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341104 (SFD)
BUILDING PERMIT PERMIT NO. 341104 CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. Q I 2ND.FL.. SQ. FT. POR. SQ. F.T. GAR. SQ. FT. Q CAR P. SQ. FT. �. WALL SQ. FT. 8 SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION g NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF. RIVERSIDE NO. ELECTRICAL FEES - UNITS MOBILEHOME SVC. POWER OUTLET SWIM r FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS' DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FInm DRAIN ■"I PERMIT NO. 3 4110- MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM, O FAN C] EVAP. COOL 0 -HOOD' SIGN WASHER (AUTO) (DISH) APPLIANCE I] DRYER • GARBAGE DISPOSAL Voluotion FURNACE Q UNIT O WALL C] FLOOR 0 SUSPENDED Dote LAUNDRY TRAY Off. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP ' POLE, TEMP/PERM LAVATORY HEATING SYSTEM 0 FORCED O GRAVITY AMPERES SERV ENT SHOWER ;Meth. Fee Dbl $ - BOILER B.T.U. SQ. FT. p ¢ BATH TUB Backs SQ. FT. O ¢ WATER HEATER Construction Fee DbI $ - Legal Description .��% •�L o��.3 SQ. FT. RESID p 1 V a SEWAGE DISPOSAL S SQ. FT. GAR Ga s/.¢ HOUSE SEWER Zone Grp Type t Unit. GAS PIPING jPlumbing Fee PERMIT FEE PERMIT FEE PERMIT FEE Plan No. Plan TOTAL FEES- foS. rtm. FEEJ - MICRO FEE MECH. FEE ' PL. CK: FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 4110- Supp. Permit Job Address Space Zip Owner Community • Voluotion Dote Dist. Off. F.C. MH Permit Fee :Micro Film Fee Cop $ Use of Permit` �.Jy r- /�/�f JGt.= Parcel No. Use No. Ck.by ;Meth. Fee Dbl $ - PI. Ck. Fee $rG Set Backs Lot Size Construction Fee DbI $ - Legal Description .��% •�L o��.3 ��4 "+rG�+�T' S Electrical Fee Dbl $ Zone Grp Type t Unit. SMI Fee $ jPlumbing Fee Dbl' $ Bond Amt. $ Plan No. Plan Checker • v/ Fin al Date Inspeee[/rer00)� - Sp. Insp. Fee $ Denial. Fee $ Const. Lender AddressCity Branch • ' I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject )o the workmen's cam• pensotion lows of California-" 4 Zip ., Owner Signature 7. `Builder Signature ' Registr. fee $ Mileage Fee $ Witness fee $ Reinsp. Fee '$ - Owner/A - Tel. - Zip roto) Fees . $ , Address - City Y + r Zip M.O.E] N.C. C] Cash C] Check C1 - Received by Contractor TeL - License p .' Trees required Sewage System Address City Zip Workers' yes Comp. no C] / —T LL P Sewer District Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified 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 RIV6CSIDE COUNTY AND THE STATE OF CALIFORNIA. 1 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.