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344142 (SFD)BUIL6ING PERMIT -.;DEPARTMENT OF BUILDING & SAFETY /Ask. FIELD OFFICE. - Supp. Permit Job Address- - _ Space Zip $ - Comm 'ty S Value w, Cop $ Use of Permft - Parcel No. Dbl $ or Owner i /epee - Dist. 7 Use No. Set Backs • I Lot Size O�oO_ — Legal Dbl F� S S� Dbl $ Zon p ` Type Unit Dbl $ Bond AmL: PI �O Plan L,ke�ker p sp $ •Const. Lender - - - Branch _ ;"I cerh y t ai tot a performer 0- We.1 which this permit is issued I shall not employ any person in any moon r o s to become subject to the workmen's com•- $ pensation laws of Cal ifornio.'' ; - $ Address City Zip _ _- • _ Owner Sgnoture Builder Signature S Owner/Ag Tel • Zip rotol Fees • $ M.O. .C. ash ❑ Check Received by . frees required kwoge System fewer District - Form 284208 (Rev. 4.771 ©s t9lds _ _ ...._ . . Ci s Zip Contractor Tel. - License IV - Address - .. City Zip I Workers' Comp. • . • yes ❑ no . ❑ THIS PERMIT SHALL BECOME VOID IF•WORK IS NOT COMMENCED WITHIN,120 DAYS.'CESSATION OF verified by: WORK FOR 120 DAYS SHALL E P IT TO BECOME VOID' c e r .I HEREBY AGREE THAT XOR CONNECTION WITH JHIS PERMIT WILL BE DONE „IN ACCORDANCE7 F WITH THE LAWS OF RIV5RSIDECOUNTY AND THE STATE OF CALIFORNIA. t,HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO tN ACCORDANCE WITH SECTION 554VOF THE BUSINESS AND PROFESSIONS -CODE OF THE STATE'OF + CALIFORNIA. - PERMIT NO. 13 p .a . COUNTY OF RIVERSIDE - .. DST // CONSTRUCTION ESTIMAT "> NO.- 'ELECTRICAL FEES• NO. PLUMBING FEES - ' 1ST FL., _ Z'-�'"v. ••' „ 2ND FL -:.r POR. ' GAR. ,.'-CARP WALL ESTIMATED CONSTRUCTION SQ. FT. Q.leA,$ UNITS , FT. r YARD SPKL_R SYSTEM. SQ. FT. @r MOBILEHOME SVC. BAR SINK _ _ POWER OUTLET ROOF DRAINS SQ. FT. „ ® i r SQ. FT. DRAINAGE PIPING DRINKING FOUNTAIN SQ. FL =@ • URINAL VALUATION WATER PIPING -NOTE: Not to be used as property tax valuation SWIM POOL; PVT FLOOR DRAIN • MECHANICAL FEES + SWIM POOL, COMM WATER SOFTENER VENT SYSTEM, ❑FAN ❑ EVAP. COOL HOOD SIGN WASHER (AUT SH) APPLIANCE DRYER �- GARBAGE DISPOSAL f FURNACE ❑ UNIT ,❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK _ ABSORPTION SYSTEtA B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR Z " HP Q POLE, TEMP/PERM" 2 LAVATORY HEATING SYSTEM -,, FORCED ❑ GRAVITY !J AMPERES SERV, ENT .... SHOWER BOILER � B.T.U.. SQ. FT. ¢ + BATH TUB �^ SQ. FT. Ca ¢ WATER HEATER FT. RESID p 1t/¢ SEWAGE DISPOSAL SQ. FT. GAR Cw Y. HOUSE SEWER r� GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE - DBL. T E v,`IMOB. Hm. FEE _ MICRO FEE _ M CH. F 1�.� PL. CK. FEE CONST. FEE ELECT. F SMI F �� �. �� FEE - PLF ��`• Supp. Permit Job Address- - _ Space Zip $ - Comm 'ty S Value w, Cop $ Use of Permft - Parcel No. Dbl $ or Owner i /epee - Dist. 7 Use No. Set Backs • I Lot Size O�oO_ — Legal Dbl F� S S� Dbl $ Zon p ` Type Unit Dbl $ Bond AmL: PI �O Plan L,ke�ker p sp $ •Const. Lender - - - Branch _ ;"I cerh y t ai tot a performer 0- We.1 which this permit is issued I shall not employ any person in any moon r o s to become subject to the workmen's com•- $ pensation laws of Cal ifornio.'' ; - $ Address City Zip _ _- • _ Owner Sgnoture Builder Signature S Owner/Ag Tel • Zip rotol Fees • $ M.O. .C. ash ❑ Check Received by . frees required kwoge System fewer District - Form 284208 (Rev. 4.771 ©s t9lds _ _ ...._ . . Ci s Zip Contractor Tel. - License IV - Address - .. City Zip I Workers' Comp. • . • yes ❑ no . ❑ THIS PERMIT SHALL BECOME VOID IF•WORK IS NOT COMMENCED WITHIN,120 DAYS.'CESSATION OF verified by: WORK FOR 120 DAYS SHALL E P IT TO BECOME VOID' c e r .I HEREBY AGREE THAT XOR CONNECTION WITH JHIS PERMIT WILL BE DONE „IN ACCORDANCE7 F WITH THE LAWS OF RIV5RSIDECOUNTY AND THE STATE OF CALIFORNIA. t,HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO tN ACCORDANCE WITH SECTION 554VOF THE BUSINESS AND PROFESSIONS -CODE OF THE STATE'OF + CALIFORNIA. -