job Address s3 COUNTY OF RIVERSIDE Space Zip DST CONSTRUCTION ESTIMATE Community NO. ELECTRICAL FEES NO. PLUMBING FEES 3/,3,,a� I ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ F.C. oo f UNITS MH Permit Fee $ Micro Film Fee YARD SPKLR SYSTEM FT. (t} Use of Permit - �Q� �y d y// / • "' " ��'�`�� G FT. @ 4� 04 MOBILEHOME SVC. BAR SINK Parcel No. 02 / 0 2� FT. Q d0 POWER OUTLET ROOF DRAINS Ck.by FT. DRAINAGE PIPING PI. Ck. Fee j $ FT. Q DRINKING FOUNTAIN Lo Size %J SQ. FT. ® URINAL Legal Description 1/�j Iry VALUATION $ OHO WATER PIPING C!Q NOTE: Not to be used as property tax valuation S SWIM POOL, PVT FLOOR DRAIN ZoneGrp Y • R Type MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Dbl $ Bond Amt. $ VENT SYSTEM O FAN 0 EVAP. COOL OOCi O d SIGN WASHER (AUTO) 1,001 O� Sp. Insp. Fee $ APPLIANCE DRYER v0 Const. Lender Address GARBAGE DISPOSAL �Regisir. Fee $ Mileage Fee $ FURNACE O UNIT 0 WALL [)FLOOR (3 SUSPENDED -Reinsp. Fee $ LAUNDRY TRAY Tel. _? —66 7/z/ AIR HANDLING UNIT CFM $ a IDLE METER KITCHEN SINK OQ :Received by49 ABSORPTION SYSTEM O B.T.U. Contractor TEMP USE PERMIT SVC WATER CLOSET License q 'Trees required COMPRESSOR -7- HP O?F POLE, TEMP/PERM LAVATORY O THIS PERMIT SHALL BECOME VOID IF WORK ..IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e, t.ed by. RK FOR 120 DAPS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEATING SYSTEM FORCED 0 GRAVITY NaT ?2_.31AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ ¢ BATH TUB dD SQ. FT. p ¢ WATER HEATER FT. RESID @ 1 t/.¢ SEWAGE DISPOSAL Q� SQ. FT. GAR @/.¢45e HOUSE SEWER GAS PIPING PERMIT FEE aQ PERMIT FEE PERMIT FEE DBL. TOTAL FEES .2a �.� MOB. HM. FEE MICRO FEE MECH. FEE /� sa PL. CK. FEE - CONST. FEE /33 / p ELECT. FEE SMI FEE 3�.s FEE PLUMB. FEE HIIIIIIIIIII PERMITNO. 3035`* -1 Supp. Permit Job Address s3 - 7S �e Space Zip Owner o��e� L',t Community r L -G i /L F' Val, on $ F/ 3/,3,,a� Dote Dist. 7 �r,2 // F.C. oo f MH Permit Fee $ Micro Film Fee Cop E Use of Permit - �Q� �y d y// / • "' " ��'�`�� G Parcel No. 02 / 0 2� Use No. Ck.by Mech. Fee Dbl E PI. Ck. Fee j $ Set Backs Lo Size %J ,Construction Fee Dbl E Legal Description 1/�j Iry //////> // �/J� ,1F �✓ �� /93 AAWl/ F �./ LA S S Electrical Fee Dbl $ ZoneGrp Y • R Type Unit SMI Fee E 1 Plumbing Fee Dbl $ Bond Amt. $ Plan No. r 9� 'L Plan Checker ©/S e� Final Date /_ � Insp ctor Sp. Insp. Fee $ Demol. Fee $ Const. Lender Address Branch I certify that in the performance of I .e work for which this permit is issued I shall not employ any Person in any manner solos to become subleel to the workmen scom• pensahon taws of California City Zip Owner Signature Budder Signature �Regisir. Fee $ Mileage Fee $ S Witness Fee b -Reinsp. Fee $ Ow er/Agent �,. r Tel. _? —66 7/z/ Total Fees $ a Address A (/--10 Cit Yt" g Zip M.O. P .C. 0 Cash O Chec :Received by49 Contractor Tel. License q 'Trees required ;Sewage System T �o LL P Address City Zip Workers'Comp. yes 0 no 0 THIS PERMIT SHALL BECOME VOID IF WORK ..IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e, t.ed by. RK FOR 120 DAPS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ,Sewer District 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 I 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 Form 284.208 (Rev. a.771 ©s CALIFORNIA.