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341105 (SFD)
BUILDING PERMIT PERMIT NO. 341105 CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. Q 2ND FL. SQ. FT. 8 POR. SQ. FT. GAR. SQ. FT. (a} CAR P. SQ. FT. @ WALL SQ. FT. (a} SQ. FT.. ESTIMATED CONSTRUCTION VALUATION 9 NOTE: Not to be used as property tox voluotion DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK 0 ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN W1 PERMIT NO. 3411051 ' MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER' Owner . s .�1-11,- VENT,SYSTEM ❑ FAN ❑ EVAP. COOL ❑-HOOD SIGN WASHER (AUTO)(DISH) Date t� ��• ab' APPLIANCE ❑ DRYER Off. 7— GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY. MH Permit Fee E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Use No. Ck.by ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Lot Size COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Zone E BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SMI Fee E SQ. FT. (a, ¢ WATER HEATER Plan No. Pion Checker SQ. FT. RESID @ I'A¢ SEWAGE DISPOSAL Sp. Insp. Fee E SO. FT. GAR Cal Y ¢ HOUSE SEWER Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E GAS PIPING Tel. Zip' PERMIT FEE Total Fees E J PERMIT FEE PERMIT FEE M.O. ❑ N.C. ❑ Cosh ❑ Check D TOTAL FEESMOB. HM. FEE •MICRO FEE--s-----7MECH. J FEE PL. CK. FEE CONT. FEE -ELECT. FEE SMI FEE " FEE PLUMB. FEE PERMIT NO. 3411051 Supp. Permit ?E� ZZ Job Address Space Zip - 7 - E. Owner . s .�1-11,- - Communitty/y f+/gN���17`f Valuation E Date t� ��• ab' Dist. �� Off. 7— F.C. MH Permit Fee E Micro Micro Film Fee Cop E Use of Permit �ef-K>` Parcel No. e — 7 ._ Use No. Ck.by Mech. Fee Dbl PI. Ck. Fee E Set acks Lot Size Construction Fee Dbl E Legal Description „ F Electrical Fee Dial E Zone E Grp Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Pion Checker Final Dote O— 79 Ins or Sp. Insp. Fee E Dental. Fee E Const. Lender Branch "I certify that in the performance of the work for which this permit is issued i sholl - not employ any person in any manner so as to become sublet+ to the workmen's com. pansahon laws of California.' Address City Zip Owner Signature - Builder Signature Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/A tit� Tel. Zip' Total Fees E J Address City Zip M.O. ❑ N.C. ❑ Cosh ❑ Check Received by Contractor Tel License # Trees required Sewage System TQ" LL � / Address • City - Zip Workers' Comp. yes ❑ no a THIS PERMIT SHALL BECOME VOID IFWORKIS 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 RIVFv2SIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND, SPECIFICATION_ S HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE, BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Sewer District Form 284-208 (Rev. 4.771 ©s