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309428 (PLBG)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. COUNTY -OF RIVERSIDE 309428. NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD CONSTRUCTION `ESTIMATE 1 ST FL. SQ. FT. $ 2ND FL. SQ. FT. aCy FOR, SQ. FT. (a3 GAR. SQ. FT. @ CAR P. SQ. FT. (a} WALL SQ.. FT. Q KITCHEN SINK SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MFCHANICAI FFFS NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) ( DISH) Zip Zz53 APPLIANCE ❑ DRYER I GARBAGE DISPOSAL Community !- � k; f FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Date Dist. // LAUNDRY TRAY F.C. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY Construction Fee Dbl $ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Dbl $ BOILER C� B.T.U. SQ. FT. 8 ¢ BATH TUB Plan Checker Final Dote c -r _ ('� - 7 SQ. FT. C ¢ WATER HEATER Sp. Insp. Fee $ Demol. Fee SQ. FT. RESID 1'/.¢ SEWAGE DISPOSAL Const. Lender Branch I cernfy that,n the performance of the work lo, which this perms .s ,,sued I sholl not empfoy any person .n any manner so as to become subject .o the workmen s com. pensot.on laws of California Address City Zip Owner S.gnoture Budder Signature Registr. Fee $ SQ. FT. GAR p 14 HOUSE SEWER Reinsp. Fee $ GAS PIPING Tel PERMIT FEE PERMIT FEE I PERMIT FEE O DBL I TOTAL FEE i Q MOB: HM. FEE J MICRO FEE MECH. FEE PL. CK. FEE rONST.FEE ELECT: FEE SMI FEE FEE PLUMB. FEE ERMITNO. 3P094-28 � � � � Supp. Permit H Job Address Space Zip Zz53 Owner r, w I Community !- � k; f Valuation Date Dist. // ff. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit Parcel No. Use No. Ck.b Sy A /��s ; ' e Set Backs Lot Size 6 L� Legal Description F S S R Grp Type - Unit 0 r 3� S '1 I I Mech. Fee Dbl $or PI. Ck. Fee $ Construction Fee Dbl $ Electrical Fee Dbl $Zone SMI Fee b Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dote c -r _ ('� - 7 Ictor ��%-� Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch I cernfy that,n the performance of the work lo, which this perms .s ,,sued I sholl not empfoy any person .n any manner so as to become subject .o the workmen s com. pensot.on laws of California Address City Zip Owner S.gnoture Budder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel Zip Total Fees $ M.O. ❑ N.C. ❑ Cas g No Check 070'r`�!?"'. Address City Zip Received b Trees require I Contractor Tel. License fi Sewage System T LL Sewer District Form 284208 (Rev. 4.771 ©s P - Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION O^ 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 AGCORDANGE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANO SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ^-`ed4- e t