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326687 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY „,gob, FIELD OFFICE PERMIT NO. 132668 7 PERMIT NO. 326687 r COUNTY OF RIVERSIDE Space Zip Owner. DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES /Dist. /I/ NO. PLUMBING FEES 1ST FL. A— SQ. 2ND FL. POR. ,r J GAR. % SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. (� $ C� i� UNITS Use of Permit %� or '� Description / ..�...� f �. s../J--�� Parcel No. Use No. �_C_�. �' � � �723/I/Z —mss', g_PI. /`„ T Set Backss J Lot S'ze �J , / J�'O f� /f3 � v Zope/ G/r/per Tyq��/�/.�/' (yam Unit Mech. Fee Dbl $ Ck. Fee $ SQ. FT. , � YARD SPKLR SYSTEM Electrical Fee Dbl $ -?,/J/ SMI Fee $ +s/C(.%/ O�Bond SQ. FT, ® MOBILEHOME SVC. BAR SINK Dbl $ FT. (ja `•- +- POWER OUTLET ROOF DRAINS Plan No. © 3177 SQ. FT. DRAINAGE PIPING SQ. FT. DRINKING FOUNTAIN trot SQ FT ® URINAL Demol. Fee VALUATION $ 3� dD WATER PIPING o2 NOTE: Not to be used as property tax valuation SWIM POOL, PVT Registr. Fee $ Mileage Fee $ FLOOR DRAIN Reinsp. Fee $ MECHANICAL FEES SWIM POOL, COMM Tel. Zip WATER SOFTENER Total Fees $- VENT SYSTE FAN ❑ EVAP. COOL >E0 HOOD- 7, SIGN / WASHER (AUT04DISH) Received by APPLIANCE DRYER Tel. GARBAGE DISPOSAL Trees required Sewage System ,. YV FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Address LAUNDRY TRAY Workers' Comp. Yes ❑ no ❑ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET 441 COMPRESSO O HP 7 fl POLE, TEMP/PERM LAVATORY 44 HEATING SYSTEM FORCED ❑ GRAVITY ® AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Q ¢ BATH TUB SQ. FT. Cai ¢ WATER HEATER SQ. FT. RESID CW 1'/.¢40?0 f_S- SEWAGE DISPOSAL J SQ. FT. GAR Cai IA ¢ -J HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 3 PERMIT FEE DBL. I TOTAL FEE MOB. HM. FEEMICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI1 FEE PLUMB. FEE PERMIT NO. 132668 7 Supp. Permit .. Job Address Space Zip Owner. Community /y X 1 �N/ Valuation $ '3 d0 �/ /Date �( /��" © /Dist. /I/ Off. F.C. 1,0,p/ MH Permit Fee $ Micro Film Fee Cop $ Use of Permit %� or '� Description / ..�...� f �. s../J--�� Parcel No. Use No. �_C_�. �' � � �723/I/Z —mss', g_PI. /`„ T Set Backss J Lot S'ze �J , / J�'O f� /f3 � v Zope/ G/r/per Tyq��/�/.�/' (yam Unit Mech. Fee Dbl $ Ck. Fee $ Construction Fee Dbl $ !Legal Electrical Fee Dbl $ -?,/J/ SMI Fee $ +s/C(.%/ O�Bond Plumbing Fee Dbl $ Amt. $ Plan No. © 3177 Plan Checker ! Final Date ­19Ins �,16 trot Sp. Insp. Fee $ Demol. Fee $ Const. Lender Address Branch City Zip -1 certify that in the pe ormonce o the war w ich. t is perm,t is issue sholl not employ any person in on),manner so as'.Lx ome subjea to the iscom• pensation laws of California." Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ O Tel. Zip Total Fees $- Address r oi�I'l% L� CityZip ,��• V 5i��h/� S M.O. C]N.C. ❑ Cash C] Ch Received by Contractor Tel. License it Trees required Sewage System ,. YV �f j ./�,/i`� Address City Zip Workers' Comp. Yes ❑ no ❑ T LL P IHIS FtRMII SHALL BtL1JMt VOID IF WORK IS NUI. (,UMMtNCtD WIIHIN 120 DAYb. CESSATION OF vennea by: Sewer District QdT 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. f HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSLONS CODE OF THE STATE OF Form 284.208 (Rev. 477) ©s CALIFORNIA.