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303907 (RPL)
BUILDING PERMIT Amkbt DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 30390 PERMIT NO. - COUNTY OF RIVERSIDE DST 303907 r '1 Mech. Fee Dbl E� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. 8 If UNITS 2ND FL. SQ. FT. 8 YARD SPKLR SYSTEM FOR. SQ. FT. MOBILEHOME SVC. BAR SINK GAR. SQ. FT. Q POWER OUTLET ROOF DRAINS CAR P. SQ. FT. tai DRAINAGE PIPING WALL SQ. FT. Q DRINKING FOUNTAIN �� ��// Q FT URINAL `ESTIMAlTED CONSTRUCTION VALUATION $) WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER �Sp.Insp. Fee $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER IAUTOI (DISH) O E APPLIANCE ❑ DRYER GARBAGE DISPOSAL Const. Lender Address FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Regisir. Fee $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK •Witness Fee $ ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET $ COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Owner/Agent HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Tel. BOILER � B.T.U. SQ. FT. pa ¢ BATH TUB SQ. FT. Ge ¢ WATER HEATER Address SQ. FT. RESID p 1 t/.¢ SEWAGE DISPOSAL City SQ. FT. GAR Ga IKc HOUSE SEWER Received by Trees require Sewage System GAS PIPING Conti A res PERMIT FEE PERMIT FEE PERMIT FEE ek Zip DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ECT. F E SMI FEE FEE MB. F E 1909 fl c PERMITNO. 30390 Supp. Permit Job Address Space Zip Owner w �' ' -- Community o uati n Date A& We of ermit j L Parcel N +� "�" if7�'�� �� O �5 Set Backs Legal Description F 5 R • / e Grp "Y" y „�,..z w I Dist.7-71-if OZ D Use No. Ck.by Lot Size Unit t MH Permit Fee s t Micro Film Fee Cop I E '1 Mech. Fee Dbl E� PI. Ck. Fee E J40o Construction Fee Dbl $ Electrical Fee Db1 E SMI Fee $ Plumbing Fee Dbl $ Bon mt. $ n o. Plan ecker Final t (�-'(—'L V -79 Inspector �Sp.Insp. Fee $ Demol. Fee E Const. Lender Address Branch 'I certify that in the performance of the work for which this permit is issued I shall not employ any person in any monner so as to become subject to the workmen s com- pensation laws of California. City Zip Owner Signature Builder Stgnoture Regisir. Fee $ Mileage Fee $ •Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees Fees $ M.O. ❑ N.C. o❑ Cash Cl ec Address City Zip Received by Trees require Sewage System Conti A res /'' /9 7jo Tel. /. // Ci��-/y--/- Zip Licensee A Workers' Comp. no ❑I 6 T LL P Sewer District e Form 284.208 IRev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF ems .d by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY 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. 1 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 CALIFORNIA.