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303656 (SFD)• BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY: FIELD OFFICE PERMIT NO. 303656 PERMITNO. 1.303656 Y{=. COUNTY OF RIVERSIDE I Owner . DST CONSTRUCTION ESTIMATE /�� k NO. ELECTRICAL FEES Dist: NO. PLUMBING FEES F.C. o 1ST FL. SO. 2ND FL. POP.. - GAR. SQ: CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ Micro Film Fee UNITS Use of Permit - V �K� Parcel No. SQ. FT. YARD SPKLR SYSTEM Mech.Fee Dbl $ SQ. FT. @ � OD MOBILEHOME SVC. BAR SINK - - Set Backs FT. OD POWER OUTLET ROOF DRAINS construction Fee Dbl 8legoi 'il 4q FT. @ DRAINAGE PIPING DRINKING FOUNTAIN FT. " 8' S SQ. FT. ® URINAL - VALUATION $ r WATER PIPING NOTE: Not to be used os'ptoperty tox voluotion Type SWIM POOL, PVT FLOOR DRAIN Numbing.Fee Dbl $ O MECHANICAL FEES Plan No. SWIM POOL, COMM Final Date ^. WATER SOFTENER - -" VENT SYSTEM ❑FAN' '❑ EVAP. COOL HOOD O SIGN Const. Lender - Branch 'I certify that in the performance of#e ork not employ any person in any manner sK as to Become • pensation lows of California.'- + Address • City Zip - Owner Signature Buwlder Signature WASHER (AUT*ISH) 00 tlsileage Fee $ APPLIANCE DRYER ?ainsp. Fee $ Owner/Agent �• GARBAGE DISPOSAL - FURNACE :❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED $ � Ad s - - S '� Vie/ �Q 3623 Cit - n , �-�j A /'!/V' /T �OS•/'l LAUNDRY TRAY M.O. ❑ N.C. ❑ Cash ❑ Chec Rhceived by AIR HANDLING UNIT CFM Contractor IDLE METER : KITCHEN SINK 5 -wage System - ABSORPTION SYSTEM 0 B.T.U.- City - _ TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP ' • Q POLE, TEMP/PERM LAVATORY •' HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER , BOILER B.T.U. SQ. FT. @ ¢ BATH TUB , SQ. FT. WATER HEATER v SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL ' SQ. FT. GAR Ya. •HOUSE SEWER - GAS PIPING PERMIT FEE < PERMIT FEE PERMIT FEE 00 DBL I TOTAL FEES MOB. it M. FEE -MICRO FEE MECH. FEE.. - -PL. CK. FEE .'CONST. FEE - ELECT. FEE SMI FEE FEE PL MB. FEE PERMIT NO. 303656 "' Supp. Permit Job Address -6soAve l Space Zip ogo Owner . Community �/ i T` U,;� f .� .Valuation. S /�� k Date.. -///s Dist: Qtf F.C. o MH Permit Fee $ Micro Film Fee Cop $ Use of Permit - V �K� Parcel No. Use No. Ck..bbyw J Mech.Fee Dbl $ PI. Ck. Fee• . $(,(/ - Set Backs Lot Size �./D /i construction Fee Dbl 8legoi 'il 4q Description _ //, / / / ^�tr F g)lj Py h4A3 S S �`••�' /') :lectricol Fee Dbl $_{ Type Unit JJiI Fee $ _ / Numbing.Fee Dbl $ O Bond Amt. $ Plan No. Plan C c �kJer -, t / ✓� �/ Final Date ^. Inspect - - -" �. Insp. Fee $ :emol. Fee $ Const. Lender - Branch 'I certify that in the performance of#e ork not employ any person in any manner sK as to Become • pensation lows of California.'- + Address • City Zip - Owner Signature Buwlder Signature for which this permit is issued I shall subject to the workmen.s com- i-gittr. Fee $ tlsileage Fee $ Vitness Fee $ ?ainsp. Fee $ Owner/Agent �• TeLZip . "• © - I'.tol Fees $ � Ad s - - S '� Vie/ �Q 3623 Cit - n , �-�j A /'!/V' /T �OS•/'l �✓ Zip - t� . M.O. ❑ N.C. ❑ Cash ❑ Chec Rhceived by Contractor Tel.License q I lees required 5 -wage System - Address - - - - City - _ Zip Workers' Comp. yes ❑ no ❑ Fcrm 284-208 (Rev. -4.77) 05 THIS PERMIT SHALL BECOME VOID IF - WORK IS NOT COMMENCED WITHIN 420 DAYS. CESSATION G•F verified by: 1 WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.. g !t 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 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.