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304205 (SPIN)
BUILDING PERMIT,, DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE I PERMIT NO. 304`;05 PERMIT NO. 304205 COUNTY OF RIVERSIDE Dsr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SO. 2ND FL. SO. POR. SO. GAR. SO. CAR P. SO. WALL SO. ESTIMATED CONSTRUCTION FT. Q $ UNITS FT. @ YARD SPKLR SYSTEM FT. @MOBILEHOME SVC. BAR SINK FT. Q POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN SO. FT. URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax Valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN [] EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) `Meth. Fee Dbl E APPLIANCE ❑ DRYER GARBAGE DISPOSAL Set Backs F SS R Zone t Grp - Type FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY rConstruction Fee Dbl E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK :Electrical Fee Dbl E ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Plumbing Fee Dbl E COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Picirtwo. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Pan Checker BOILER � B.T.U. SQ. FT, p R BATH TUB Final Date 7� SQ. FT. Cai 4 WATER HEATER SQ. FT. RESID @ 1 t/.¢ SEWAGE DISPOSAL Sp.Insp. Fee E SQ. FT. GAR C 1/.¢ HOUSE SEWER Const. Lender Address GAS PIPING I certify that in the performance of th not employ any person in a manner so pensonon lows of California Zip Owner Signature Budder Sign PERMIT FEE PERMIT FEE PERMIT FEE Registr. Fee E DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEEF P MB. FEE as r I PERMIT NO. 304`;05 Su Permit PP Job Address Community Valuation $ ,�,erser^""' Space Zi Owner P P Dote "7 WDist. Off. F.C. T !MH Permit Fee E I;Micro Film Fee Cop E Use of Permit —4�l� t� Parcel No. o. Ck.by `Meth. Fee Dbl E .PI. Ck. Fee E Set Backs F SS R Zone t Grp - Type Lot Size .42:7 X146 Unit rConstruction Fee Dbl E Legal Description :Electrical Fee Dbl E :SMI Fee E Plumbing Fee Dbl E c -id Amt: E Picirtwo. Pan Checker Final Date 7� In `Cor 4 Sp.Insp. Fee E Demol. Fee E Const. Lender Address Branch City I certify that in the performance of th not employ any person in a manner so pensonon lows of California Zip Owner Signature Budder Sign worL for winch this permit is issued I shall ro become subject to the workmen s com• Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Ur 1C�A Owner/Agent Tel. Zip Total Fees E Edl Address City Zip M.O. ❑ N.C. ❑ Cash iijnr;Check ❑ Received by t / Tel. A License # Trees requi Sewage System A ^'� C w n+- TCiry Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK, I O COMMENCED WITHIN 120 DAYS. CESSATION OF—.t,dby. District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMI 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 Form 284208 (Rev. 4.771 ©S 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.