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335018 (SFD)
BUILDING PERMIT 1 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 3350.18 PERMIT NO. 335018,1 _ COUNTY OF RIVERSIDE Zip Owner °� .. Co ty ,( �i(.1/✓1 �. f�T. CONSTRUCTION ESTIMATE Do/te a</ 2A/,7k NO.` ELECTRICAL FEES Off. NO. PLUMBING FEES MH Permit Fee $ 1ST FL. 2ND FL: POR. GAR. Y Y SQ. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. ® $ �9 3 '47741 a UNITS ,�'.•yf� J 4. �y Parcel No. 77-3 ".YCi �f - 646.S Use No. PCk.by Mech. Fee Dbl $ ? .� SQ. FT. (a} Ir YARD SPKLR SYSTEM - . S Backs�•�- SQ. FT. @� �oZ MOBILEHOME SVC. BAR SINK Construction Fee 'Dbl $ � % fid FT. (a} - ' / pj dS ,i�w POWER OUTLET _ • ROOF DRAINS 43/4 4 SQ. FT. .C� DRAINAGE PIPING F SQ. FT. • Q DRINKING FOUNTAIN SQ. FT. .� URINAL Electrical Fee Dbl $ � •� VALUATION $ %aw WATER PIPING _S-5- Type _ NOTE: Not to be used as property tax valuation SWIM POOL, PVT Plumbing Fee Dbl $ FLOOR DRAIN Bond Amt:.' $ - Plan No. �' �� PI Necker / e MECHANICAL FEES F Ins ISWIMPOOL,COMM Sp. Insp. Fee $ Demol. Fee WATER SOFTENER ' ,Const. Lender Address Bronch • + City VENT SYSTEM FAN ❑ EVAP. COOL Z HOOD SIGN • -. Reinsp. Fee WASHER IAUTOI•f9GS'FII (�Q - APPLIANCE_ ❑ DRYER ' D © Total Fees $d V GARBAGE DISPOSAL ,1*, .City Zip FURNACE .❑ UNIT ❑ WALL ❑FLOOR ❑ SUSPENDED Received by �[ / `L. f Contra oor �// X ! / LAUNDRY TRAY 3d Tel. 2 9`- 97P License 4 e AIR HANDLING UNIT CFM Sewage System IDLE METER .,�1 09.1 Address /*. KITCHEN SINK lG(/yVj ./✓/jt C' G ¢/ Zip aJ /�i/ �I ��• r Workers'Comp. yes ❑ no C] ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET 0' COMPRESSOR 3X, f HP t. :S POLE, TEMP/PERM LAVATORY HEATING SYSTEM �C FORCED ❑ GRAVITY 6•p IQQ I AMPERES SERV ENT J P % SHOWER BOILER B.T.U. 1_ SQ. FT. p ¢ I BATH TUB SO. FT. Ga ¢ WATER HEATER D SQ. FT. RESID p 1'G¢ 6 d SEWAGE DISPOSAL SQ. FT. GAR @ Y.¢�„ HOUSE SEWER - � GAS PIPING Q•� PERMIT FEE . PERMIT FEE f PERMIT FEE eti DBL. I TOTAL FEES.- 1M0B.HM.FEF1, `MICRO FEE MECH. FEE .7 a PL. CK. FEE CONST. FEE ��� =v ELECT.'FEE a 7= SMI_FEE• ems' FEE. PLUMB. FEE J7 - PERMIT NO. 3350.18 Supp. Permit Job Address /a� Space r r a� Zip Owner °� .. Co ty ,( �i(.1/✓1 �. Valuation $ t%. 6 �_ f Do/te a</ 2A/,7k Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit ,�'.•yf� J 4. �y Parcel No. 77-3 ".YCi �f - 646.S Use No. PCk.by Mech. Fee Dbl $ ? .� y PI. Ck. Fee $ r,,.e,� S Backs�•�- Lot Size Construction Fee 'Dbl $ � % fid Legal Description ' C {j tel", •, J 2, � 43/4 4 ,/ ,� _ T4 c�`'*'r �'' t•'r>� 2- F �S^e't S_.T a5, Electrical Fee Dbl $ � •� Zo Grp _S-5- Type _ Unit SMI Fee - $ Plumbing Fee Dbl $ Bond Amt:.' $ - Plan No. �' �� PI Necker / e e % F Ins cro41his Sp. Insp. Fee $ Demol. Fee $ ,Const. Lender Address Bronch • + City "I certify shot.nhe performance of work for whimii is issued I shall not employ any person in any manse s as to become subject to the workmen's cam. pensotion laws of California." Zip Owner Signature Builder Signature Reg istr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent - - Tel. - - Zip Total Fees $d V Address .City Zip M.O. N.C. ❑. Cash ' Check Received by �[ / `L. f Contra oor �// X ! / } C 6 t 3d Tel. 2 9`- 97P License 4 e Trees required Sewage System ({(}n�ryi "- .,�1 09.1 Address /*. /fj � �lQ lG(/yVj ./✓/jt C' G ¢/ Zip aJ /�i/ �I ��• r Workers'Comp. yes ❑ no C] T/;.QQ LL P�/2 Sewer District Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF v ihSd by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. F I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE t WITH -TI -IE LAWS OF RIVE4SIDE COUNTY AND THE -STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO 1(4 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.