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SFD (350633)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY AMI,, FIELD OFFICE PERM IT NO. 3 0 X3.3 PERMIT NO. 35063 ,� COUNTY OF RIVERSIDE, r� Owner ' s - Community 4 ZA!/✓ / DST CONSTRUCTION//ESTIMATE Dote ,� 7 a, NO. ELECTRICAL FEES Off. T NO. PLUMBING FEES MH Permit Fee $ 1 ST FL. �JGO SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALL SQ ESTIMATED CONSTRUCTION FT. (aj �3 b OJ UNITS Parcel No.Use No. Ck.by Gry.-zi,�� 3 -3oz 5, Set Backs Lot Size �[ :J �� JCirp Type Unit Mech. Fee Obl $ a PI. Ck. Fee $ Construction Fee Dbl $ Q YARD SPKLR SYSTEM SQ., FT. (a}- SMI Fee $ / SQ. FT, @ - MOBILEHOME SVC. BAR SINK Dbl $ FT. POWER OUTLET ROOF DRAINS �� Plan No. r� 2L/ FT., @ DRAINAGE PIPING Final D7te �(�� C 7/ kO 16 DRINKING FOUNTAIN FT. @ SQ. FT. URINAL Demo]. Fee VALUATION $ p� — WATER PIPING Const. Lender Address v NOTE: Not to be used as property tax valuation Registr. Fee $ SWIM POOL, PVT Witness Fee $ Reinsp. Fee FLOOR DRAIN •Owner/Age ....,o- Jn�'�/p { / (` MECHANICAL FE SWIM POOL, COMM $ / Add,ss f / Y✓ f WATER SOFTENER City Zip � ��1 f / ✓„5 M.O. ❑ N.C. ❑ Cash C)C , --ES VENT SYSTEAX%n FAN E)EVAP. COOL OQ HOOD SIGN aw-2 WASHER (AUD) (DISH) Trees required Sewage System APPLIANCE DRYER Address City Zip Workers' Comp. Yes ❑ no ❑ GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK v? . ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET if Qr rj COMPRESSOR 3 7 � HP POLE, TEMP/PERM a LAVATORY •fl HEATING SYSTEM FORCED ❑GRAVITY AMPERES SERV ENT 7 SHOWER BOILER � B.T.U. SQ. FT. @ a BATH TUB j) SQ. FT. Ca ¢ / WATER HEATER a (yp SQ. FT. RESID Go 1'A¢ 'J 73 SEWAGE DISPOSAL �® $Q. FT. GAR Ga '/,c 3 --:HOUSE SEWER GAS PIPING PERMIT FEE j PERMIT FEE PERMIT FEE DBL. TO' AL�q ES MOB. HM. FEE •. MICRO FEE MECH. FEE - PL. CK. FEE CONST. FEE ELECT. FEE f;ETFEE PLUMB.FEE PERM IT NO. 3 0 X3.3 Supp. Permit Job Address -- 711 �� Space Zip Z�3 Owner ' s . Community 4 ZA!/✓ / Volluottion $ GY 7j S Dote ,� 7 a, Dist. �% Off. T F.G. MH Permit Fee $ Micro Film Fee Cap $ Use of Permit ` L� Qjr i - Legal Description r %7 /0 Parcel No.Use No. Ck.by Gry.-zi,�� 3 -3oz 5, Set Backs Lot Size �[ :J �� JCirp Type Unit Mech. Fee Obl $ a PI. Ck. Fee $ Construction Fee Dbl $ Q Electrical Fee Dbl $ dZone SMI Fee $ / Plumbing Fee Dbl $ Bond Amt. $ Plan No. r� 2L/ Plan Checker - Final D7te �(�� C 7/ kO 16 Inspector Sp. Insp. Fee $ Demo]. Fee $ Const. Lender Address v Branch I certify that in the performance of A 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 laws of California." City Zip - Owner Signature Builder Signature ' Registr. Fee $ Mileage Fee $ - Witness Fee $ Reinsp. Fee $ •Owner/Age ....,o- Jn�'�/p { / (` Tell/) ,y`'j� •Zip Total Fees $ / Add,ss f / Y✓ f c{ f� •t J� t! � City Zip � ��1 f / ✓„5 M.O. ❑ N.C. ❑ Cash C)C , Received by Contractor Tel. License # - Trees required Sewage System Address City Zip Workers' Comp. Yes ❑ no ❑ LL P District Form 284.208 fRev. 4.771 ©S 11-115 PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHA LSO SE Pt WIT TO BECOME VOID. t I HEREBY AGREE TH OR Ni'61QICZCTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE f WITH THE LAWS OF RIVERSIDE COUN AND THE STATE OF CALIFORNIA. / 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO tN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.