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304410 (PAT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. PERMITNO. 30441, i COUNTY OF RIVER51DE 304 410 fig` 3 - _ s -2J DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES' Dist. NO. PLUMBING FEES F.C. 1ST FL. SQ. 2ND FL. SQ. POR. Iq SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS I MH Permit Fee $ YARD SPKLR SYSTEM FT. ® ti Use of Permit �//J •� ♦ ' �Q �,© ,v� FT. (rt} A1 A/ MOBILEHOME SVC. BAR SINK Use No. FT. C3 POWER OUTLET ROOF DRAINS 'Meth. Fee Dbl $ FT. (a3 I DRAINAGE�IPING a8ezcks FT. @ DRINKING FOUNTAIN Construction Fee Dbl $ FT. Cad URINAL F VALUATION $ WATER PIPING S NOTE: Not to be used os property tax voluotion SWIM POOL, PVT • , // �•1 /-07-/& � L �y7 (/%y�% al� FLOOR DRAIN Grp Type MECHANICAL FEES SWIM POOL, COMM t 1 SMI Fee $ WATER SOFTENER Bond Amt. $ Plan No. VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN - WASHER (AUTO) (DISH) Sp. Insp. Fee $ jDemol. Fee $ If APPLIANCE ❑ DRYER IRegisir. Fee $ 'Mileage Fee $ t GARBAGE DISPOSAL 1Reinsp. Fee $ Owner/Agent FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED E' j Total Fees $ VI LAUNDRY TRAY City Zip F M.O. ❑ N.C. ❑ Cash ❑ Check AIR HANDLING UNIT CFM IDLE METER Received by KITCHEN SINK Tel. - License ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET 'Sewage System Address COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY yes no ❑ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT l5ewer District SHOWER BOILER � B.T.U. SQ. FT. ® ¢ BATH TUB :HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SQ. FT. p ¢ Form 284.208 IRev. 4.771 Os WATER HEATER SQ. FT. RESID p 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cal 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE QS FEE PLUMB. FEE PERMIT NO. Supp. Permit Job Address SpaceZip Owner S 304 410 fig` 3 - _ s -2J --- Community Valuation is anv Date Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit �//J •� ♦ ' �Q �,© ,v� Parcel No. 7 7� I — ,# 7 Use No. k.by 'Meth. Fee Dbl $ PI. Ck. Fee $ a8ezcks Lot Size Construction Fee Dbl $ Legal Description F S S R Electrical Fee Dbl $ • , // �•1 /-07-/& � L �y7 (/%y�% al� Zone Grp Type Unit 7— t 1 SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date Inspector I D • ) / 7 I - Sp. Insp. Fee $ jDemol. Fee $ If Const. Lender Branch 'I certify that in the performance of the ork for which this permit is issued I shall not employ any person in any manner so as o become subject to the workmen s com- pensotion lows of California Address City Zip Owner S.gnot e Builder S. natu IRegisir. Fee $ 'Mileage Fee $ t ?.Witness Fee $ G 1Reinsp. Fee $ Owner/Agent Tel. Zip E' j Total Fees $ VI ddress City Zip F M.O. ❑ N.C. ❑ Cash ❑ Check , Received by Controctor Tel. - License Trees required 'Sewage System Address City - Zip Workers' Comp. yes no ❑ Vr THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF v ,I, d by. T LL P l5ewer 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 COUNTY AND THE STATE OF CALIFORNIA. :HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE So N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 IRev. 4.771 Os CALIFORNIA.