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360144 (SFD)BUILDING PERMIT -DEPARTMENT OF BUILDING &SAFETY - FIELD'OFFICE - PERM IT NO. 3 4 4141 PERM IT NO. 3 4 4141 . Job Address v -8g0 eve ;��Q COUNTY OF RIVERSIDE .: .. - � 2-1- ' • . -^ - DST M CONSTRUCTION ESTIMA E Date / 6y0�"7 NO. ELECTRICALFEES: - NO. PLUMBING FEES, - 1ST FL._ SQ. ,.2ND_ FL. _ POR. GAR. SQ. CAR P. SQ. WALL SQ. 'ESTIMATED CONSTRUCTION FT. ,Q $ r-+ UNITS Micro Film Fee Cop E ` Use of Permit J/j'/� �/ �{ f /T /TC/�` YARD SPKLR SYSTEM SQ. FT. @ ' Parcel No. SQ. FT. (e3 Q iESE MOBILEHOME SVC. BAR SINK i FT. Q is POWER OUTLET ROOF DRAINS_ Set Backs FT. (� DRAINAGE PIPING :Consrruoion Fee Obl E FT. DRINKING FOUNTAIN /•� Jl J SQ. FT. @ URINAL `/� S ( VALUATION $ _ . WATER PIPING Zone Grp ��'� NOTE: Not to be used as property tox valuation - Unit / SWIM POOL, PVT ISMI Fee. I FLOOR DRAIN Bond Amt. E MECHANICAL F ES Plan/ Aecker . - y SWIM POOL, COMM Final Dote - �• WATER SOFTENER Sp.Insp. Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL AHOOD SIGN v.. ,. "I certify that in the performapce of the work for which this permit is issued I shag r not employ any person in any monner so as to become subject to the workmen's corn-. -pensation laws of California.', - - - Zip - Owner Signature ' - Builder Signature _ WASHER (AUT - SH) IMileoge Fee - E (Witness Fee E-� APPLIANCE DRYER y GARBAGE DISPOSAL Total Fees E FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED r7ss % /// I _���j`, ��GJ / 7 Ciry /y� /%�J ' Zip ®/''/ RJ ,es -•. _ . -. , LAUNDRY TRAY Received by AVContractor AIR HANDLING UNIT CFM IDLE METER License N KITCHEN SINK ISewoge System i T14"Ie L V jI Sewer District IS P(J/y ABSORPTION SYSTEPA B.T.U. City i , 'f- Zip' TEMP USE PERMIT SVC THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL AL AU TO COME VOID. PFC I HEREBY AGREE THAT ALL WORK IN GON ION WITH THIS PFRMIT Will RF'rwINF.W.ArmOnAN(-F WATER CLOSET COMPRESSOR 0 HP POLE; TEMP/PERM i - LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY 12SI AMPERES SERV ENT - SHOWER BOILER B.T.U. SQ. FT.Cja ¢ ATH TUB. " SQ. FT. CQ ¢ WATER HEATER Q. FT. RES ID 8 I'Acr SEWAGE DISPOSAL ' SQ. FT. GAR @ I/ a �% HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. / . MOB. HM. FEE MICRO FEE )MH.rq PL. CK. FEE. QCONST. FEE E- ELECT •/E�j/� M1 FEE P/ - PERM IT NO. 3 4 4141 Supp. Permit Job Address v -8g0 eve ;��Q - Space e� 2-1- Owner : iy�e CommJuf''ty- /'�X / Valuation �� / V�j�/V Date / 6y0�"7 Dist. O F.C. IMH Permit Fee E Micro Film Fee Cop E Use of Permit J/j'/� �/ �{ f /T /TC/�` a Parcel No. Use No. Ck. b Mech. Fee Dbl E Pl. Ck. Fee E - Set Backs Lot ,S`Siizee Y /� 1-O/ j/w :Consrruoion Fee Obl E Legal Description �j�,�/••_� - •C'/ - S y�i... !6/ /•� Jl J S . `/� S ( �Electricol Fee Dbl E Zone Grp ��'� - Type Unit / , ISMI Fee. I Plumbing Fee Dbl E Bond Amt. E Plan o. •i Plan/ Aecker . - y Final Dote - �• Insppec/t9/{ - //`/ , Sp.Insp. Fee E Demol. Fee E ranc Const. Lender - Bh .- _ - Address City - v.. ,. "I certify that in the performapce of the work for which this permit is issued I shag r not employ any person in any monner so as to become subject to the workmen's corn-. -pensation laws of California.', - - - Zip - Owner Signature ' - Builder Signature _ tRt:gistr. Fee $ IMileoge Fee - E (Witness Fee E-� ;Reinsp. FeeE Owner/Agent - Tel. -- Zip Total Fees E , r7ss % /// I _���j`, ��GJ / 7 Ciry /y� /%�J ' Zip ®/''/ RJ ,es -•. _ . -. , M.O. ❑ N.C. Cash ❑ Check Received by AVContractor Tel. - , - License N !Trees required- ISewoge System i T14"Ie L V jI Sewer District IS P(J/y _Address City i , 'f- Zip' - • 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 AL AU TO COME VOID. PFC I HEREBY AGREE THAT ALL WORK IN GON ION WITH THIS PFRMIT Will RF'rwINF.W.ArmOnAN(-F ` WITH THE LAWS OF RIV5R51DE COUNTY AND THE STATE OF CALIFORNIA. - - - % 4 _ I HEREBY CERTIFY THAT THE,INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH: SECTION 5549 OF.THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4.771 ©s CALIFORNIA.