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SFD (347349)53860 Avenida Martinez 347349 BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 39 4734 PERMIT NO. 34734 'Job Address s3- COUNTY OF, RIVERSIDE Owner DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Valuation $ NO. PLUMBING FEES Dist. // IST FL. SQ. 2ND FL. FOR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS MH Permit Fee $ , YARD SPKLR SYSTEM SQ. FT. @ FT. 8 MOBILEHOME SVC. BAR SINK lfi % %L FT. @ POWER OUTLET ROOF DRAINS Use No. Ck.by FT. @ DRAINAGE PIPING si. Ck. Fee E DRINKING FOUNTAIN FT. (a} Lot Size FT. @ URINAL :onstruaion Fee 1361s VALUATION It WATER PIPING / cJ I NOTE: Not to be used as property tax valuation SWIM POOL, PVT Ste+ FLOOR DRAIN Electrical Fee/ BbF $ WI Fee $ i MECHANICAL FEES SWIM POOL, COMM Unit WATER SOFTENER >Iumbing Fee fmr VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Bond Amt. $ WASHER (AUTO) (DISH) Plan Checker APPLIANCE ❑ DRYER GARBAGE DISPOSAL )emol. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Const. Lender Address s Branch "I certify that in the performorice 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- - pensotion lows of California." City Zip _ Owner Signature Builder Signature LAUNDRY TRAY Mileage Fee $ Witness Fee $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Tel. ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Total Fees WATER CLOSET G Address COMPRESSOR HP POLE, TEMP/PERM Zip , LAVATORY Received by HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER License p frees required , BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB City Zip Workers' yes Poe no ❑ SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Ga 1 %tr SEWAGE DISPOSAL SQ. FT. GAR C4 '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 99* i TOTAL FEES G 3 1J, MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 39 4734 Supp. Permit 'Job Address s3- Space Zip _ r 3 Owner Community fj Valuation $ Date /O ...X/ Dist. // Off. T F.C.. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit lfi % %L Parcel No. Use No. Ck.by 41ech. Fee i si. Ck. Fee E Set Backs Lot Size :onstruaion Fee 1361s Legal Description L% / // j / cJ I Ste+ Electrical Fee/ BbF $ WI Fee $ i J ? ` J Type Unit >Iumbing Fee fmr $ Bond Amt. $ Plan No. Plan Checker Final Dote Inspecto 5p.lnsp. Fee $ )emol. Fee $ Const. Lender Address s Branch "I certify that in the performorice 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- - pensotion lows of California." City Zip _ Owner Signature Builder Signature iegistr. Fee $ Mileage Fee $ Witness Fee $ Wnsp. Fee $ Owner/Agent Tel. Zip Total Fees $ G Address City Zip , M.O. ❑ N.C. ❑ Cash ❑ Ch ck ®' Received by Contractor Tel. License p frees required , Sewage System i"ZI-v G Address 7 3 City Zip Workers' yes Poe no ❑ m Sewer District 284.208 (Rev. 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS USE PERMIT TO BECOME VOID. , I HEREBY AGREE RECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDE C UNTY 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.