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347449 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE (P//j1'E PERM IT(/A'jNO. COUNTY OF RIVERSIDE ~ DST V 7 1 1 1� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. i $ ♦ UNITS 2ND FL. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. FT. ® gqZ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® `�� �y POWER OUTLET ROOF DRAINS CAR P. , SQ. FT. 8 DRAINAGE PIPING WALLSQ. FT. (a3 DRINKING FOUNTAIN SQ. FT. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation - SWIM P001 PVT FI nno r)Delnl PERMIT NO. - - MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Owner % n 6iC/�� �G s VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Dote APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED MH Permit Fee 5 LAUNDRY TRAY Use of Permit Parcel No. /— QUse No. C �'` g y A �r f/ — �� a.��� .4e Set Backs• Lot Size / , Legal Description F�D S � "5 ,�� x � Q L///C'�.�+ //% Zone Grp Type Unit h �/i. ` V 7 ✓ �+ ,' ; � 3 �.LL� h / AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Electrical Fee Dbl $ ABSORPTION SYSTEM O B.T.U. TEMP USE.PERMIT SVC WATER CLOSET Plan No, ��7 / COMPRESSOR HP POLE, TEMP/PERM LAVATORY Inspector C. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER $ BOILER � B.T.U. SQ. FT. p ¢ BATH TUB Mileage Fee $ Witness Fee $ SQ. FT. Ga ¢ WATER HEATER Owner/Agent SQ. FT. RESID @ 1'Aa SEWAGE DISPOSAL notal Fees M.O. .C. $ Ab Cosh ❑ Che SQ. FT. GAR @ '/.a HOUSE SEWER ~ Received by tAortrocto, 0J♦ PO A,7 GAS PIPING Tel. PERMIT FEE _ frees required PERMIT FEE PERMIT FEE Address �O][/� � / • ©• DBL TOTAL FEES MOB. HM. FEE+. MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. - - Supp. Permit Job Address /'� �i,� A/ Space 3zS eve lc/ CJ l/ f (/ Zip �C+LJ Owner % n 6iC/�� �G s Community / %♦r!/ / _� Valuation 5 Dote Dist. I Of F.C. MH Permit Fee 5 Micro Film Fee Co $ P Use of Permit Parcel No. /— QUse No. C �'` g y A �r f/ — �� a.��� .4e Set Backs• Lot Size / , Legal Description F�D S � "5 ,�� x � Q L///C'�.�+ //% Zone Grp Type Unit h �/i. ` V 7 ✓ �+ ,' ; � 3 �.LL� h / Mach. Fee Dbl $ PI. Ck. Fee $ Construction Fee Dbl $ Electrical Fee Dbl $ SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No, ��7 / Plan Checker FingLppTe�l ,.�_ f 6` , C-P� Inspector C. Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch- Address City "1 certify that in the pedormaPc-0 of the work for ich this permit is issued 1 shall not employ any person in any manner so as to become ubject to the workmen's com- pensotion laws of California.'' Zip - Owner Signature . Builder Signature Regisir. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip notal Fees M.O. .C. $ Ab Cosh ❑ Che Address City Zip Received by tAortrocto, 0J♦ PO A,7 Tel. License ti frees required Sewage System Q LL / P Address �O][/� � / • ©• City Zip j� 2ip W� % Workers'Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH N 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALLEC SE PER I�IT TTO BECOME VOID. I HEREBY AGREE THA t�QiQLC* N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE CO7a LIN AND THE STATE 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. Sewer Distrix Form 284.208 (Rev. 4.771 ©s