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303998 (SPIN)" BUILDING PERMIT' DEPARTMENT OF BUILDING & SAFETY .AIIIIII, FIELD OFFICE .y r•%tet. _ _ _ PERMIT NO. Supp. Permit . PERMIT NO. '39399 - COUNTY OF RIVERSIDE - DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES. NO. PLUMBING FEES IST FL.. SQ. 2ND FL POR.. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. @ $ UNITS I SQ. FT. YARD SPKLR SYSTEM SQ. FT. (a3 MOBILEHOME SVC. BAR SINK FT. @POWER OUTLET ROOF DRAINS FT. @DRAINAGE PIPING FT.. (a}" ' DRINKING FOUNTAIN SQ. FT. .� ` URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN PI. Ck. Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM C -] FAN❑ EVAP. COOL ❑ HOOD SIGN w WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER GARBAGE DISPOSAL Construction Fee Dbl $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ��� I d'r"�— �, ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Electrical Fee Dbl $ COMPRESSOR HP POLE, TEMP/PERM LAVATORY .SMI HEATING SYSTEM • ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER `� B.T.U. SO. FT. @ ¢ BATH TUB Plumbing Fee SQ. FT. 8 ¢ WATER HEATER Bond Amt ' SQ. FT. RESID ®. I'Ait SEWAGE DISPOSAL oIon Checker SQ. FT. GAR G Y.¢ HOUSE SEWER Ins¢Ector - UJB. - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL." TOTALFEES.: M08. HM. FEE .MICRO FEE MECH. FEE PL. CK. FEE- CONST. FEE ELECT.FEE SMIFEE - `pFEE PLUMB. FEE .y r•%tet. _ _ _ PERMIT NO. Supp. Permit . Job Address Space Zip Owner j 3 3 9 9 (®� t iJ' Community Voluation .,_ DoteT ist. Off, F.C. $ .. 7 / -., MH Permit Fee $ Micro Film Fee Cop $ Use of Permit - tci/IfSl� .Mtn' ! Parcel No. Use No. Ck. by Mech. Fee Dbi $ PI. Ck. Fee $ t Backs I lot Size 3 Construction Fee Dbl $ Legal Description ��� I d'r"�— �, Ry <7 Zo Grp Type Unit Electrical Fee Dbl $ Fee $ .SMI Plumbing Fee Dbl $ Bond Amt Plan No. oIon Checker Final Dote ? 'i 1 Ins¢Ector - UJB. - $p. Insp. Fee $ g _ Denial. Fee - $ Const. Lender Branch - '1 certify that to the performance of the work for which this permit is issued I shall not employ any, person to any manner so as to become svbject to the workmen s cam. 'Registr. Fee $ penso'tion laws of California.' ' Address . City Zip` Owner Signature ` Builder Sion6ture- Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ dress City - Zip M.O. C]N.C. C]Cash ❑ Chec Received by - Con roctor Tel. Licen e Trees required :Sewage System -Address , - City Zip Workers' Comp. _ yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK' IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, T LL P 'Sewer District I HEREBY AGREE THAT ALL V'ORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE `t. tQU THE LAWS OF RIVERSIDE COUNTY AND.THE STATE OF CALIFORNIA,,--_ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE Form 284.208 (Rev. 4.771 ©s • SO IN 'ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF _ CALIFORNIA.'