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309030 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY rAft, FIELD OFFICE PERMIT NO. I I 3 090 PERMITNO. 309030 -- COUNTY OF RIVERSIDE Community `"� �� DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Of(. NO. PLUMBING FEES `FF.'F 1ST FL. SQ. 2ND Fl. SQ. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. C, pN SQ. ESTIMATED CONSTRUCTION FT. lad $ UNITS Film Fee Cop E Use of Permit �� / rf' t of � � ®©/ / t�x 3 � Parcel No. V, /' ,r %� r FT. Ga YARD SPKLR SYSTEM FT. MOBILEHOME SVC. BAR SINK !!Micro [Meth. Fee Dbl $ FT. @POWER OUTLET ROOF DRAINS Set Backs FT. DRAINAGE PIPING / FT. @ DRINKING FOUNTAIN Legal Description �/ --� 34t $ FT. @ 0� �`^ URINAL / S /Q 51 VALUATION $ WATER PIPING Electrical Fee Dbl $Zgpe SMI Fee b NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN (Plumbing Fee Dbl E O Bond Amt. MECHANICAL FEES SWIM POOL, COMM Final Date/ d� WATER SOFTENER I p. Insp. Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Const. Lender Branch I certify that in the performance of the wort .. whrch this not employ any person to any manner so as to me subject pensation laws of California Address City Zip Owner Signature Bwlder Stanature WASHER (AUTO) (DISH) IRegistr. Fee E [Mileage Fee E APPLIANCE ❑ DRYER IReinsp. Fee E GARBAGE DISPOSAL Tel. Zip FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED t Total Fees E M.O. .C. ❑ Cosh ❑ Check Addressi � � ( LAUNDRY TRAY Zip Received by Trees require AIR HANDLING UNIT CFM IDLE METER Tel. �j License p •++ ,/� /�,� �,Z KITCHEN SINK A"dddrressssf �y /' n /� `� / City Zip ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC '­"edby l WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. C ¢ WATER HEATER SQ. FT. RESID Go 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Co 'Kir HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 73 dQ DBL. I TOTAL FEES 4k, MOB. HM. FEE MICRO FEE . MECH. FEE PL. CK. FEE o o CONST. FEE o, o� ELECT. FEE �3 - SMI FSE /� FEE PLUME(. FEE , o0 PERMIT NO. I I 3 090 Supp. Permit Job Address Space &W -r 4e Zip Owner 9Zx5J Community `"� �� Valuation b 16� D©I QO Date s� /� Dist. / Of(. /►F�C%.� `FF.'F �MH Permit Fee $ Film Fee Cop E Use of Permit �� / rf' t of � � ®©/ / t�x 3 � Parcel No. V, /' ,r %� r Use No. Ck.by �� !!Micro [Meth. Fee Dbl $ I. Ck. Fee E 6 ,,,,,� Set Backs Lot Size / Construction Fee Dbl b Legal Description �/ --� 34t $ F a / S /Q 51 R Electrical Fee Dbl $Zgpe SMI Fee b I Grp Type Unit (Plumbing Fee Dbl E O Bond Amt. Plan No. Plan Checker Final Date/ d� Inspector I p. Insp. Fee E enrol. Fee E Const. Lender Branch I certify that in the performance of the wort .. whrch this not employ any person to any manner so as to me subject pensation laws of California Address City Zip Owner Signature Bwlder Stanature perms is rssued I shall to the workmen s com- IRegistr. Fee E [Mileage Fee E (Witness Fee 8 IReinsp. Fee E Owner/Agent Tel. Zip I { t Total Fees E M.O. .C. ❑ Cosh ❑ Check Addressi � � ( City Zip Received by Trees require Contractor t Ile IlV Tel. �j License p •++ ,/� /�,� �,Z Sewoge System T LL wer District W- 0911v- Form 284.208 1Rev. 4.77) ©s A"dddrressssf �y /' n /� `� / City Zip Workers' Comp. i y:X no THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. AI 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 J IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. '­"edby l