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304012 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY -FIELD OFFICE PERMIT NO. PERMIT NO.COUNTY 304012 Job Address OF RIVERSIDE - Space Zip Owner DST CONSTRUCTION ESTIMATE - om niry NO. ELECTRICAL FEES aluation �$.9 NO. PLUMBING FEES ist. f. F.C. 1ST FL. ! SQ. FT. $ 2ND FL. . SQ. FT. POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. 8 WALL SQ. FT. @ SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tox voluation J Qp 44D UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN MH Permit Fee s Micro Film Fee Cop E MECHANICAL FEES Use of Permit n VAI 2 SWIM POOL, COMM WATER SOFTENER Use No. .by Lot Size Mech. Fee Dbl b VENT SYSTE ❑ FAN . ❑ EVAP. COOL ❑ HOOD 10 SIGN L gal Description WASHER (AUTO) (DISH) 1 APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL FLOOR ❑ SUSPENDED Electrical Fee Dbl E LAUNDRY TRAY one Grp ype AIR HANDLING UNIT CFM SMI Fee E IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. Plumbing fee Dbl s TEMP USE PERMIT SVC on Amt.on WATER CLOSET Dote Inspect COMPRESSOR HP Sp. Insp. Fee $ POLE, TEMP/PERM $ ° LAVATORY [PIdrNecker"%""n v/ HEATING SYSTEM ❑ FORCED ❑ GRAVITY Q AMPERES SERV ENT t.SHOWER Branch -I certify that in the performance of tbjwork not employ any person in any manner s to for which this permit is issued I shop become subject to the workmen s com• BOILER B.T.U: Registr. Fee $ SQ. FT. 8 ¢ Address BATH TUB pensotion City Zip laws of California. Owner Signature Mileage Fee $ SQ. FT. p ¢ WATER HEATER do Builder Stnnoture It gDOSQ. FT. RESID ® 1'/.¢ Reinsp. Fee $ SEWAGE DISPOSAL Owner/Agent Tel. SQ. FT. GAR @J V. HOUSE SEWER Address City Zip GAS PIPING eck PERMIT FEE PERMIT FEE PERMIT FEE Contractor DBL. TOTAL FEES MOe. HM. FEE MICRO FEE ECH. FEE PL. CK. FEE LCONST.FEE ECT. FEE 2.1 6-2 SMI FEE Zc5 FEE MB. FEE . PERMIT NO. Supp. Permit Job Address ifj - Space Zip Owner C� 304012 - om niry aluation �$.9 Dote ist. f. F.C. MH Permit Fee s Micro Film Fee Cop E Use of Permit n VAI 2 Parcel No. Set Backs Use No. .by Lot Size Mech. Fee Dbl b PI. Ck. Fee E Construction Fee Dbl b L gal Description 1 Electrical Fee Dbl E one Grp ype Unit t SMI Fee E Plumbing fee Dbl s ® on Amt.on Na! Dote Inspect Sp. Insp. Fee $ $ 2. [PIdrNecker"%""n v/ Dental. Fee $ Const. Lender Branch -I certify that in the performance of tbjwork not employ any person in any manner s to for which this permit is issued I shop become subject to the workmen s com• Registr. Fee $ Address pensotion City Zip laws of California. Owner Signature Mileage Fee $ Witness Fee $ Builder Stnnoture Reinsp. Fee $ Owner/Agent Tel. ,t - ZIP Total Fees $ Address City Zip M.O. ❑ N.C. ❑ Cas eck Received b Contractor Tel. License q Trees re 11 +•1 Sewage System _ A refsCit - r Zip t or ers Comp. �� i — 10,46nArlslv_ryes no ❑) LL Sewers fE��i Form 284.208 IRev. 4771 ©s THIS PERMIT SHALL BECbME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF .' /it -ed -by - WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWSOF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. u . �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.