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SFD (326631)
DEPARTMENT OF BUILDING & SAFETY.' FIELD OFFICE: - ,.. BUILDING PERMIT v �� :� ' PERMIT NO. 3 26 631 PERMIT NO. 326631 Job Address � �itr COUNTY OF RIVERSIDE Space Zip T CONSTRUCTION ESTIMATE Comm`uJ�ity, "f?'7I"- �.:/t4 /Ir✓%,.J' NO. ELECTRICAL FEES NO. PLUMBING FEES Dote IST FL. " 7� 2ND FL. -POR... . GAR: a� SQ..FT. v�� _0 SQ..FT. S° WALL ESTIMATED CONSTRUCTION SQ. FT..e ' '! $ ® v7>�i UNITS MHPermitFee $ t - SQ. FT. @ I YARD SPKLR SYSTEM • Q* MOBILEHOME SVC. BAR SINK SQ: FT. ` @ Parcel No. Use No. Ck. by G ��-• �Y"d. Y" - Set Backs I Lot S' FIa S� 5 7 Zone Grp Type Unit �'� j/ POWER OUTLET ROOF DRAINS @ [O i Pl. Ck. Fee - $ - DRAINAGE PIPING Electrical Fee> Dbl $ .. d— DRINKING FOUNTAIN' SQ. FT. FeeDbl $ SQ. FT. @URINAL Bond Amt.. '. VALUATION WATER'PIPING D NOTE: Nor to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN' Dental. Fee $ MECHANICAL FEES Const. Lender .. Address _ SWIM POOL, COMM WATER SOFTENER Mileage Fee '$ Witness Fee -$ VENT SYSTEM ❑ FAN ` ❑ EVAP.•000L X HOOD $ SIGN WASHER IAUTQA(DISH) Tel.,, . Zip APPLIANCE DRYER' Total Fees $ GARBAGE DISPOSAL Address - . • FURNACE ❑ UNIT. ❑ WALL ❑ FLOOR ❑ SUSPENDED ., M.O. ❑ N.C. ❑ Cash'❑ Che Received by LAUNDRY TRAY Contractor " : _. f/��i/%,•-/�• j AIR HANDLING UNIT CFM License 4 IDLE METER KITCHEN SINK -LC f. ABSORPTION SYSTEM 0 B.T.U. ,.�. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HPPOLE, TEMP/PERM LAVATORY �Z- HEATINGSYSTEM2_jQ FORCED- ❑ GRAVITY !gyp' AMPERES SERV ENT' � � SHOWER � BOILER ' 0 B.T.U. SQ. FT. p ¢ BATH TUB �s SQ.'FT. ¢ WATER HEATER Q. FT. RESID 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ga Y tt / HOUSE SEWER GAS PIPINOJiy�r—� PERMIT FEE PERMIT FEE PERMIT FEE 3 DBL, TOTAL FEES IMOB. HIM. FEE MICRO FEE' MECH. FEE 1770 PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 26 631 Supp. Permit Job Address � �itr IvoAlAz;t4 Space Zip Owner ' Comm`uJ�ity, "f?'7I"- �.:/t4 /Ir✓%,.J' Valuation I's/,. Dote Dist. Off. F.C. MHPermitFee $ Micro Film Fee Cop $ • Use of Permit • !� _ .� �j� /`_ j �/�,,� `_ ` _ Legal Description _ Parcel No. Use No. Ck. by G ��-• �Y"d. Y" - Set Backs I Lot S' FIa S� 5 7 Zone Grp Type Unit Mech. Fee Dbl $ - Pl. Ck. Fee - $ - Construction -Fee - Dbi $ Electrical Fee> Dbl $ 'SMI Fee $Plumbing As FeeDbl $ Bond Amt.. '. Plan No.�/` —31Vs'• Plan Checker..% . •�Z'! L;, �j Final Date.Sp. Insp..Fee $ Dental. Fee $ Const. Lender .. Address _ Branch "I certify that int the performance at the work tor which this permit is issuedshati not employ any person in any manner so as to become subject to the is com. pensation lows of California' •- City - Zip ' Owner Signature - Builder Signature .Registr. Fee $ - Mileage Fee '$ Witness Fee -$ Reinsp: Fee. $ _ Owner/Agent, 4 Tel.,, . Zip Total Fees $ - Address - . • City .. - Zip ., M.O. ❑ N.C. ❑ Cash'❑ Che Received by Contractor " : _. f/��i/%,•-/�• j Tel. .— ��- License 4 Trees required -41 - - 'Sewage System _ • -LC f. Address , I ,.�. City y� �.,.` Zip i:�Lsflr.I"r-" Workers' Comp. yes C]no ❑ T LL P {{ $ewer District Form 284.208 1Rev. 4771 ©s THIS PERMIT SHALL BECOME VOID IF WURK IS NUI L,UMMtNCtLJ WIIHIN IZU'UAYS. l.t�OAIIUN Ur, v Irleo oy: 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 RIVERSIDE' COUNTY AND THE STATE OF CALIFORNIA. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.