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335013 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT No. COUNTY OF RIVERSIDE 335013 NO. ELECTRICAL FEES UNITS ve MOBILEHOME SVC. T9 �POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN CONSTRUCTION ESTIMATE Job Address •'� 77 3 y6-� SWIM POOL, COMM 3 a a n u $ Owner 1 ST FL. SQ. FT. (ay 4 f. � / 'y 2ND FL. SQ. FT. $ FOR. f, U SQ. FT. ®� tin Q' WASHER IAUTOTDISHI e' GAR. SQ. FT. (rt} !�£ CAR P. SQ. FT. (� Mech. Fee Dbl E S v WALL SQ. FT. CaJ Lot Size Construction Fee Dbl E 00 SQ. FT. FURNACE ❑ UNIT 0 WALL [D FLOOR 0 SUSPENDED ESTIMATED CONSTRUCTION VALUATION $ 7 s/f NOTE: Not to be used as property tax valuation /S`�.IGD NO. ELECTRICAL FEES UNITS ve MOBILEHOME SVC. T9 �POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMIT NO. 3 350133 5 013 MECHANICAL FEES Job Address •'� 77 3 y6-� SWIM POOL, COMM Owner WATER SOFTENER Community Col Valuation) G G! � �� � � / 'y Dole ! VENT SYSTEM Z FAN ❑ EVAP. COOL n HOOD $ SIGN ! WASHER IAUTOTDISHI Micro Film Fee Cop E Use of Permit /,r /.ly / . ./ [f/l,. // �t � � Gr APPLIANCE DRYER / Ck.by Mech. Fee Dbl E S v rPl. Ck. FeeL' t t (,�(� E � � GARBAGE DISPOSAL Lot Size Construction Fee Dbl E 00 Legal les� Description' — 40 2— FURNACE ❑ UNIT 0 WALL [D FLOOR 0 SUSPENDED s/f sr�� /S`�.IGD LAUNDRY TRAY Zone Gr 3 Type �„� AIR HANDLING UNIT CFM IDLE METER Plumbing Fee Dbl E 341 s"a KITCHEN SINK Plan No. Plan Checker � -,01W Final Date ABSORPTION SYSTEM B.T.U. Sp. Insp. Fee E TEMP USE PERMIT SVC Const. Lender 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 to the workmen's com. pensanon laws of California. ' Address City Zip Owner Signature Builder Signature WATER CLOSET Mileage Fee E Witness Fee E Reinsp. Fee E COMPRESSOR HP -541 POLE, TEMP/PERM Tocol Fees E aj f 3 LAVATORY Zip 6 jJ Received by(� HEATING SYSTEM FORCED 0 GRAVITY ffD AMPERES SERV ENT # Trees required SHOWER 6O `C' yam, / Zip I/Y S P r ��6� �Jf %�! BOILER � B.T.U. SQ. FT. ¢ BATH TUB SQ. FT. ¢ t WATER HEATER (1 SQ. FT. RESID Ga 1'Ait y(� �� p SEWAGE DISPOSAL "d ,illll, SQ. FT. GAR Ga Y. �. HOUSE SEWER ! r GAS PIPING PERMIT FEE 3 PERMIT FEE PERMIT FEE DBL. I TOTAL FE /5 MOB. MM. FEE MICRO FEE - MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE t�9 - SMI FEE f �1 FEE PLUMB. FEE 37�lo PERMIT NO. 3 350133 5 013 Supp. Permit Job Address •'� 77 3 y6-� Space Zip Owner Community Col Valuation) G G! � �� � � / 'y Dole ! Dist. -C�>F'f'' F.C. - � MH Permit Fee E Micro Film Fee Cop E Use of Permit /,r /.ly / . ./ [f/l,. // �t � � Gr Parcel �"No. ) /' 3— /a 1/ el o Use No. Ck.by Mech. Fee Dbl E S v rPl. Ck. FeeL' t t (,�(� E � � Set Backs Lot Size Construction Fee Dbl E 00 Legal les� Description' — 40 2— s/f sr�� /S`�.IGD Electrical Fee Dbl E! i Zone Gr 3 Type �„� Unit SMI Fee b t , Plumbing Fee Dbl E 341 s"a Bond Amt. Plan No. Plan Checker � -,01W Final Date Inspect Sp. Insp. Fee E Demol. Fee E Const. Lender 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 to the workmen's com. pensanon laws of California. ' Address City Zip Owner Signature Builder Signature Reg istr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent 17 A Tel. Zip Tocol Fees E aj f 3 Address Zip M.O.[3 N.C. C] Cash ❑ Check Received by(� f E'it Contrajc�t/Qr • 41 ;r Tel. hlicense 3,91--771 1„! # Trees required Sewage System Address ,{ q % /^�)� /3.x:5 �{J 1f� f �l% ` ° �f 6r 'l. `C' yam, / Zip I/Y S P r ��6� �Jf %�! Workers' Comp. yes 0 no C] tv LL w ti /' IHIb FLRMII SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVG6SIDE COUNTY 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 Form 284.208 (Rev. 477) @)s CALIFORNIA.