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SFD (341211)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 341211 PERMIT NO. Job Address COUNTY OF RIVERSIDE Space I Zip J Owner DST �3 412.1 i � Valuation E z� % 1� Doter Dist. Off. 7 NH Permit Fee E 4licro Film Fee Cop E Use of Permit - ., . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Use No. NO. PLUMBING FEES k.by • `,• 1ST FL. SQ. FT. Q G $ :z _4,/ Ote UNITS t Bocks - Lot Size Q 2ND FL. SQ. FT. (a}t ' Legal Description ���%�. F P YARD SPKLR SYSTEM S , J POR. 2 SQ..FT. @ MOBILEHOME SVC. Zone JGrp / BAR SINK Unit• GAR. SQ. FT.. 8 ` POWER OUTLET ilumbing Fee ROOF DRAINS Bond Amt. E 'Lender CAR P. SO. FT. @ Plan Checker DRAINAGE PIPING ct WALL SQ. FT. Qa ip. Insp. Fee - E DRINKING FOUNTAIN E SQ. FT. 8 Branch City 'I certify that in the performance of th ork forwhich this permit is issued I shall not employ any person in any manner so Vo become subject to the workmen's com. pensotion laws of California," - •Owner Signature Builder Signature URINAL Aileage Fee E ESTIMATED CONSTRUCTION VALUATION $ �y E WATER PIPING j NOTE: Not to be used as property tax valuation SWIM POOL, PVT Zip FLOOR DRAIN btal Fees E MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER 1 M.O. ❑ N.C. ❑ Cash ❑ Check � VENT SYSTEM ❑ FAN ❑ EVAP. COOL - ❑ HOOD SIGN ' Contractor WASHER (AUTO) (DISH) Tel. APPLIANCE ❑ DRYER 'rees required GARBAGE DISPOSAL Address FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED City Zip - • LAUNDRY TRAY Comp. no ❑. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM '❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT.' ¢ BATH TUB SQ. FT. Ga ¢ + WATER HEATER ` SQ. FT. RESID Q 1'/.a SEWAGE DISPOSAL SO. FT. GAR @ 1/.a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE — �m PERMIT FEE DBL. + TOTAL FEES MOB. HM. -FEE MICRO FEE - - MECH. FEE PL. CK. FEE:- CONST. FEE ELECT. FEE' SMI FEE FEE PLUMB. FEE 7 7 PERMIT NO. 341211 Supp. Permit' Job Address - Space I Zip J Owner Community �� �!O/ I• � Valuation E z� % 1� Doter Dist. Off. 7 F.C. O NH Permit Fee E 4licro Film Fee Cop E Use of Permit - ., . Parcel No. - Use No. k.by • `,• Meth. Fee Dbl E�/ sl. Ck. Fee - E t Bocks - Lot Size Q :onstruxion Fee Dbl E ' Legal Description ���%�. F P S �' S , J •R / aexricdl Fee Dbl Er, Zone JGrp / Type Unit• - iMl FeeL' ilumbing Fee Dbl E - Bond Amt. E 'Lender Pion No. • Plan Checker a Ins ct ip. Insp. Fee - E )emol. Fee E Const. Address n" Branch City 'I certify that in the performance of th ork forwhich this permit is issued I shall not employ any person in any manner so Vo become subject to the workmen's com. pensotion laws of California," - •Owner Signature Builder Signature legistr. Fee E Aileage Fee E Nitness Fee E leinsp. Fee E Owner/Agent. t �• j Tel. � � � Zip btal Fees E Address r ..- Cit - Y Zip M.O. ❑ N.C. ❑ Cash ❑ Check � teceived by '17 Contractor Tel. License # " 'rees required ewage System Address City Zip - Workers' yes ❑ Comp. no ❑. M ewer Distrix. 'arm 284.208 (Rev. 4.77) ©s THIS'PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR .120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HER E T` T LL WORK IN CONNECTION- THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THOUNTY AND THE STATE OF CALIFORNIA. i 1 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. BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY .COUNTY OF RIVERSIDE FIELD OFFICE fio DATE - NO ELECTRICAL FEES NO. PLUMBING FEES ;D5CONSTRUCTION•ESTIMATE.