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SFD (334824)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERM IT NO. COUNTY OF RIVERSIDE 334824 FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // CONSTRUCTION ESTIMATE Job Address f�� Space Zip s 2``�as �v� /i�IeNnes�a ��ay NO. ELECTRICAL FEES IST FL. Z D 2ND FL.--- L POR. 3 GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. Q --� $ Z UNITS SO. FT. (a} —;W—.15 Dist. /� � SQ. FT. @ 122, MOBILEHOME SVC. SQ. FT. Qct POWER OUTLET SQ. FT. (a3 :Micro Film Fee Cop $ SQ. FT. Cia d SQ. FT. Cr) APPLIANCE RYER VALUATION $ PI. Ck. Fee $ NOTE: Not to be used as property tax valuation Lot Size 5d SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // PERMITNO. 334824 MECHANICAL FEE Job Address f�� Space Zip s 2``�as �v� /i�IeNnes�a ��ay SWIM POOL, COMM Community �,/� r ` (,X L,I / />j G 14 WATER SOFTENER Date s p L`, � Dist. /� VENT SYSTEM FAN ❑ EVAP. COOL HOOD S OO SIGN MH Permit Fee $ :Micro Film Fee Cop $ WASHER (AUTO)AN51 1 d Use No. APPLIANCE RYER 040 PI. Ck. Fee $ Set Backs Lot Size 5d on Fee Dbl $ 'EElectricol GARBAGE DISPOSAL F ZdI's—ISS-1 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED R /0 ee Dbl $ Z/o�ne /'� l Gr/p� " Type N;Fee LAUNDRY TRAY $ 7 AIR HANDLING UNIT CFM Bond Amt. Plan Nlo., ...3 ` IDLE METER Final Date /y Insp a r KITCHEN SINK 2 O '-0emol. Fee $ R$ ABSORPTION SYSTEM O B.T.U. - .. Registr. Fee $ -Mileage Fee $ TEMP USE PERMIT SVC Reinsp. Fee $ a WATER CLOSET 41 00 ,Total Fees $ COMPRESSOR HP 040 M.O. ❑ N. Cosh ❑ Check POLE, TEMP/PERM Contra r (f / •/cler-5 Tel. �/j `'� / r. / / LAVATORY y OO Sewage System 9 Ys HEATING SYSTEM FORCED ❑ GRAVITY d d AMPERES SERV ENT s OD SHOWER BOILER � B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. WATER HEATER Z Q 20 SQ. FT. RESID Qct I'/.¢ f j SEWAGE DISPOSAL SQ. FT. GAR Ga 'A HOUSE SEWER GAS PIPING Z v PERMIT FEE Qp PERMIT FEE PERMIT FEE DBL. I TOTAL FEES yyZ, MOB. HM. FEE MICRO FEE MECH. FEE i� PL. CK. FEE CONST. FEE ELECT. FEE )/ wy SMI FEE �� FEE PLUMB. EE -9 - PERMITNO. 334824 Supp. Permit Job Address f�� Space Zip s 2``�as �v� /i�IeNnes�a ��ay Owner ��� w �l ��� ele" Community �,/� r ` (,X L,I / />j G 14 Valu tiori f7/� $ 1 -9 3O 7 �' Date s p L`, � Dist. /� Off. /jF.C. 06 / MH Permit Fee $ :Micro Film Fee Cop $ Use of Permit / illy ✓z e_ Parcel No. 7 2..]"Z,/G� Use No. Ck. by Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size 5d on Fee Dbl $ 'EElectricol Legal Descriptio %� 3 %/� O + '}�'','"" �' l�,O� V � � / / �� V �. F ZdI's—ISS-1 R /0 ee Dbl $ Z/o�ne /'� l Gr/p� " Type N;Fee Unit $ 7 Dbl $ 6. Bond Amt. Plan Nlo., ...3 ` Plan Checker Final Date /y Insp a r Sp. Insp. Fee $ '-0emol. Fee $ R$ Const. Lender Branch I certify that to 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 lows of California." Address City Zip Owner Signoture Builder Stgnoture - .. Registr. Fee $ -Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip ,Total Fees $ Address - City Zip M.O. ❑ N. Cosh ❑ Check Received by Contra r (f / •/cler-5 Tel. �/j `'� / r. / / License p t. Trees required Sewage System 9 Ys Addr essG/ /�n � S O 12P4( yr /� /J�] l/� City / Zip /� ? o ! .. Worker 'C omp. yes no ❑ Z FW T LL P W^1 7 THIS PERMIT 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. �. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVEgSIDE 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 IRev. 4.771 ©s CALIFORNIA.