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344221 (SFD)BUILDING'PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PPERMITTNO. r� �J 4 `P 2 G 1 3442211 (PPERMIT"//'�JLJNO. .1 4_,!� . 1 - � COUNTY 1.0F , RIVERSIDE � i Owner - DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 11 FL. . IJ 3 &L. a 3 POR. GAR. SQ. CAR P. - ' SQ. WALL ESTIMATED CONSTRUCTION SQ. FT. 6/ -/to- $ a �, �- UNITS F.C. �/ SQ. FT. (a}' �+ % 90 YARD SPKLR SYSTEM SQ. FT. MOBILEHOME SVC. BAR SINK FT. @ POWER OUTLET ROOF DRAINS FT. �- DRAINAGE PIPING SQ. FT. ® DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ -5- 3a WATER PIPING NOTE: Not to be used as property tax valuation Legal Description /�)- DTf 15L f `�� SWIM POOL, PVT F pfd FLOOR DRAIN MECHANICAL FEES Electrical Fee Dbl $ SWIM POOL, COMM Grp WATER SOFTENER Unit VENT SYSTEM -❑ FAN ❑ EVAP. COOL ❑ HOOD SMI Fee $ SIGN Dbl. 8 WASHER (AUTO) (DISH) Bond Amt. $- APPLIANCE ❑ DRYER Plan Checker Final Dote GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SP. Insp. fee $ _ bemol. Fee .. $ LAUNDRY TRAY Const. Lender Branch - - - Addr ss Or _ AIR HANDLING UNIT CFM Registr. Fee $ IDLE METER Witness Fee $ KITCHEN SINK $ ABSORPTION SYSTEM :B.T.U. ner Agent II TEMP USE PERMIT SVC Tel. WATER CLOSET Zip .COMPRESSOR -4/" � HP ' POLE, TEMP/PERM '��r LAVATORY HEATINGSYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT ,. M.O. ❑ N.C. ❑ r Cash ❑ Ch SHOWER BOILER B.T.U. . Contractor SQ. FT. @ ¢ Tel. BATH TUB License q Trees required SQ. FT. C ¢ WATER HEATER - City Zip SQ. FT. RESID 8 1'A ¢ SEWAGE DISPOSAL SQ. FT. GAR Ca, 7h¢ HOUSE SEWER GAS PIPING PERMIT FEE a -a PERMIT FEE PERMIT FEE DBL. [__YFES MOB. HM.FEE MIC_RO FEE... MECH. FEE PL. CK. FEE CONST.,FEE 3...;� ELECT. FEE - Ste" SMI FEE •�� FEE PLUMB. FEE PPERMITTNO. r� �J 4 `P 2 G 1 3442211 Supp. Permit Job Address - 'S a " !09 3 /�sii� Space Zip 6//�r� Go.✓ Owner Community - ����/�' Valuation - $-6 3 �� `� Date ��.��%�- Dist.). �j Off. T F.C. �/ MH Permit Fee $ Micro Film Fee Co $ P Use of Permit / LAY✓L � �iD�1%•�1�s 6- �� �L ,[ - .ice'T � �%zeot Parcel No. / Use No. Ck.b .[Y Mech. Fee Dbl $ /� PI. Ck. Fee 8 ` - ® f��- Set Backs , Lor Size Construction Fee Dbl $ 3� �,A Legal Description /�)- DTf 15L f `�� _ _:re r«�V" A mil/7 ' F pfd Electrical Fee Dbl $ Zone / Grp Type Unit SMI Fee $ Plumbing Fee Dbl. 8 Bond Amt. $- Plan No. Plan Checker Final Dote Inspector SP. Insp. fee $ _ bemol. Fee .. $ Const. Lender Branch - - - Addr ss Or _ "I certify that in the performgrxe of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." ip _Owner Signature _ Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ ner Agent II Tel. Zip Total Fees$ '��r Address City Zip ,. M.O. ❑ N.C. ❑ r Cash ❑ Ch Received by . Contractor Tel. License q Trees required Sewage System - Address - City Zip Workers' Comp. yes ❑ no T LL P. Sewer Distrix Form 284-208 IRev. 4.77) QS THIS .PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE P IT TO BECOME VOID. ' I HEREBY AGREE THAT ALL WORK IN iIIS PERMIT WILL BE DONE -IN ACCORDANCE WITH THE LAWSOF RIV6RSIDE COUNTY AND THE STAA 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.