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303661 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING t& SAFETY _;' FIELD OFFICE PERMITNO. 3.0366 PERMIT NO. '3 Q 3 6,61 ,. - .. COUNTY OF RIVERSIDE. - =:. Owner - Community}.�_ - (�/I!✓/T FIT CONSTRUCTION ESTIMATE Dist. - /,_ NO. ELECTRICAL FEES F.C. j NO. PLUMBING FEES iMH Permit Fee - $ 1ST FL, SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. . WALL " SQ. ESTIMATED CONSTRUCTION FT. @ 44'$ Use of Permit - - "' _ �•{%l.fs7 _ st -A—PT�_ ���' UNITS Use. No. • . Ck.by S Mech. Fee Dbl $ YARD SPKLR SYSTEM SQ. FT. Set Backs SQ. FT.(a3 �— MOBILEHOME SVC . BAR SINK Construction Fee DbI $ 92POWER OUTLET ROOF DRAINS FT. 8 2 k6e FT.._ @ DRAINAGE PIPING S FT. 8 DRINKING FOUNTAIN' Electrical Fee. Dbl - $ s SQ. FT:' @ URINAL Grp 3 VALUATION $ ^ WATER PIPING Unit • . - NOTE: Not to be used as property tax valuation SMI Fee $ SWIM POOL, PVT FLOOR DRAIN Pion No. '�1 - OZ �� PlanChecker/ p �;, f � MECHANICAL FEES. Inspector- " ✓ SWIM POOL, COMM Sp. Insp: Fee . $ WATER SOFTENER Const. Lender Branch - 'I certify that in rhe performance he work for which this permit is issued 1 shall ' not employ any person in any manner sous to become subject to the workmen s com• pensation lows of California.' - Address. " City Zip a'S .. Owner Signaiure f t f�%] .�j -' Bu Jder Sianoture- VENT SYSTEM ❑ FAN ❑ EVAP. COOL X HOOD 0 SIGN Reinsp. Fee. WASHER IAUTOf FDISH) Owner/Agent f f :�`f�/� n, / - Tel. Zip . ; .. ` .. t� % ►., APPLIANCE DRYER Total Fees $ �Q M.O. C) N.C. C3 Cash ❑ .Check. Address �•+.,,� -, Q fie city. .�f (� Z' S /s%%w GARBAGE DISPOSAL b Contioctor •• - FURNACE .❑ UNIT ❑ WALL '❑'FLOOR ❑ SUSPENDED license # Trees required Sewage System - LL Sewer District LAUNDRY TRAY AddressCity, - _ Zip AIR HANDLING UNIT CFM THIS. PERMIT SHALL BECOME VOID IF WORK .IS NOT COMMENCED WITHIN 120 DAYS. CESSATION- OF veuf:ed by: 1 WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATINGSYSTEM ja FORCED ❑GRAVITY AMPERES SERV ENT SHOWER BOILER . B.T.U. SQ. FT. @ ¢ BATHTUB SQ. FT. @ ¢ WATER HEATER ,2• SQ. FT. RESID @ 1 y.¢ SEWAGE DISPOSAL ' SQ. FT. GAR 3b¢ '' HOUSE SEWER GAS PIPING = PERMIT FEE 0 Q .', ' PERMIT FEE 3 G� / PERMIT FEE DBL. TOTAL FEES �a 93 ]MOB. HM. FEE '• 'MICRO FEE MECH. FEE av so PL: CK. FEE CONST. FEE lIs a, o ELECT. FEE . {e3tr SM.I FEE ' . FEE .. PLUMB. FEE 3.7 PERMITNO. 3.0366 •Supp: Permit Job Address ,.%' Space" Zip Owner - Community}.�_ - (�/I!✓/T Valuation �J. $ �� /eP Dote :rl7 Dist. - /,_ - O/ff. F.C. j iMH Permit Fee - $ IMicro.Film Fee Cop $ Use of Permit - - "' _ �•{%l.fs7 _ st -A—PT�_ ���' Parcel No. .i72./� �•37�d Use. No. • . Ck.by S Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee DbI $ Legal Description _ • L.D? �ls �L ami-�iY�rL 3. S R;:-0j Electrical Fee. Dbl - $ s Zone �� Grp 3 Type �, Unit • . - - SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $- Pion No. '�1 - OZ �� PlanChecker/ p �;, f � Final Date �/7 / Inspector- " ✓ - Sp. Insp: Fee . $ Demol. Fee - $ Const. Lender Branch - 'I certify that in rhe performance he work for which this permit is issued 1 shall ' not employ any person in any manner sous to become subject to the workmen s com• pensation lows of California.' - Address. " City Zip a'S .. Owner Signaiure f t f�%] .�j -' Bu Jder Sianoture- Registr. Fee $ Mileage Fee . $ - _Witness Fee $ Reinsp. Fee. Owner/Agent f f :�`f�/� n, / - Tel. Zip . ; .. ` .. t� % ►., Total Fees $ �Q M.O. C) N.C. C3 Cash ❑ .Check. Address �•+.,,� -, Q fie city. .�f (� Z' S /s%%w (Received by - Contioctor •• - Tel. - license # Trees required Sewage System - LL Sewer District ! P hd AddressCity, - _ Zip Workers' Comp. yes no ❑: THIS. PERMIT SHALL BECOME VOID IF WORK .IS NOT COMMENCED WITHIN 120 DAYS. CESSATION- OF veuf:ed by: 1 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 Form 284.208 (Rev. 4.771 ©s - CALIFORNIA.. -