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SFD (303652)53680 Avenida Martinez 303652 BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Aib. FIELD OFFICE PERMITNO. 1303652 PERMIT NO. 3 03652 Job Address Space s = - COUNTY OF RIVERSIDE Owner Community , f} y FJT CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ Use of Permit r . A0 'l It% Gl.C' UNITS 1 Use No. k.by - 5 Mech. Fee Dbl E Pl. Ck. Fee EL SQ. FT. 8 YARD SPKLR SYSTEM Lot Size S /tea FT. ® MOBILEHOME SVC. BAR SINK Legal Description _ 7 47 AS" -;?g7"-3i 1 O'er .3 FT. Q V POWER OUTLET ROOF DRAINS 5 FT. @ DRAINAGE PIPING 1s R ( DRINKING FOUNTAIN FT. (a} Grp — SQ. FT. URINAL Unit VALUATION $ WATER PIPING 7- &,o] NOTE: Not to be used as property tax valuation Plan No. SWIM POOL, PVT Final Dote FLOOR DRAIN Sp. Insp. Fee E MECHANICAL FEES Const. Lender Branch 'I certify that in the performance ofde work for which this permit is issued I shall not employ any person -in any manner as ro become subtest to the workmen s com. pensahon laws of California Address City Zip Owner Signature ` 1 7 Builder Signoture SWIM POOL, COMM Mileage Fee E WATER SOFTENER IReinsp. Fee E Owner/Agent )U G4 (' ,`"\ I,/1 Cy VENT SYSTEM [3 FAN E) EVAP. COOL ja HOOD SIGN Address PO /50x 36 a 3 WASHER IAUTO#tDISH1 M.O. 0 N.C. 0 Cash C] Check Received by k Trees required APPLIANCE DRYER OU License H Sewage System Oj orh i I l — / LL P Sewer DistrictWORK GARBAGE DISPOSAL City Zip Workers' Comp. yes C] no a FURNACE ❑ UNIT 0 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 y HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED 0 GRAVITY ' AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® ¢ BATHTUB SQ. FT. Cq ¢ WATER HEATER SQ. FT. RESID @ l t/.¢ SEWAGE DISPOSAL SQ. FT. GAR @ 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE ZFEE PERMIT FEE DBL. [ AES f moe. Hm. FEE MICRO FEE M .FEE PL. CK. FEE CONST. FEE 'ee ELECT. C2 SMI FEE FEE PLUMB. FEE 3 PERMITNO. 1303652 Supp. Permit Job Address Space s = - Z'ip 3 Owner Community , f} y ValuationDate E a s" G tt% . % 7,7 Dist. Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit r . A0 'l It% Gl.C' Parcel No. 79' 3z •Q tb I 1 Use No. k.by - 5 Mech. Fee Dbl E Pl. Ck. Fee EL Set Backs Lot Size S /tea Construction Fee Dbl E Electrical Fee Dbl E SMI Fee E Legal Description _ 7 47 AS" -;?g7"-3i 1 O'er .3 F G pV 5 S 1s R ( Zone / Grp — Type Unit Plumbing Fee DblE Bond Amt. E Plan No. Plan Checker Final Dote Ins or Sp. Insp. Fee E Dental. Fee E Const. Lender Branch 'I certify that in the performance ofde work for which this permit is issued I shall not employ any person -in any manner as ro become subtest to the workmen s com. pensahon laws of California Address City Zip Owner Signature ` 1 7 Builder Signoture Registr. Fee E Mileage Fee E Witness Fee E IReinsp. Fee E Owner/Agent )U G4 (' ,`"\ I,/1 Cy Tel. Zi P -5 7 - Total Fees E Address PO /50x 36 a 3 City Zip A--arnA X05 .s yo M.O. 0 N.C. 0 Cash C] Check Received by k Trees required Contractor Tel. License H Sewage System Oj orh i I l — / LL P Sewer DistrictWORK Address City Zip Workers' Comp. yes C] no a THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF -,fed by FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. V I 1 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 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4771 ©s CALIFORNIA.