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303709 (SFD)BUILDING PERMIT I DEPARTMENT OF BUILDING & SAFETY.:. FIELD OFFICE PERMIT NO.. 30309 PERMIT NO.303709 Job Address COUNTY OF RIVERSIDE Owner DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Dote NO. PLUMBING FEES ♦Off. I ST FL. SQ. 2ND FL. POR. SQ. GAR. s6. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q �0 $ IH Permit Fee E UNITS Cop E Use of Permit �! j v Parcel No. SQ. FT. @ YARD SPKLR SYSTEM Ck.by FT. @ dlo MOBILEHOME SVC. BAR SINK Set Backs 'FT. @ � POWER OUTLET ROOF DRAINS �," FT. @ DRAINAGE PIPING Dbl E Dbl E bI¢p�a� FT. Q DRINKING FOUNTAIN F�Q SQ. FT. URINAL , VALUATION $ ' �p WATER PIPING Zone .� NOTE: Not to be used as property tax valuation Type ilAl SWIM POOL, PVT T FLOOR DRAIN plumbing Fee Dbl E MECHANICAL FEES Plan No. SWIM POOL, COMM Final Date �j /� WATER SOFTENER gyp. Insp. Fee E VENT SYSTEM 2 FAN ❑ EVAP. COOL P HOOD E SIGN Branch I certifythat the erformonce of e v ark for which to p not employ any person in any manner s o o become subject pensation laws of California City Zip Owner S.gnoture Budder S.nnoture WASHER (AUTO)"A&Hl egistr. Fee E Mileage Fee E APPLIANCE aDRYER Reinsp.. Fee b Owner/Agent GARBAGE DISPOSAL Tel. Zip FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED lotol Fees S Address LAUNDRY TRAY City AIR HANDLING UNIT CFM M.O. ❑ N.C. ❑ Cash ❑ Check IDLE METER KITCHEN SINK Tel. ABSORPTION SYSTEM O B.T.U. Sewage System /AAA TEMP USE PERMIT SVC Ad cess WATER CLOSET City Zip AeAlidd4 Workers' Comp. Yes no ❑i t COMPRESSOR -LHP POLE, TEMP/PERM LAVATORY M42— HEATING SYSTEM Ja FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ a BATHTUB SQ. FT. @ ¢ WATER HEATER Z1,0SQ. FT. RESID p I v.a SEWAGE DISPOSAL SQ. FT. GAR C I/.rt HOUSE SEWER GAS PIPING r PERMIT FEE PERMIT FEE !) PERMIT FEE DBL. TOTAL FEES 40. MOB. HM. FEE MICRO FEE CH. FEE PL. CK. FEE CONST. FEE EL .FEE SMI FEE FEE PLU B. FEE PERMIT NO.. 30309 Supp. Permit Job Address Space Zip ZZ5 Owner Community/^-�, ��I'N ��%� Valuation _-Jo Dote Dist. ♦Off. FF..,C. IH Permit Fee E Micro Film Fee Cop E Use of Permit �! j v Parcel No. Use No. Ck.by r ech. Fee Dbl $` II. Ck. Fee E Set Backs Lot Size �," i.onstruciion Fee electrical Fee SMI Fee Dbl E Dbl E bI¢p�a� legal Description `'-^L/! �N�/ iK� F�Q ,S S , Zone .� Grp l'� Type ilAl Unit T plumbing Fee Dbl E Bond Amt. y Plan No. Plan Checker .- Final Date �j /� Inspeeo gyp. Insp. Fee E t.Oemol. Fee E Const. Lender Address Branch I certifythat the erformonce of e v ark for which to p not employ any person in any manner s o o become subject pensation laws of California City Zip Owner S.gnoture Budder S.nnoture this i perm.t is issued I shall to the workmen s com- egistr. Fee E Mileage Fee E Witness Fee $ Reinsp.. Fee b Owner/Agent Tel. Zip lotol Fees S Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by frees required Cont torr Tel. License p 1 i I Sewage System /AAA // Ad cess City Zip AeAlidd4 Workers' Comp. Yes no ❑i t District corm 284-208 (Rev. 4.771 ©S f THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN )20 DAYS. CESSATION OF --f-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. '