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SFD (351560)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO.SupP. 3 515 60 PERMIT NO. 13515601 Job Address 53.900 A -e e COUNTY OF RIVERSIDE 9s Owner 11o1,o;,7 //- DST CONSTRUCTION ESTIMATE aluation E NO. ELECTRICAL FEES NO. PLUMBING FEES Disc Il 1 ST FL. �i SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION � 4'0 FT. I $gg UNITS MH Permit Fee E �7_-1 SQ. FT. CM YARD SPKLR SYSTEM Cop $ SQ. FT. © / MOBILEHOME SVC. BAR SINK FT. @2115—v �� POWER OUTLET ROOF DRAINS Use No. Ck.by SQ: FT. 8 DRAINAGE PIPING PI. Ck. Fee $ SQ. FT. @ DRINKING FOUNTAIN Lot Size SQ. FT. @ URINAL Legal Description ) { VALUATION is WATER PIPING S NOTE: Not to be used as property tax valuation Electrical Fee Dbl $ SWIM POOL, PVT FLOOR DRAIN Ty'pee�J% Unit MECHANICAL FEES Plumbing Fee SWIM POOL, COMM WATER SOFTENER Plan t4o. Q (�� Plan Checker VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD r �C �j4 SIGN WASHER (AUTO) ( DISH) Dental. Fee $ APPLIANCE ❑ DRYER Regisir. Fee E Mileage Fee E GARBAGE DISPOSAL Reinsp. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Tel. Zip LAUNDRY TRAY Address 141 City Zip AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK License £I frees required ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET Workers' Comp. yes ❑ no ❑ COMPRESSOR O HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. Ca, ¢ WATER HEATER SQ. FT. RESID Ga l 1A SEWAGE DISPOSAL SQ. FT. GAR Ga Y.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. I TOT L FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO.SupP. 3 515 60 Permit Job Address 53.900 A -e e Space Zip 9s Owner 11o1,o;,7 //- Com ty `_ I 2/,/ [�.//(.J%jl¢ aluation E Date /� - a /` ,77 Disc Il Off. F.C. MH Permit Fee E �7_-1 Micro Film Fee Cop $ Use of Permit _ �i IG i �r // // 0, IG/1 Parcel No. �j 2 )SII c 67 Use No. Ck.by Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description ) { FSO S S R Electrical Fee Dbl $ Zone `/\ /Irrrpp� y Ty'pee�J% Unit SMI Fee E Plumbing Fee Dbl $ Bond A.I. $ Plan t4o. Q (�� Plan Checker Fina Inspector ...� { �—?G r �C �j4 Sp. Insp. Fee E Dental. Fee $ Const. Lender Branch I certify that in the performance of the work ffo/ hich this permit is issued I shall not employ any person in any manner so as to beco subiect:to0e workmen's com, pensation laws of California. Address City Zip Owner Signature Builder Signature Regisir. Fee E Mileage Fee E Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip notal Fees $ M.O. ❑ N.C. ❑ Cosh ❑ Ch Address 141 City Zip Received by Contractor >G 5A),4 /A) Tel. ,...�/ �••7 License £I frees required Sewage System Address 6-Y _a6o Ave Ju JqQ e City, Zip 2#� u.i&)f-,4 Workers' Comp. yes ❑ no ❑ T LL P Sewer District Form 284-2081Rev.4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHA SOC SE PERMIT TO BECOME VOID. _ 1 HEREBY AGREE THA OR N§RECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE 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 CALIFORNIA.