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303708 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY i FIELD OFFICE PERMIT NO. 3�3 00 PERMIT NO(®� .3U70 8 1 'M COUNTY OF RIVERSIDE Owner DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Community Valuation NO. PLUMBING FEES Dist. I Off. I ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ, WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. $ E UNITS �j FT. ® YARD SPKLR SYSTEM $ FT. Od 6� MOBILEHOME SVC. BAR SINK Parcel No. FT. O POWER OUTLET ROOF DRAINS FT DRAINAGE PIPING $ FT. (a} DRINKING FOUNTAIN _ t Backs Lot Size FT. URINAL I. Ck. Fee VALUATION $ OG WATER PIPING - NOTE: Not to be used as property tax valuation E Q SWIM POOL, PVT F FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM $ 2 WATER SOFTENER Zone Grp VENT SYSTEM gFAN ❑ EVAP. COOL HOOD 0 SIGN [MI Fee WASHER (AUTOW"d) Iumbing Fee Dbl $ APPLIANCE RYER Plan No. Plan Checker Final Date GARBAGE DISPOSAL FURNACE ❑ UNIT ❑'WALL ❑ FLOOR ❑ SUSPENDED $ $ o. �:2 LAUNDRY TRAY Y AIR HANDLING UNIT CFM IDLE METER $ KITCHEN SINK I shall ABSORPTION SYSTEM B.T.U.• - not employ any person in any monner Vis to become subject to the workmen s com• TEMP USE PERMIT SVC $ WATER CLOSET ileoge Fee - COMPRESSOR0 HP Address City Zip - Owner Signature POLE, TEMP/PERM fitness Fee 2 LAVATORY O HEATING SYSTEM FORCED ❑ GRAVITY $ AMPERES SERV ENT © SHOWER t BOILER B.T.U. SQ. FT. ® ¢ otol Fees BATH TUB Address ./ i City Zip M.O. ❑ N.C. ❑ Caih ❑ Chec SQ. FT. Go ¢ WATER HEATER eceived by Contractor _ Tel. SQ. FT. RESID p 1'/.¢ kj SEWAGE DISPOSAL sd/1')s SQ. FT. GAR 6 '/.¢HOUSE reesrequirecl SEWER /�Qde wage System Address GAS PIPING d Gmp. PEkM1T FEE O PERMIT FEE Yes PERMIT FEE +D P DBL. TOTAL EES � � .0B. Hm. FEEJ MICRO FEE M CH. FEE PL CK. FEE CONST. FEE ELECT. FFEEE� SMIQFEE Q Z FEE PL B. FEE aO PERMIT NO. 3�3 00 Supp. Permit Job Address of Q Space —�[' Zip Owner 1 � Community Valuation Date Dist. I Off. F.C. H Permit Fee E G(„ i $ ,� nCO �j Micro Film Fee Cop $ Use of ermit - - Parcel No. Use No. ech. Fee Dbl $ /� ��� �� / ♦ ♦ _ t Backs Lot Size 4kby I. Ck. Fee $ - onstruction Fee Dbl E Q Legal Description F SS G.•/ lectrical Fee Dbl $ 2 - o�/(/I. /��/ LNjJJ�(� /10 Zone Grp Type Unit [MI Fee E Iumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final Date Inspe p. Insp. Fee $ $ o. �:2 Y enrol. Fee $ Const. Lender Branch I certify that in the performance of wolf, for which this permit is issued I shall - not employ any person in any monner Vis to become subject to the workmen s com• egistr. Fee $ _ - pensotwn lows of California ileoge Fee - $ Address City Zip - Owner Signature fitness Fee $ - Budder Smnoture einsp. Fee $ Owner/Agent - Tel. _ Zip t otol Fees $ Address ./ i City Zip M.O. ❑ N.C. ❑ Caih ❑ Chec L•�,,,,.. �" eceived by Contractor _ Tel. License IS jj I sd/1')s reesrequirecl /�Qde wage System Address Cir Zip Workers' Gmp. Allisq e qP Yes no ❑, T LL P HIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verd,ed by wer District �)*R!K FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL• WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWSOF 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 arm 284.208 (Rev. 4.771 ©s - CALIFORNIA. "