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304172 (SFD)BUILDING PERMIT, : DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 304172 PERMIT NO. '�J Job Address Space I Zip Owner t COUNTY OF RIVERSIDE Community Valuation Date ist. Off. t. F.C. E Or % QO E DST 304172 MH Permit Fee b sMicro Film Fee Cop E � Parcel No. _ Use No. Ck.by !Meth. Fee Dbl-If I bJ PI. Ck. Fee b t acks Lot Size may `�`� Construction Fee Dbl E legal Description 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 Electrical Fee r�SMI Fee NO. PLUMBING FEES �%� / �L- �e� �/NI% 1 ST FL. SQ. FT. (a) �0 $ UNITS Plumbing Fee Dbl E 2ND FL.. SQ. FT. (a} Plan No. PlanCheckerFina Itit J1�` YARD SPKLR SYSTEM POR. SQ. FT. @ vL 1949-- E MOBILEHOME SVC. >Y�0 BAR SINK �17/.J��)� � �'.. .." r i GAR. SQ. FT. (a} .0-0 POWER OUTLET E ROOF DRAINS Registr. Fee E CAR P. SQ. FT. @ Witness Fee E 'Reinsp. Fee E DRAINAGE PIPING Tel. Zip WALL SQ. FT. Qa Total Fees $ Add ess DRINKING FOUNTAIN M.O. ❑ N.C. ❑ Cosh ❑ Check SQ. FT. Received by URINAL Tel. Li ense # ESTIMATED CONSTRUCTION VALUATION $ 4&9> Address WATER PIPING Workers' Comp. NOTE: Not to be used as property tax valuation / SWIM POOL, PVT FLOOR DRAIN LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF .er�tied by, MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE - VENT SYSTEM FAN C]EVAP. COOL P HOOD WITH THE LAWS OF RIVERSIDE COUNTI(•QND THE, STATE OF CALIFORNIA „ SIGN WASHER (AUTO I DISH) Form 284.208 (Rev. 4.77) ©s 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. APPLIANCE DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSORHP POLE, TEMP/PERM LAVATORY HEATINGSYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SO. FT. Qa ¢ BATH TUB 4 SQ. FT. CW ¢ WATER HEATER SQ. FT. RESID Ga 1'Atr SEWAGE DISPOSAL SQ. FT. GAR @ I/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE PL. CK. FEE CO.FEE ELECT. FEE SMI FEE FEE PL E I PERMIT NO. 304172 Supp. Permit Job Address Space I Zip Owner t Community Valuation Date ist. Off. t. F.C. E Or % QO E MH Permit Fee b sMicro Film Fee Cop E se o Permit A OV d -K e /1—,Y— Gr Parcel No. _ Use No. Ck.by !Meth. Fee Dbl-If I bJ PI. Ck. Fee b t acks Lot Size may `�`� Construction Fee Dbl E legal Description F IS!r- R 1 Electrical Fee r�SMI Fee Dbl E E �%� / �L- �e� �/NI% Zone Grp Type Unit Plumbing Fee Dbl E Bond Amt. Plan No. PlanCheckerFina Itit J1�` Inspector ,,Sp. Insp. Fee 1949-- E E >Y�0 ✓ogvl �17/.J��)� � �'.. .." r i i Demol. Fee E Const. Lender Branch I certify that to the performance of thew rk for whkh this perms n issued I shall not employ any person in any manner so as Id become subject to the workmen s com• pensahon tows of California Address City Zip Owner Signature Budder Sinnatur. ___ Registr. Fee E Mileage Fee $ Witness Fee E 'Reinsp. Fee E Owner/Agent �J Tel. Zip Total Fees $ Add ess City Zip M.O. ❑ N.C. ❑ Cosh ❑ Check Received by Contract Tel. Li ense # Trees required Sewage System Address City Zip Workers' Comp. yes ❑ no ❑ LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF .er�tied by, Sewer District 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 COUNTI(•QND THE, STATE OF CALIFORNIA „ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE Form 284.208 (Rev. 4.77) ©s 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.