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303620 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY AIIIIIII, FIELD OFFICE PERMIT NO. 3 0 3 6 0 PERMIT NO. 3036 0 Job Address Space Zip s3 - .Ci�c.t/.i-.�. ZS3��� COUNTY OF RIVERSIDE Community � �� //J valuation QDate s �J j 47 � ,3X7 jcT CONSTRUCTION ESTIMATE F.C. no NO. ELECTRICAL FEES NO. PLUMBING FEES Micro Film Fee 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. 2,18 SQ. CAR P. SQ. WALL SQ. SQ.. ESTIMATED CONSTRUCTION O $ a FT. 8 Use of Permit ��`� -AT ��!!'ii UNITS Use No. Ck. by Mech. Fee ON E O PI. Ck. Fee $ FT. @ YARD SPKLR SYSTEM LotSize FT. 1 MOBILEHOME SVC. BAR SINK Legal Description _ ,,.,�.,/�/ r ''] ^ `� / �N�/ I� FT. (a} a .od POWER OUTLET ROOF DRAINS S FT. @ DRAINAGE PIPING FT. DRINKING FOUNTAIN Zone FT. @ URINAL Type 7AI VALUATION $ WATER PIPING 7— Ogg NOTE: Not to be used as property tax valuation Plumbing Fee SWIM POOL, PVT Bond Amt. $ FLOOR DRAIN Plan Checker Final Dotetnspe 3 /a -� MECHANICAL FEES SWIM POOL, COMM Demol. Fee $ WATER SOFTENER Const. Lender Branch I certify that ,n the performance of hew k for which thispermit is issued I shall not employ any person in any manner soV to become svbl,ci to the workmen scom- pensotion laws of California Address City Zip Owner Signature Budder S.gnolure Registr. Fee $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL X HOOD 0 SIGN $ ' WASHER IAUTCaB16kiF Tel. Zip APPLIANCE DRYER $ I t9 S Address City Zip GARBAGE DISPOSAL Z OO FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Contractor (� ; r `moi ` C , r-- Tel. —3,/. -;?s //� License q 3 6, / "KS Trees required LAUNDRY TRAY -` Address AIR HANDLING UNIT CFM Workers' Comp. yesX Ono ❑ IDLE METER wer District Form 284.208 (Rev. 4.77) ©s KITCHEN SINK z O� ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET d COMPRESSOR HP POLE, TEMP/PERM y LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY ©V AMPERES SERV ENT 7 SHOWER BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Ga IT WATER HEATER Q. FT. RESID @ 1 t4trSEWAGE DISPOSAL SQ. FT. GAR C Y.4 a91 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE fill PERMIT FEE d DBL. I TOTAL FEES MOB- HM. FEE MICRO FEE MECH. FEE PL..CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 0 3 6 0 Supp. Permit Job Address Space Zip s3 - .Ci�c.t/.i-.�. ZS3��� Owner MARK Community � �� //J valuation QDate s �J j 47 � ,3X7 /st. Off. F.C. no H Permit Fee E Micro Film Fee Cop $ Use of Permit ��`� -AT ��!!'ii Parcel No. "771f '� d,�, ^ D� 7o Use No. Ck. by Mech. Fee ON E O PI. Ck. Fee $ Set Backs LotSize Construction Fee Dbl E S Legal Description _ ,,.,�.,/�/ r ''] ^ `� / �N�/ I� .;I© S S -5- ,Electrical Fee Dbl $ Zone Grp • 3 Type 7AI [Unit SMI Fee sL Plumbing Fee Dbl $ Bond Amt. $ Plan No. I y7 Plan Checker Final Dotetnspe 3 /a -� or Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch I certify that ,n the performance of hew k for which thispermit is issued I shall not employ any person in any manner soV to become svbl,ci to the workmen scom- pensotion laws of California Address City Zip Owner Signature Budder S.gnolure Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ I t9 S Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check K Received by Contractor (� ; r `moi ` C , r-- Tel. —3,/. -;?s //� License q 3 6, / "KS Trees required .Sewage System T LLP -` Address City Zip IAIOI d 49%X 2-4 Workers' Comp. yesX Ono ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF en ed by 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. wer District Form 284.208 (Rev. 4.77) ©s