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303576 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY d11111111111L FIELD OFFICE PERMIT NO. 3035764 PryERMITNO. �ISiRA 3 SJ 35 9 � Job Address Space SL- lv SO - ✓f COUNTY OF RIVERSIDE Owner - OS T CONSTRUCTION ESTIMATE Dot�7� y NO. ELECTRICAL FEES NO. PLUMBING FEES F.0 1ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT.; CaJ M? $ to- UNITS Cop E Use of Permit Z)w4 4 " - -� � FT. @ YARD SPKLR SYSTEM FT. @ MOBILEHOME SVC. BAR SINK .Meth. Fee Dbl E FT. Q POWER OUTLET ROOF DRAINS Set Backs FT. @ DRAINAGE PIPING �GQ FT. DRINKING FOUNTAIN Legal Description `z�• T / 1�✓ v'� �J �i✓�/ FT. @ URINAL S // VALUATION is �_ WATER PIPING R� NOTE: Not to be used as property tax valuation Zone rJ/ SWIM POOL, PVT Type iaw FLOOR DRAIN MECHANICAL FEES Dbl E SWIM POOL, COMM Bond Amt. E WATER SOFTENER Pion Checker Final Date Inspeecfoorr VENT SYSTEM FAN ❑ EVAP. COOL HOOD SIGN Sp. Insp. Fee E WASHER (AUTO) (111" E APPLIANCE DRYER Registr. Fee E Mileage Fee E Witness Fee E GARBAGE DISPOSAL E FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Tel. Zip LAUNDRY TRAY E ' AIR HANDLING UNIT CFM City L/✓I IDLE METER M.O. ❑ C. ❑ Cash Check ❑ KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. Tel. TEMP USE PERMIT SVC p WATER CLOSET Sewage System// Amo T LL COMPRESSOR HP POLE, TEMP/PERM LAVATORY 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 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. —f ed by HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT 17 t;Ia SHOWER AWL BOILER � B.T.U. SQ. FT. @ ¢ BATH TUB SQ. FT. @ ¢ WATER HEATER 9290 Q. FT. RESID ® • 1 t/.¢ SEWAGE DISPOSAL 1040 SQ. FT. GAR O '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE © PERMIT FEE �� PERMIT FEE DBL. TOTAL FEES ��7 9 MOB. HM. FEE MICRO FEE MECH. FEE aSso PL. CK. FEE CONST. FEE �a ELECT. FEE 31 U SMI FEE 99 FEE PLUMB. FEE m PERMIT NO. 3035764 Supp. Permit Job Address Space SL- lv SO - ✓f Zip Owner - Community: CommunityValuation QyiN711R E.28 9 O_ Dot�7� y Dist. Off. F.0 .MH Permit Fee E Micro Film Fee Cop E Use of Permit Z)w4 4 " - -� � Parcel No. Use No. Ck.by .Meth. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size � �GQ Construction Fee Dbl E Legal Description `z�• T / 1�✓ v'� �J �i✓�/ F Z4 S // S %2 R� Electrical Fee Dbl E SMI Fee E Zone rJ/ Grp lCrp-3 Type iaw Unit Plumbing Fee Dbl E Bond Amt. E Plan No. Pion Checker Final Date Inspeecfoorr Sp. Insp. Fee E _Demol. Fee E Const, Lender Branch I certify that in the performance of th work for wh,ch this permit is issued I sho8 not employ any person in any manner so to become sublet to the workmen s com- pensanon lows of CoLformo-. A ess ) City Zip Owner Signature Budder Sinnwure Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent e r, % alio r_De nJ Tel. Zip Total Fees E ' Address 1.200 X S// City L/✓I Zip q71 M.O. ❑ C. ❑ Cash Check ❑ Received by Contractor Tel. License p Trees required Sewage System// Amo T LL l,Address (0 P City Zip Workers' Comp. /yes ❑ 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 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. —f ed by Sewer District • Form 284.208 (Rev. 4.77) 05