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309439 (PAT)- BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 1 PERMITN .. COUNTY OF RIVERSIDE 309T39 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. Q $ UNITS 2ND FL. SQ. FT.. (} YARD SPKLR SYSTEM POR. SQ. FT. 8 '> of MOBILEHOME SVC. BAR SINK GAR. SQ. FT. Q POWER OUTLET ROOF DRAINS CAR P. SQ, FT. Cl DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN SQ. FT. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MFCHANICAI FFFS SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)1 DISH) APPLIANCE ❑ DRYER aluation is �',/ A 1 6 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Off. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. CW ¢ BATHTUB SQ. FT. p ¢ WATER HEATER Grp SQ. FT. RESID @ 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR C '/.¢ HOUSE SEWER Bond Amt. E Pion No. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL EES M08. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE G*a SMI FEE O FEE PLUMB. FEE I PERMIT NO. Supp. Permit 71 309439 ... Job Address Space Zip - _ r 7+z, Own/err ' �+�✓t_'.3;, Community aluation is �',/ A 1 6 Date 77 Dist. Off. F.C. MH Permit Fee 8 Micro Film Fee Cop E Use of Permit n '� j/Q Parcel No. X73/ —0 Use No. k.by Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E Legal Description //,/ �Y� L a� y X� /� a� ��vf�o�`'� f1�G� �.-^ Electrical Fee Dbl E Zone Grp Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. E Pion No. Plan Checker Final /D Dote 7 I Speor ct Sp. Insp. Fee E Demol. Fee E Const. Lender Branch 1 certify that in the performance of i4e wore, for which this permit is issued I shall • not employ any person in any manner so as to Income subject to the workmen s com• pensanon lows of California' Address City Zip Owner S,gnoture Budder Srgnoture Regisir. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Own¢r7A c Tel. Zip Total Fees Ef M.O. ❑ N.C. C3 Cash C]Chec Add ss ff City Zip Received by Trees required Contractor Tel. License I$ 'Sewage System T LL P Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF vended 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. O 1N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. :,Sewer District Form 284.208 [Rev. 4.771 ©s