- I ST FL. 2ND FL. ' '* POR. GAR. CARP. WALL ESTIMATED CONSTRUCTION SQ.FT. @e,..Y P `,'.UNITS COMMUNI DST LAUNDRY TRAY ; ROOMS+ SQ. FT. @ :,, +, BOILER 0 B.T.U. AIR HANDLING UNIT CFM r -»�+ MOBILEHOME SVC. BAR SINK SQ. FT. IDLE METER 2 SQ. FT. @ POWER OUTLET ROOF DRAINS KITCHEN SINK SQ FT @ DRAINAGE PIPING DEINKING FOUNTAIN SQ'�FT. � ._ SQ. FT. @ r URINAL.' r _, is VALUATION-: $.,/ ,%r' - / WATER PIPING' G'G� NOTE: Not to be used -os property tox valuation - SWIM POOL, PVT FLOOR DRAIN (>2 MECHANICAL FEES SWIM POOL, COMM' WATER SOFTENER LOT SIZE ZONE AMPERESSERV ENT VENT SYSTEM I*fAN ❑ EVAP. COOL [!` OOD -'S' a0 = SIGN a . WASHER IAUT0I DISH1 �� yper. p' .vr + Asa = 'UO6-ADDft'c55 "'•"ti`+�+`�"'•" 3P-NO"••�.r' LRj�"�� "�+�!—"�+' .e�—. 73 •'L�:P}. .krtY�r✓f�'cL� I %�n%�d r'�a�Jsv� 74 APPLIANCE p fio DATE - PERMITP •4 GARBAGE DISPOSAL 75. M H PERMITTEE FURNACE ❑ UNIT . ❑ WALL ❑ FLOOR OkSPENDED $ a COMMUNI DST LAUNDRY TRAY ; ROOMS+ VALUATION AIR HANDLING UNIT CFM OFFICE IDLE METER f KITCHEN SINK ABSORPTION SYSTEM OB.T.U. TEMP USE PERM SVC WATER CLOSET G'G� • COMPRESSOR- HP POLE, .TEMP/PERM (>2 LAVATORY HEATING -SYSTEM Lf FORCED ❑ GRAV.ITY LOT SIZE ZONE AMPERESSERV ENT USE No. SHOWER TYPE CK BY ' SQ FT @ ¢ f BATH TUB Is SQ FT ,@ ¢ . I WATER HEATER ! + SOFT RESID V @ I ¢ SEWAGE DISPOSAL a C% ' $ . 4 SQ FT GARAGE C@ 'ha 2 , PLAN NO. HOUSE SEWER FINAL DATE_ - INSPECTOR PERMIT FEE 00 TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE 1, -41 DBL PERMIT FEE 1 _2 .f! 0 NAME OF CONST. LENDER - BRANCH OFFICE j, - �TOOTTAAL FEEfr MOB: HM. FEE MICRO FEE /pMECH. FEE . DBL. �PgLyCK. .FEE CONST. FEE DBL ELECT. FEE DBL. SM E FEE PLUMB. FEE DBL �� yper. p' .vr + Asa = 'UO6-ADDft'c55 "'•"ti`+�+`�"'•" 3P-NO"••�.r' LRj�"�� "�+�!—"�+' .e�—. 73 •'L�:P}. .krtY�r✓f�'cL� I %�n%�d r'�a�Jsv� 74 USE OF PERMIT _ F.0 DATE - PERMITP •4 75. M H PERMITTEE $ r COMMUNI DST UNITS ROOMS+ VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION "'• MECHANICAL FEE DBL"$ SET BACK LOT SIZE ZONE USE No. GRP TYPE CK BY Is PLAN CHECK FEE,,,- , $ . 4 ,BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE_ - INSPECTOR CONSTRUCTION FEE DBL $ ,i •. ' NAME OF CONST. LENDER - BRANCH OFFICE j, - NO LENDER INVOLVED ELECTRICAL FEE DEL . $ ADDRESS _ CITY ' _ - STATE SMI FEE $ THIS PERMIT SHALL.BECOME VOID IF WORK IS NOT COMMENCED WITHINalU DAYS. CESSA• TION _ J ,• -OF WORK FOR 120 ---DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ` I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH -THIS PERMIT WILL DONE IN AC- $ ' •FEE CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF•CALIFORNIA, I,ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOY EES.'COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. PLUMBING FEE - DBL $ I HEREBY -CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND-SPECIFICATION.S HAS DONE SO IN ACCORDANCE WITH SECTION 55.41 OF THE BUSINESS AND PROFESSIONS CODE.. OF THE STATE OF CALIFORNI,q, $ OWNER/AGENT'S SIGNATURE - �J " m CONTRACTOR - - ,TOTAL•FEES CASH ❑ CHECK C!j ' M.O. ❑ .N.C,❑ ADDRESS - ',., �. - - ADDRESS.. RECEIVED BY •ry TREES REQUIRED.Ole SEWAGE SYSTEM - CITY - ZIP CODE CITY. ZIP CODE., T LL INFORMATION _ TEL. NO.G y - TEL NO, - • . .. LICENSE ORM,284.208 (Rev. 9-731 ©s j/� • -