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309148 (SFD)
BUILDING PERMIT DEPARTMENT OVRUILDING B SAFETY•:; FIELD OFFICE - PERMIT NO//. n n i' / NH Permit Fee Micro Film Fee Mech. Fee 'I. Ck. Fee _onstruction Fee _lectricol Fee iMl Fee 1,lumbing Fee ip. Insp. Fee •' )emol. Fee tegistr. Fee Mileage Fee Nitness Fee ieinsp. Fee ' otal Fees PERMIT 30914 NO, - COUNrYOF RIVERSIDEDST ' S f CONSTRUCTION' ESTIMATE " Legal Description - NO. -ELECTRICAL-FEES Zip I Owner NO. PLUMBING FEES 1ST FL..1 2ND FL.. • - POR.SQ, GAR. SQ. ,. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT./ $ UNITS . Community,' ' jfN�/VJ "e8 Type - SQ. FT. @ YARD SPKLR SYSTEM Dote - FT. @ g22 MOBILEHOME SVC. BAR SINK FT. (a}-�Q POWER OUTLET ROOF DRAINS. Use of Pefmit, SQjT. @ DRAINAGE PIPING SQ..F.T. ,Q DRINKING FOUNTAIN Parcel No. 1 SQ. FT.. @ URINAL - Plcn Checker - VALUATION .y $ . WATER PIPING NOTE: Not to be -used as,property tax valuation SWIM POOL, PVT ION FLOOR DRAIN MECHANICAL FEES .r SWIM POOL, COMM _ WATERSOFTENER pensotion lows of California.' - Address - City Zip - - ayOwner VENT SYSTEM XAN ❑ EVAP. COOL WHOW �� SIGN Builder'Sianoture if WASHER TAUT SHI .s APPLIANCE' RYER GARBAGE DISPOSAL ' FURNACE ❑ UNIT O - WALL ❑ FLOOR [)SUSPENDED License p LAUNDRY TRAY AIR HANDLING UNIT CFM Address IDLE METER City Zip KITCHEN SINK = ^ ABSORPTION SYSTEM 0 B.T.U. yes ❑ no ,0 •' TEMP USE PERMIT SVC I HEREBY AGREE THAT ALL WOtK IN CONNECTION.WITH THIS PERMIT WILL BE DONE IN ACCORDANCE 4" WITH -THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.' WATER CLOSET CALIFORNIA. COMPRESSOR HP�© HEATING SYSTEM FORCED ❑ GRAVITY SOLE, TEMP/PERM MPERES SERV ENT LAVATORY SHOWER BOILER B.T.U. SQ. FT. (a} ¢. BATH TUB SQ. FT. ¢ WATER HEATER G�E7 11 n0Q. FT. RESID p ' I t/.¢ SEWAGE DISPOSAL ©O SQ. FT. GAR C 1/.(r HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE J Q PERMIT FEE DBL. I TOTAL FEES ,, nnOe. rt M. 1=EE MICRO FEE MECH. FEE. P. CK. FEE CONST. FEE ELECT. FEE SMI FEE - FEE 'PLU B. FEE PERMIT NO//. n n i' / NH Permit Fee Micro Film Fee Mech. Fee 'I. Ck. Fee _onstruction Fee _lectricol Fee iMl Fee 1,lumbing Fee ip. Insp. Fee •' )emol. Fee tegistr. Fee Mileage Fee Nitness Fee ieinsp. Fee ' otal Fees I - • r/1 f s I M.O. ❑ N.C. ❑ Cash ❑ Check teceived by Tees required ' iewoge System fewer District Form 284.208 (Rev. 4.771 ©S - Set Backs - {/ F S .Supp. Permit. Job Address ' • Legal Description - , 'pate Zip I Owner zoo _ . Community,' ' jfN�/VJ "e8 Type - Valuation Dote - Dist. Use of Pefmit, _ Parcel No. 1 Use No. Ck.by I - • r/1 f s I M.O. ❑ N.C. ❑ Cash ❑ Check teceived by Tees required ' iewoge System fewer District Form 284.208 (Rev. 4.771 ©S - Set Backs - {/ F S S R_/ Lot Siw + V �/• /�/ 4• - - Legal Description - _ Zoqp I Grp Type - Unit Bond Amt, Plan No. • Plcn Checker - .ytal D to / �'• Inspector ' ION Const. Lender • - Br -inch - � .r 'I certify thai in the performort e qKje work for which this permit is issued I sho8 not employ any person in any manner as to become'iubtett to the viorkmen icom• _ pensotion lows of California.' - Address - City Zip - - ayOwner Signature Builder'Sianoture if Own /Agent - ry/> Tel. Address --- 1 -25 - o rJ r Ci 94939 Contractor Tel. License p Address City Zip Workers* Comp. yes ❑ no ,0 •' ,.WTHIS PERMIT,SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verfhed by: ORK FOR 120 DAYS -SHALL ALSO OUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WOtK IN CONNECTION.WITH THIS PERMIT WILL BE DONE IN ACCORDANCE 4" WITH -THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTIO) 5541 OF THE�BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.