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309149 (SFD)
DEPARTMENT OF BUILDING 8 SAFETY ' f ` BUILDING PERMIT A � • FIELD OFFICE - •�-301.1491- PERMIT NO • 't:� COUNTY OF RIVERSIDE - .r �. . • Community �.�/ DST CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES NO. PLUMBING FEES Micro Film Fee 1ST FL. - o 2N0 FL.SQ. POR.. GAR.., . CAR P. ,WALL e ESTIMATED CONSTRUCTION SQ. FT. $ , UNITS ` + et Backs lot Sizeto F S V S S "AlflF x/a FT. (a} - I YARD SPKLR SYSTEM Legal Description - - Ada 5 • SQ' FT. 19 i OD' MOBILEHOME SVC. BAR SINK Zo /j „'• SQ. FT. +O POWER OUTLET' ROOF DRAINS T .(e+� - SQ. FT. (03, DRAINAGE PIPING t SQ. FT. . DRINKING FOUNTAIN A SQ. FT. ® r URINAL 'Bond Amt. .. $ - VALUATION WATER PIPING Plan Check r NOTE: Not to be used as property tox valuation • Inspector pu SWIM POOL, PVT 1 FLOOR DRAIN $ - Const. Lender .� Branch. 'I certify that inthe performance o e work for which this permit is issued I shoo - not employ any pers.n in any manner so as to become subject to the workmen s corn. - Pensaiion laws of Ca'rfornio. • - ti Address City i -Zip - - -t. C-ne, Signature - - • 'e� P�ilder Signmure MECHANICAL FEES Mileage Fee • $ - SWIM POOL, COMM teinsp. Fee WATER SOFTENER .Owner/Agent !s 1 Tel.. -- - - - Zip . SSP-- .3 VENT SYSTEM AN ❑ EVAP. COOL HOOD 'otal Fees SIGN Add r • • WASHER (AUT M.O. 0N Cosh Check Received by APPLIANCE RYER oO Tel. - - License il GARBAGE DISPOSAL iewage System % rawer District - Form 284.208 (Rev. 477) ©s ' - - Address.tf + _ • ' -• FURNACE ❑ UNIT. ❑ WALL ❑ FLOOR ❑ SUSPENDED Workers' Camp. yes ❑ no ❑ ` THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH N 120'DAYS. CESSATION OF e hed by; WC RK FOR 120 DAYS SHALL ALSO CAUSc PERMIT TO BECOME VOID. sl I HEREBY AGREE THAT ALL WORK'INJ CONNECTION WITH.THIS PERMIT WL_L,.BE DONE IN ACCORDANCE' WITH THE LAWS OF RIVERSIDE COUNTY CND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE.WITH SECTION 5--41.OF THE BUSINESS A"D. PROFESSIONS, CODE OF-THE,STATE OF CALIFORNIA. - LAUNDRY TRAY ' AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR Z HP ' O POLE, TEMP/PERM ` LAVATORY d HEATING SYSTEM MORCED ❑ GRAVITY. Off% AMPERES SERV ENT SHOWER d© - BOILER 0 B.T.U. SQ. FT.¢ BATH TUB SQ. FT. j WATER HEATER Q. FT. RESID p 1 t/.¢ SEWAGE DISPOSAL._ SQ. FT. GAR sb¢ HOUSE SEWER + GAS PIPING �..� PERMIT FEE PERMIT FEE Da PERMIT FEE. �.�. - DBLTOTAL FEES Mob. ti M: FEE 9FEE '" MECH'. FEE PL CK: FEE CONST. FEE. ELECT. FEE SMI FEE FEE T * PLUMB. FEE00 PERMIT NO. .3 0 014 ' Supp. Permit Job Address - .. Space I Zip Own ' - Community �.�/ Valuation $, ��' - ate �/b Dist. /F..CC.. , ' !/c✓/ NH Permit Fee $ Micro Film Fee fcop 8 4W Use of ermit- 4/,0 e � Parcel No. ' �� Use No. - b •� Mech. Fee - Dbl 8 >I. Ck. Fee - $ et Backs lot Sizeto F S V S S "AlflF x/a .onstruction Fee Dbl $ Legal Description - - Ada 5 • Electrical Fee' Dbl $/^• Zo /j „'• Glxp`../�^ I• T .(e+� - Unit t sMl Fee $ ?lumbing. Fee Dbl $ - 'Bond Amt. .. $ - Plan No.. �f /� Plan Check r - al"D to.•� ��rf i• Inspector pu ;P. Insp. Fee 8, )emol, Fee_ $ - Const. Lender .� Branch. 'I certify that inthe performance o e work for which this permit is issued I shoo - not employ any pers.n in any manner so as to become subject to the workmen s corn. - Pensaiion laws of Ca'rfornio. • - ti Address City i -Zip - - -t. C-ne, Signature - - • 'e� P�ilder Signmure Registr.' Fee 8 Mileage Fee • $ - Witness Fee • $ teinsp. Fee 8 -. - - .Owner/Agent !s 1 Tel.. -- - - - Zip . SSP-- .3 'otal Fees $ - Add r • • Cit t -- 'Zi -.� 3 M.O. 0N Cosh Check Received by Contractor - - •- Tel. - - License il trees required iewage System % rawer District - Form 284.208 (Rev. 477) ©s ' - - Address.tf + _ • ' -• City Zip Workers' Camp. yes ❑ no ❑ ` THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH N 120'DAYS. CESSATION OF e hed by; WC RK FOR 120 DAYS SHALL ALSO CAUSc PERMIT TO BECOME VOID. sl I HEREBY AGREE THAT ALL WORK'INJ CONNECTION WITH.THIS PERMIT WL_L,.BE DONE IN ACCORDANCE' WITH THE LAWS OF RIVERSIDE COUNTY CND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE.WITH SECTION 5--41.OF THE BUSINESS A"D. PROFESSIONS, CODE OF-THE,STATE OF CALIFORNIA. -