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303674 (SFD).-DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE :Adik /•AI t\ITV Ac lilt/CIAC IT NO. 3674 � bVVI\1 t Vr RIVGRJIVG � Owner k"" DST // CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date �9 / ,� 7 NO. PLUMBING FEES Off. 1ST FL. SO. 2ND FL. FOR. GAR. 4&416 SO. CAR P. WALL ESTIMATED CONSTRUCTION FT. 8 — $ —O UNITS_ Cop E Use of Permit /� / 6� G�� SO. FT. @ YARD SPKLR SYSTEM Use No. QVC �L` MOBILEHOME SVC. BAR SINK SQ. FT. (a} Mech. Fee Dbl $ FT. 8 S faO POWER OUTLET ROOF DRAINS Set Backs SO, IT, 8 / DRAINAGE PIPING Construction Fee Dbl E SO. FT. Cay DRINKING FOUNTAIN 41 , / SQ. FT. @ URINAL SS VALUATION is a WATER PIPING `r /J NOTE: Not to be used as property tax valuation Zone / SWIM POOL, PVT Tyypee .Je. FLOOR DRAIN SMI Fee $ MECHANICAL FEES Dbl E SWIM POOL, COMM Plan No. a i 37/ WATI�R SOFTENER Pion Checker J Final ezll ! VENT SYSTEM @ FAN C3 EVAP. COOL Z HOOD pa SIGN Demol. Fee WASHER IAUTODISHI G Branch I certify that to the performance of the ark for whrch this permit is issued 1 shall not employ any person .n any monner so as to become subject to the workmen s com- pensotton lows of California City Zip Owner Signature Y. Bu.idcr Swnat�re APPLIANCE DRYER V Witness Fee b .einsp. Fee GARBAGE DISPOSAL 2 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED oral Fees y LAUNDRY TRAY City �I /7 Zip AIR HANDLING UNIT CFM P.eceived by 04 IDLE METER Contractor KITCHEN SINK Tel. License # ABSORPTION SYSTEM O B.T.U. �ewoge System f' drfl�p S /� T LL P wer District Form 284-2081Rev. 4771 ©s TEMP USE PERMIT SVC City Zip WATER CLOSET THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN !20 DAYS CESSATION OF >d by 'eWORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE N 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 CALIFORNIA COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM &] FORCED ❑GRAVITYAMPERES SERV ENT O SHOWER BOILER � B.T.U. SQ. FT. 8 ¢ BATH TUB SO. FT. Ga ¢ WATER HEATER Z SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cot '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE / PERMIT FEE PERMIT FEE DBL. TOTAL EES aca'3. MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE �s SMI FEE FEE PLUMB. FEE 3 0` PERMITNO. 303674 Supp. Per mit Job Address sra-� �l Space Zip Owner k"" Community /(,"4 �(,, //t✓ ( Valuation !' t/ ( b �6' 4 tJ � Date �9 / ,� 7 Dist. Off. F.C. ,MH Permit Fee $ ,Micro Film Fee Cop E Use of Permit /� / 6� G�� Parcel No. 7 %3^ Z % Use No. Ck.by Mech. Fee Dbl $ PI. Ck. Fee y Set Backs Lot Size Construction Fee Dbl E Legal Description 41 , / F SS SSS `r /J ?lectrical Fee Dbl E Zone / Grp Tyypee .Je. Unit SMI Fee $ Plumbing Fee Dbl E Bond Amt. E Plan No. a i 37/ Pion Checker J Final ezll ! Inspeao Sp. Insp. Fee E Demol. Fee E Const. Lender Address 111 Branch I certify that to the performance of the ark for whrch this permit is issued 1 shall not employ any person .n any monner so as to become subject to the workmen s com- pensotton lows of California City Zip Owner Signature Y. Bu.idcr Swnat�re .egistr. Fee E Mileage Fee E Witness Fee b .einsp. Fee E Owner/Agent �N Tel. Zip oral Fees y Address =0_k2 City �I /7 Zip M.O. ❑ N.C. ❑ Cash ❑ Gheck P.eceived by 04 Contractor Tel. License # Trees required �ewoge System f' drfl�p S /� T LL P wer District Form 284-2081Rev. 4771 ©s Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN !20 DAYS CESSATION OF >d by 'eWORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE N 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 CALIFORNIA