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309392 (SFD)
i BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. 'COUNTY OF RIVERSIDE 309392 CONSTRUCTION ESTIMATE 1 ST FL. SO. FT. Ca3 $ 2ND FL. SQ. FT. C� POR. SQ. FT. Oa �G GAR. SQ. FT. @ S� CAR P. SQ. FT. Cat WALL SQ. FT. Cat APPLIANCE DRYER SQ. FT. Ca) ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as orooerty tax valuation NO. I ELECTRICAL FEES I IUNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // PERMIT NO. X09392 MECHANICAL FEES SWIM POOL, COMM Owner WATER SOFTENER Community ," 4*>y/ Valuation $ VENT SYSTEM FAN 0 EVAP. COOL ja HOOD SIGN Off. WASHER IAUTOLLQISH1 APPLIANCE DRYER MH Permit Fee 5 MicroFilm Fee Cop $ GARBAGE DISPOSAL Parcel No. _ Use No. k.by FURNACE O UNIT Q WALL C] FLOOR O SUSPENDED PI. Ck. Fee $�� Set Backs LAUNDRY TRAY Construction Fee Dbl E Legal Description � -^� / , -'el 13 L �SOc r A/ / % 14 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Electrical Fee Dbl E SMI Fee $ Zone ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC Unit -2,. WATER CLOSET Plumbing Fee Dbl E Bond Amt. E COMPRESSOR o HP POLE, TEMP/PERMLAVATORY F' IP l� Insp cto�r ®� . Sp. Insp. Fee E HEATING SYSTEM FORCED O GRAVITY AMPERES SERV ENT Reg istr. Fee $ SHOWER Witness Fee E Reinsp. Fee $ BOILER � B.T.U. SQ. FT. p ¢ BATHTUB D City Zip M.O.0 N.C. C] Cash Q Che SQ. FT. Cw ¢ Contractor WATER HEATER License 4 Sewage System l T LL �Pi�%Y ,Sewer District Form 284.208 (Rev. 477) ©s Address SQ. FT. RESID @ 1'A¢ Workers'Comp. yeso no 0' j SEWAGE DISPOSAL SQ. FT. GAR @ 1/.Q HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL EES C7 f./ O MOB. HM. FEE MICRO FEE MECH. FEE 't S,hls PL. CK. FEE CONST. FEE ELECT. FEE "f G O 2 SMI FEE / � FEE PLUMB. FEE J ®/ PERMIT NO. X09392 Supp. Permit Job Address Space Zip Owner -- Community ," 4*>y/ Valuation $ Date �f Z-2 7A 7 Dist. / Off. F.C. ':::'z;- 0Micro MH Permit Fee 5 MicroFilm Fee Cop $ Use of Permit �+r — Parcel No. _ Use No. k.by Mech. Fee Dbl $ PI. Ck. Fee $�� Set Backs Lot Size Construction Fee Dbl E Legal Description � -^� / , -'el 13 L �SOc r A/ / % 14 FC;Za is Electrical Fee Dbl E SMI Fee $ Zone Grp Type Unit Plumbing Fee Dbl E Bond Amt. E Pion 7No. / ems[ 7 3 Plan Checker =L�� F' IP l� Insp cto�r ®� . Sp. Insp. Fee E Dental. Fee $ Const. Lender Branch '1 certify that in the performonce of t . wort. for which this perme is issued 1 shall l not employ any person m any manner so us io Mcome subject to the workmen s com• f pensonon laws of California e 01 City Zip Owner Sgnatweo e BuJder Signature Reg istr. Fee $ Mileage Fee $ Witness Fee E Reinsp. Fee $ Owner/Agent Tel. Zip TotalFeesFees $ Address City Zip M.O.0 N.C. C] Cash Q Che Received by Trees required Contractor Tel. - License 4 Sewage System l T LL �Pi�%Y ,Sewer District Form 284.208 (Rev. 477) ©s Address City Zip Workers'Comp. yeso no 0' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF .e'Jtecl WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. T 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 CALIFORNIA.