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303715 (SFD)BUILDING PERMIT I 41111111W. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 303715 PERMIT NO. 303715 Job Address Space Zip COUNTY OF RIVERSIDE Owner Dsr / CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES FC. (7(5)/ NO. PLUMBING FEES H Permit Fee E 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ ESTIMATED CONSTRUCTION FT. pv UNITS ech. Fee Dbl E I. Ck. Fee E Set Backs Lot Size / FT. @ YARD SPKLR SYSTEM Legal Description r/s FT. @ 06 360-4-10, MOBILEHOME SVC. BAR SINK FT. @ POWER OUTLET ROOF DRAINS FT. @DRAINAGE PIPING Grp FT. @ DRINKING FOUNTAIN Unit FT ® URINAL ,kumbing Fee Dbl E VALUATION isWATER PIPING vvq, 02 Plan No. 3 NOTE: Not to be used as property tax valuation FinalDate Inspe `� / O SWIM POOL, PVT FLOOR DRAIN emol. Fee E Const. Lender Branch 60, 1 certify that m the performance of the work. or wh,ch this permit is issued I sholl not employ any person to any manner so as to be ome subject to the workmen s com- pensation laws of California Address City Zip Owner Signature Budder Stgnoture MECHANICAL FEES ileoge Fee E SWIM POOL, COMM einsp. Fee E WATER SOFTENER Tel. Zip VENT SYSTEM XFAN ❑ EVAP. COOL HCIOD O SIGN eceived byComroctor WASHER IAUT04"NI Tel. - 3 34 License N - APPLIANCE DRYER wage System T LL Address Or Zip life GARBAGE DISPOSAL TTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF vert^ea by WORK 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 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. wer Distr t S Form 284208 tRev. 4771 ©s FURNACE ❑ UNIT ❑ WALL O'FLOOA ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK O ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSO HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT 15-L SHOWER BOILER B.T.U. SQ. FT. p a BATH TUB SQ. FT. Ga ¢ WATER HEATER OO Q. FT. RESID Ga 1'/.¢ 36 SEWAGE DISPOSALIla 940 SQ. FT. GAR G 'd¢ LA6 HOUSE SEWER GAS PIPING PERMIT FEE O PERMIT FEE b PERMIT FEE DBL TOTAL FEES MOB. HM. FEE MICRO FEE CH. FEE'54 PL CK. FEE CONST. FEE W EL T. FEE SMI FEE FEE B. FEE PERMITNO. 303715 Supp. Per Job Address Space Zip Owner Community �� ! �'� / Valuation Date E S 7 ©� Dist. Off. FC. (7(5)/ H Permit Fee E icro Film Fee Cop E Use o Pe it U.�( i /T G7 /7 �C� . Parcel No. Use No. Ck. by ech. Fee Dbl E I. Ck. Fee E Set Backs Lot Size / nstrucrion Fee Dbl E lectrical Fee Dal E Z MI fee E Legal Description r/s Zone Grp Type Unit ,kumbing Fee Dbl E Bond Amt. E Plan No. 3 Plan Checker FinalDate Inspe `� / O r p. Insp. Fee E emol. Fee E Const. Lender Branch 60, 1 certify that m the performance of the work. or wh,ch this permit is issued I sholl not employ any person to any manner so as to be ome subject to the workmen s com- pensation laws of California Address City Zip Owner Signature Budder Stgnoture egistr. Fee E ileoge Fee E fitness Fee E einsp. Fee E Owner/Agent Tel. Zip otol Fees E M.O. ❑ N.C. ❑ Cas Chec Address ^ City Zip eceived byComroctor Tel. - 3 34 License N - rees requ' e wage System T LL Address Or Zip life Workers' Comp. Yes no ❑ TTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF vert^ea by WORK 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 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. wer Distr t S Form 284208 tRev. 4771 ©s