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304241 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY 4 PERMIT NO. COUNTY OF RIVERSIDE 30424 It CONSTRUCTION ESTIMATE 1ST FL. % SQ. FT. Q� $ 2ND FL. SQ. FT. (I} POR. SQ. FT.. GAR. SQ. FT. CAR P.. SQ, FT, WALL SQ. FT. SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation NO. ELECTRICAL FEES C2 UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN -PERMIT NO. MECHANICAL FEES Job Address Space I Zip Ownter - I SWIM POOL, COMM WATER SOFTENER __. VENT SYSTE ❑ FAN ❑ EVAP. COOL ❑ HOODSIGN e Dist. Off. F.C.: ommunity Valuation �g—ZZ-1 16 lot � //QMicro WASHER (AUTO) (DIS I $ MH Permit Fee—AA APPLIANCE DYER Use of Permit . / Parcel No. Use No. k.by 040 1 Mech. Fee Dbl E Q GARBAGE DISPOSAL • 3i FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SI. Ck. Fee E LAUNDRY TRAY .onstruction Fee Dbl $' X0 AIR HANDLING UNIT CFM Electrical Fee IDLE METER KITCHEN SINK SMI Fee Ef"2 ABSORPTION SYSTEM B.T.U. Plumbing Fee TEMP USE PERMIT SVC b WATER CLOSET p E COMPRESSOR HP Demol. Fee POLE, TEMP/PERM LAVATORY C ' HEATINGSYST FORCED ❑ GRAVITY- AMPERES SERV ENT Mileage Fee $ SHOWER C BOILER B.T.U. Builder Si nature SQ. FT.. p ¢ $ BATHTUB n Otto, Tel. Zip I Total Fees $ SQ. FT. @ ¢ Address WATER HEATER 3 SQ. FT. RESID 8 1'Ati OWSEWAGE DISPOSAL Received by Contractor Tel. SQ. FT. GAR @ . %¢ freesrequ HOUSE SEWER Ifl 'o;2 Sewage System Address GAS PIPING Workers' Comp. PERMIT FEE rt . .,.aCA 41 .- .. ^^r ! . h PERMIT FEE 4 PERMIT FEE ewer District' DBL: TOTAL FEES 76 MOB. HM. FEE MICRO FEE' CH. FEE 04e;, PL. CK. FEE CONST. FEE CT. FEE SMI FEE FEE PLU B. FJ EE 13 -PERMIT NO. Supp. Permit Job Address Space I Zip Ownter - I 304241' __. e Dist. Off. F.C.: ommunity Valuation �g—ZZ-1 16 lot � //QMicro $ MH Permit Fee—AA Film Fee Cop E Use of Permit . / Parcel No. Use No. k.by 040 1 Mech. Fee Dbl E Q al SI. Ck. Fee E 1 Set Backs Lot Size A Rif .onstruction Fee Dbl $' X0 egal Descrip on S Electrical Fee Dbl E Zone Grp Type Unit SMI Fee Ef"2 J f V VVVV Plumbing Fee Dbl $ b Bond Amt. P a an C esker enol Date Inspectyrt Sp. Insp. Fee E E2 a/yl 2 `J Demol. Fee E Const. Lender Branch 'I certify that in the performance o work for which this permit is issued I shall not employ any person in any mr anneus to becorhe subject to the workmen s com- 9isir. ?e Fee $ pensation tows of California. Address City . Zip Owner S,gnoture Mileage Fee $ Witness Fee $ Builder Si nature ?einsp. Fee $ Owner/Agent ` - Tel. Zip I Total Fees $ Address City Zip j 3 M.O. ❑ N.C. ❑ Cash Check Received by Contractor Tel. I License k j freesrequ Ifl 'o;2 Sewage System Address City Zip Workers' Comp. rt . .,.aCA 41 .- .. ^^r ! . h yes d no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verif:,*d by, LL P ewer District' WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. L 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE 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 SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Re, 4.77) ©s CALIFORNIA.