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328826 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 328826 PERMIT NO. 13288261 Job Address / v DI COUNTY OF RIVERSIDE } Owner S, DST _ CONSTRUCTION ESTIMATE Vanluation 7�1 NO. ELECTRICAL FEES NO. PLUMBING FEES Dist. /F.C. 1/ V' / 1 ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ 02 O UNITS Use of Permit f�1P 9 /�/ 6;v., e YARD SPKLR SYSTEM SQ. FT.. CaJ Use No. SQ. FT. •+r O MOBILEHOME SVC. BAR SINK Mech. Fee Dbl E FT. (a} ,'� POWER OUTLET ROOF DRAINS Set Backs FT. @ DRAINAGE PIPING Construction Fee Dbl b1 40 DRINKING FOUNTAIN FT. (a3 F Q SQ. FT. URINAL E s VALUATION $ 11O , WATER PIPING O� NOTE: Not to be used as property tax valuation Grp SWIM POOL, PVT FLOOR DRAIN Plumbing Fee Dbl E MECHANICAL FEES Bond Amt. E SWIM POOL, COMM WATER SOFTENER Final Date '/1/) Insp VENT SYSTEM2XFAN ❑ EVAP. COOL ,HOOD O,0 SIGN WASHER (AUT ISH) Const. Lender Branch Address City Zip IBuilder '1 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 bec g subject to the workme •s co pensatlon laws of California.' f Owner Signature Signature APPLIANCE DRYER Mileage Fee E Witness Fee E GARBAGE DISPOSAL v0 Owner/Agent / f FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Tel. Zip Total Fees E Address / 3"C,JI �jsQv � Cit 'j�/Ziip /T7ii/ pps-oo— (?.g2 0 M.O. N.C. ❑ Cosh ❑ CheckX Received by Contractor Tel. License q , Trees required 00,- Sewage System Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT'tOMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Sewer District r [i F _ 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 [Rev. 4.771 ©s CALIFORNIA.