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304250 (SFD)BUILDING PERMIT amk DEPARTMENT OF BUILDING 8 SAFETY ,Am& FIELD OFFICE 304250" /,�() PERMIT NO. PERMIT NO. 'a/��', 3 0 i 2 5 V Job Address �!� .. L/ COUNTY OF RIVERSIDE , ' 3014250J DST [it CONSTRUCTION ESTIMATE -' NO. ELECTRICAL FEES NO. PLUMBING FEES aluotion Dote E -�— 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ SQ. FT. @ UNITS YARD SPKLR SYSTEM Micro Film Fee Cop E 50. FT. ® QO MOBILEHOME SVC. BAR SINK FT. (a} 00 POWER OUTLET ROOF DRAINS Use No. FT. DRAINAGE PIPING Mech. Fee Dbl EZZ ] FT. (a} DRINKING FOUNTAIN - Set Backs SQ. FT. @ URINAL Construction Fee Dbl E VALUATION $ WATER PIPING F NOTE: Not to be used as property tax voluotion 67 SWIM POOL, PVT Electrical Fee Dbl S FLOOR DRAIN MECHANICAL FEES Type SWIM POOL, COMM Unit WATER SOFTENER SMI Fee E oT VENT SYSTE FAN ❑ EVAP. COOL 0 HOOD •` SIGN WASHER (AUTO) (DISH) e 70 APPLIANCE PD DRYER Bond Amt. E Plan No. Plan Checker a—e GARBAGE DISPOSAL Inspett FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 'Sp. fnsp. Fee E Demol. Fee E } Const. Lender Branch Address City LAUNDRY TRAY do— i Regisir. Fee b AIR HANDLING UNIT CFM IDLE METER Owner Signature Budder Sanoture KITCHEN SINK Witness Fee E r Reinsp. Fee E ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Zip WATER CLOSET !Total Fees E Address COMPRESSOR � HP City POLE, TEMP/PERM M.O. ❑ N.C. ❑ Cash C k ❑ LAVATORY 44 HEATING SYS FORCED ❑ GRAVITY 10 AMPERES SERV ENT SHOWER License N 1Trees re irE BOILER B.T.U. SQ. FT. Qa ¢ BATH TUB I ?7,4ff City Zip Workers' Comp. SQ. FT. Ca ¢ WATER HEATER yeA2 no ❑ SQ. FT. RESID 1'/.¢ SEWAGE DISPOSAL Q SQ. FT. GAR G T:¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBI. TOTAL FEES of MOB. HM. FEE MICRO FEE CH. FEE PL. CK. FEECONST. FEE EL CT. FEE W4 SMI FEE FEE - PWM B. FEE n o PERMIT NO. Supp. Permit Job Address �!� .. L/ Space Zip Owner , ' 3014250J I/ -' ommuniry aluotion Dote E -�— ist. Off. Q , MH Permit FeeE Micro Film Fee Cop E Use o Permit a ' Parcel No. 3r a `Q f Use No. Ck.by Mech. Fee Dbl EZZ ] I Pl. Ck. Fee E - Set Backs Lot Size �� Construction Fee Dbl E Legal Description F S i� Electrical Fee Dbl S Grp Type Unit SMI Fee E oT `J 'Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker a—e Final Dote wsa---^� Inspett 'Sp. fnsp. Fee E Demol. Fee E } Const. Lender Branch Address City I certify that in the performance oft not employ any person inany mannerso pensanon laws of California Zip ork for which th.s permu+s issued I shall ., become subiee+ to th. workmen s cam• i Regisir. Fee b Mileage Fee E Owner Signature Budder Sanoture Witness Fee E r Reinsp. Fee E Owner/Agent Tel. Zip !Total Fees E Address City Zip M.O. ❑ N.C. ❑ Cash C k ❑ Received b Con troctpr,--jv�..yVy.t�. V Tel. License N 1Trees re irE A _ 'Sewage System I ?7,4ff City Zip Workers' Comp. s yeA2 no ❑ Form 284.208 1Rev. 477) ©s THIS PERMIT SHALL BrCOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF F,.d by RK 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 ACCORDANCt 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.