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303817 (SFD)BUILDING PERMIT ik DEPARTMENT -OF BUILDING & SAFETY iakh, FIELD OFFICE PERMIT NO. PERMIT NO. Job Address r Space Zip Owner COUNTY OF RIVERSIDEDS 303817 11 ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Counity mmDist. Valuation Date '-J tv. 7/ NO. PLUMBING FEES 1 ST FL. SQ. FT. @/ Nb $ �8 UNITS Cop E Use of Permi ry/ �� ' amt' / 2ND FL. SQ. FT. @ Use No. Ck.by Mech. Fee Dbl E i, YARD SPKLR SYSTEM FOR. SQ. FT. @ « /7D MOBILEHOMESVC. Construction Fee Dbl E BAR SINK GAR. SQ. FT. Q POWER OUTLET R ROOF DRAINS CAR P. or SQ. FT. @ Zone Grp DRAINAGE PIPING WALL SQ. FT. Q a DRINKING FOUNTAIN SQ. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ . SMI Fee E WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Dbl E SWIM POOL, COMM Plan No, WATER SOFTENER Final Dore VENT SYSTE FAN ❑ EVAP. COOL HOOD SIGN WASHER (AUTO (DISH) APPLIANCE DRYER GARBAGE DISPOSAL E FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED / LAUNDRY TRAY AIR HANDLING UNIT CFM E IDLE METER permit is issued I shall to the workmen scum. KITCHEN SINK Mileage Fee E ABSORPTION SYSTEM � B.T.U. Reinsp. Fee TEMP USE PERMIT SVC Owner/Agent WATER CLOSET Zip COMPRESSOR er HP Total Fees POLE, TEMP/PERM Address LAVATORY Zip HEATINGSYSTEM Ir FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. Tel. — �w -/,_. # _-Z-01�6iI SQ. FT. Qct ¢ Trees required BATH TUB res City Zip SQ. FT. Ga ¢ WATER HEATER ye no ❑III ILL I SQ. FT. RESID Q 1%4 dlJ/da � P f " SEWAGE DISPOSAL ,f.ed b`y Sewer District vWORK SO. FT. GAR @ 1A HOUSE SEWER I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE y erI' GAS PIPING PERMIT FEE PERMIT FEE A PERMIT FEE DBL. TOTAL FEES HM. FEE MICRO FEE i9CH. FEE PL. CK. FEE CONST. FEE E T. ME SMI FEE FEE PL E ]MOB. ., oa PERMIT NO. Supp. Permit Job Address r Space Zip Owner ! 11 ' Counity mmDist. Valuation Date '-J tv. 7/ Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permi ry/ �� ' amt' / Parcel No. T43,40 A Use No. Ck.by Mech. Fee Dbl E i, Set Backs Lot Size PI. Ck. Fee E Construction Fee Dbl E Legol Description S R Electrical Fee Dbl E Zone Grp Type Unit % C 4�7 SS 7A— ��Q . SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No, Plan Checker Final Dore Insp or Sp. Imp. Fee E E / Demol. Fee E Const. Lender Branch I certify that .n the performance of the work for which this • not employ any person in any manner so as to become subject pensotion laws of California ' Address City Zip � Owner S�gnmure Builder Signature permit is issued I shall to the workmen scum. Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees 's `r Address City Zip M.O. ❑ N.C. ❑ Cosh ❑ E—heciJo Received by Co0weto tel► , ler+"'" !+'" '-"�' Tel. — �w -/,_. # _-Z-01�6iI License it Trees required Sewage System res City Zip Workers' Comp. ye no ❑III 0 AI 10LL dlJ/da � P f " THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ,f.ed b`y Sewer District vWORK 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 y erI' 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 f 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4.771 ©s CALIFORNIA.