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309168 (ELEC)BUILDING PERMIT Aft, DEPARTMENT OF BUILDING & SAFETY _ , FIELD OFFICE PERMIT NO.Supp. 309166 PERMITNO. 309.166 COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION F. Q $ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. (a} MOBILEHOME SVC. BAR SINK FT. Q POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. (a} DRINKING FOUNTAIN SQ. FT. Ca3 URINAL VALUATION $ WATER PIPING NOTE: Not to be used OS property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Permit Fee $ APPLIANCE ❑ DRYER GARBAGE DISPOSAL _ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY S✓e... �� yM� AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Use No. ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET Ck. by , COMPRESSOR HP POLE, TEMP/PERM LAVATORY PI. Ck. Fee $ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Lot Size BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER Legal Description ,1/v/l • _ �V' , -544/ SQ. FT. RESID p 1'Air SEWAGE DISPOSAL F SQ. FT. GAR CCs 'b¢ HOUSE SEWER S R GAS PIPING ZoA± PERMIT FEE PERMIT FEE 3 ow I PERMIT FEE Unit DBL. I TOTAL FEES ]MOB.HM.rEE1 MICROFEE MECH. FEE PL. CK. FEE CONST. FEE. ELECT. FEE SMIFEE b� FEE PLUMB. FEE PERMIT NO.Supp. 309166 Permit Job Address Space Zip Owner Community _ � T$V luation jDot�Dist. -.Off, F.CMH Permit Fee $ Micro Film Fee Cop $ Use of Permit sO .4101"13 S✓e... �� yM� Parcel No. 76 �/ Use No. Ck. by , Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description ,1/v/l • _ �V' , -544/ F S S R Electrical Fee Dbl $n2 ZoA± Grp Type Unit SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dot I./ „� (� Inspector h QQ Sp. Insp. Fee $ Demol. Fee $ Const. Lender Address Branch I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen s com- pensation laws of California City Zip Owner Signmure Builder S,gnmure Registr. Fee It Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent • Tel. Zip Total Fees $ Address City Zip 1 M.O. ❑ N.C. ❑ Cosh ❑ Chec DC. Received by Trees required Controcto J- V N Tel. 3A 7 ` —21. l License # �� Sewage System T Sewer District LL Address ! *3-Q3 ��/ City �/h Zip ii/tDlti Workers' Comp. Yes no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF —,hed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION W11th. THIS PERMIT `MILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA Ii HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Rev. 4.77) ©s CALIFORNIA