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303664 (SFD)
BUILDING PERMIT ,. DEPARTMENT OF BUILDING & SAFETY aft, FIELD OFFICE PERMIT NO. I 1303664 PERMIT NO. X03664 Job Address COUNTY OF RIVERSIDE Space Zip 1z Owner X / T CONSTRUCTION ESTIMATE Community ^�� NO. ELECTRICAL FEES DO � NO.' PLUMBING FEES Dist. / 1ST FL. SQ. 2ND FL. POR. $Q, GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ UNITS Micro Film Fee Cop E Use of Permit �(,(♦ SQ. FT. @ YARD SPKLR SYSTEM FT, 8 G MOBILEHOME SVC. BAR SINK Use No. LCI- by FT. 8 /S� �20POWER OUTLET ROOF DRAINS PI. Ck. Fee E FT. @ DRAINAGE PIPING Lot Size X//0(5 /` FT. Qa DRINKING FOUNTAIN Legal Description 1 .. %/{L�})`�.+ �� / _//7 �o A& Q� / V fiW� 7' J 3 SQ. FT. URINAL F/C{✓ VALUATION 1$g 00 WATER PIPING �. NOTE: Not to be used as property tax valuation Fee Dbl E Zone SWIM POOL, PVT Type FLOOR DRAIN ;SMI Fee _ E O MECHANICAL FEES Od Bond Amt. E SWIM POOL, COMM Plan No. 11 /33 WATER SOFTENER Final Date Ins for VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD 'Sp. Insp. Fee E SIGN E WASHER (AUT ISH) Const Lender Address Branch 'I certify that in the performance of a work for which this permit is issued 1 sholl not employ any person.n any monner so as to become wbtect to the workmen s com. pensohon laws of California. City Zip Owner Signature - Budder Signature APPLIANCE DRYER VO Witness Fee E Reinsp. Fee E GARBAGE DISPOSAL Own tAgenr FURNACE ❑ UNIT C]WALL ❑ FLOOR ❑ SUSPENDED Zip otal Fees E LAUNDRY TRAY : R/� I X AIR HANDLING UNIT CFM Zip o M.O. ❑ N . ❑ Cosh ❑ Chec�/ IDLE METER KITCHEN SINK Contractor ABSORPTION SYSTEM B.T.U. License p TEMP USE PERMIT SVC wage System r WATER CLOSET04 /./ Address COMPRESSOR — � HP Q Zip POLE, TEMP/PERM Z LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT / SHOWER o BOILER B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Ca ¢ l WATER HEATER SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cw V, f; 30 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL EES 9 MOB. HM. FEE MICRO FEE MECH. FEE fid- PL. CK. FEE CONST. FEE /S-"—" ELECT. FEE 63 SMI FEE . g� FEE PLUMB. FEE , � PERMIT NO. I 1303664 Supp. Per Job Address ' S GisP.v/o�ve Space Zip 1z Owner X / on7es �vc. Community ^�� ' f �/H Valuation E DO � Date /� Dist. / Off. F.C. / IMPermit Fee E Micro Film Fee Cop E Use of Permit �(,(♦ I v A �/ 7 e parcel No. Use No. LCI- by ;Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size X//0(5 /` IConsrruction Fee Obl E ,Construction Legal Description 1 .. %/{L�})`�.+ �� / _//7 �o A& Q� / V fiW� 7' J 3 F/C{✓ 5�.7 ` �"_ Fee Dbl E Zone Grp —3 Type Unit ;SMI Fee _ E O Plumbing Fee Dbl E Od Bond Amt. E Plan No. 11 /33 Plan Checker Final Date Ins for 'Sp. Insp. Fee E 'Demol. Fee E Const Lender Address Branch 'I certify that in the performance of a work for which this permit is issued 1 sholl not employ any person.n any monner so as to become wbtect to the workmen s com. pensohon laws of California. City Zip Owner Signature - Budder Signature egistr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Own tAgenr Tel. Zip otal Fees E © 3 Ad s R/� I X City 5 os� Zip o M.O. ❑ N . ❑ Cosh ❑ Chec�/ Received by Contractor Tel. License p Trees required wage System r /./ Address City Zip Workers' Comp. yes ❑ no ❑ i THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF or f -.d by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO 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 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