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SFD (350763)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERM IT NO.Supp. 35076 3 PERMIT NO. 350763 W COUNTY OF RIVERSIDE Space Zip _ A3 Owner o z DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date d/o�� NO. PLUMBING FEES F.C. ew/ 1ST FL. SQ. 2ND FL POR. GAR. -� 7tG SO. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q 1-g$ oZS UNITS Cop E Use of Permit 71 _ �G G AGC SQ. FT. Cya YARD SPKLR SYSTEM Parcel No. -7 7 �/ 7-3 ,ow SQ. FT. @ Jp� ez MOBILEHOME SVC. f BAR SINK Mech. Fee Dbl b �% FT. POWER OUTLET ROOF DRAINS Set Backs SQ. FT. Cal DRAINAGE PIPING SQ. FT. Ga DRINKING FOUNTAIN Legal Description L,o��q /.'x �yy .SGY1A a3 SQ. FT. Ga URINAL F ��G VALUATION $ 9rya AV WATER PIPING d NOTE: Not to be used as property tax voluotion Electrical Fee Dbl E 3 SWIM POOL, PVT rp Type FLOOR DRAIN MECHANICAL FEES Plumbing Fee SWIM POOL, COMM Bond Amt. E WATER SOFTENER PIanJSNecker 645- "A/:Sg-_.l VENT SYSTEM O FAN ❑ EVAP. COOL A8 HOOD 7,01p SIGN ISp. Insp. Fee $ Demol. Fee WASHER (AUT DISH) �p C6nst. Lender / Address APPLIANCE ADRYER d Mileage Fee E Witness Fee b Reinsp. Fee GARBAGE DISPOSAL pZ finer/Agent FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Zi total Fees y LAUNDRY TRAY Address —3/4o AIR HANDLING UNIT CFM Zip IDLE METER Received by % KITCHEN SINK Contractor ABSORPTION SYSTEM B.T.U. License q TEMP USE PERMIT SVC Sewage System /&" WATER CLOSET Address COMPRESSOR � HP sD POLE, TEMP/PERM a LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY UV adp AMPERES SERV ENT 7 SHOWER BOILER B.T.U. SQ. FT. Ca, ¢ CZ BATH TUB Y/d SQ. FT. 6 ¢ WATER HEATER Q. FT. RESID Car I V. �/ / SEWAGE DISPOSAL Q 5%G SQ. FT. GAR 9 r/.¢ 3 HOUSE SEWER GAS PIPING a PERMIT FEE &D PERMIT FEE 3 �D PERMIT FEE DBL. TOTAL FEES f�a7sr MOO. HM. FEE MICRO FEE MECH. FE aS _ PL. CK. FEE C ST. FEE /a7�=' ELECT. FEE 3/93 SMI FEE a as FEE PL B. FEE PERM IT NO.Supp. 35076 3 Permit Job Address -4-3- �4-o �- ��-�,00�,� Space Zip _ A3 Owner o z Community tyy ' "' ivy �y"r Valuationn� -y�/�f $ a!� /7eL 0 Date d/o�� Dist // Off. -Z- F.C. ew/ MH Permit Fee b Micro Film Fee Cop E Use of Permit 71 _ �G G AGC Parcel No. -7 7 �/ 7-3 ,ow Use No. Ck.by Mech. Fee Dbl b �% Pl. Ck. Fee $ Set Backs Lot Size,,. Construction Fee Dbl E 7 Legal Description L,o��q /.'x �yy .SGY1A a3 F ��G S S `S R/o Electrical Fee Dbl E 3 e Zon� rp Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No/ PIanJSNecker 645- "A/:Sg-_.l Final Dattf ^'� d — L �% Inspector i .J ISp. Insp. Fee $ Demol. Fee b C6nst. Lender / Address Branch '1 certify that in the performanceof the ork for which this permit is issued I shall not employ any person m any manner so as to become subject to the workmen's com. pensation laws of California." City Zip Owner Signature Builder Signature Registr. Fee E Mileage Fee E Witness Fee b Reinsp. Fee b finer/Agent Tel. Zi total Fees y - Address —3/4o City Zip - M.O.❑ N.C. ash a Chec Received by Contractor Tel. License q Trees required Sewage System /&" / / 4 ,e Address City Zip Workers' Comp. yes ❑ no ❑ m District Form 284208 (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 SHALXA ��ME VOID. I HEREBY AGREE THAT RK I ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDE COUNTY D THE STATE OF CALIFORNIA. 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.