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322929 (SFD)
k ' eui�aiNc PERMIT DEPARTMENT OF BUILDING&SAFETY FIELD OFFICE PERMIT NO. COUNTY OF RIVERSIDE DST 322929 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ.FT. Q $ UNITS 2ND FL. SQ.FT. Q YARD SPKLR SYSTEM POR. SQ.FT. MOBILEHOME SVC. BAR SINK GAR. SQ.FT. 8 POWER OUTLET ROOF DRAINS �Af P. SQ.FT. @ DRAINAGE PIPING �4rL7442 63 SQ.FT. DRINKING FOUNTAIN SQ.FT. URINAL ESTIMATED CONSTRUCTION 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 Z[XHOOD SIGN WASHER fAUT(*DISH) APPLIANCE JR DRYER GARBAGE DISPOSAL FURNACE ❑UNIT ❑WALL ❑FLOOR ❑ SUSPENDED LAUNDRY TRAY 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 3 FORCED ❑ GRAVITY AMPERES SERV ENT 2 SHOWER BOILER �B.T.U. SQ.FT. p ¢ BATHTUB SQ.FT. Ga ¢ WATER HEATER SQ.FT.RESID p 1 lbir SEWAGE DISPOSAL SQ.FT.GAR 6 '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE .D&A•e I TOTAL FEESMOB.HM.FEE MICRO FEE. MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE FEE PLUMB.FEE PERMITNO. Supp.Permit Job Address Space Zip Owner 13229291 1 LA Community Valuation Date Dist. Off. F.C. :MH Permit Fee E ae.,Axnq E 1-2111;1� 71 :Micro Film Fee Cop E Use of Permit A ll Parcel No. Use No. Ck.by iMech.Fee Dbl E ' /J`�=�W� �.�,�,�I>`` / � /, 7. E /[ Imo+- C !G Set Backs Lot Size iPl.Ck.Fee `` {+ / _Construction Fee Dbi E Legal Description F�J S .5_' ss Q/ (Electrical Fee Dbl E Zone Grp ) Type Unit rSMIFee E l(.3 1/,Aj :Plumbing Fee Dbl E Bond Amt. Plan No. Pion Checker Final Date Inspector 'Sp.Insp.Fee E E IDemoi.Fee E Const.Lender Branch 'I certify that in the performance of the work for which this permit is issued I sha8 not employ any person in any manner so as to become subject to the workmen s com- ;Registr.Fee E pensation laws of California.' 'Mileage Fee E Address City Zip Owner Signature Witness Fee E A Builder Signature rReinsp.Fee E Owner/Agent Tel Zip t �/' "✓ 4�1/ _ 40 4Totol Fees E o��OB f Address City Zip } M.O.❑ N.C. ❑ Cash❑ Check Received by Contractor Tei. License N r Trees required I IIIIIII VIII III VIII III ,Sewage System Address 79 City Zip Workers'Comp. IE yes no ❑ T LL P THIS PEWIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF --i-.d by Sewer District 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 RIVERSIDE 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 Form 284.208(Rev.4.771 ©s CALIFORNIA.