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348852 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Mokll, FIELD OFFICE PERMITNO.Permit 3488 5 2 PERMIT NO. 1348852 COUNTY OF RIVERSIDE Space Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. ' • POR. SQ. GAR. • SQ. CAR P. SQ. WALL .SQ. ESTIMATED CONSTRUCTION FT. @ $ UNITS SQ.. FT. @ YARD SPKLR SYSTEM FT. 8MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FL @ ' FT. lad DRAINAGE PIPING FT. Q DRINKING FOUNTAIN SQ. FT. URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN /� •MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL - ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Use of Permit n I _� G�1eWOOf AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Parcel No. / ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET " Mech. Fee $. COMPRESSOR HP POLE, TEMP/PERM LAVATORY J ./` ' j�•• o HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Cat ¢ BATH TUB PI. Ck. Fee $ SQ. FT. Ga ¢ WATER HEATER Set Backs SQ. FT. RESID Ca} 1'/.¢ SEWAGE DISPOSAL Construction Fee $ r SQ. FT. GAR Cw 1/.¢ HOUSE SEWER GAS PIPING S,t PERMIT FEE PERMIT FEE PERMIT FEE Rjo � . 0 TOTAL FE/E S MOB. HM. FEE MICRO FEE MECH. F PL. CK. FEE CONST. FEE ELECT. E SMI FEE 'FEE PLUMB. FEE PERMITNO.Permit 3488 5 2 Job Address s� 11-ven4-/es Space Zip - Owner MH Permit Fee Community Valuation Date Dist. - • F.C. $ /� $ Micro Film Fee Co $ p Use of Permit n I _� G�1eWOOf Parcel No. / Use No. Ck.b Mech. Fee $. J ./` ' j�•• o PI. Ck. Fee $ Set Backs - Lot Size Construction Fee $ r Legal Description F�� S,t S� Rjo � . 0 Electrical Fee bl S ,,,�/. O� /_�� / /%��//•� Zone Grp Typ��ej�,�JL.. Unit SMI Fee ' .Plumbing fee 9CP $ Bond Amt. Plan No. Plan Checker - Final Dote Inspector Sp..lnsp. Fee .. $. $ U ! �� / ✓ !/✓ �^ - Demol. Fee $ Const. Lender Branch _ • "I certify that in the performance of the work for which this permit is issued I sholl not employ any person in any manner so as to becomesubject to the workmen's com- Regisir. Fee $ - pensation lows of California." •Mileage Fee $ Address City zip Owner Signature _ Witness Fee .$ Builder Signature Jieinsp. Fee $ Owner/ gent Tel. Zip Total Fees $ Q� Address City - Zip M.O. ❑ N.C. ❑ Cosh ❑ Chec -_ - `• ;Received by Cant act � � Tel. � VVVX 77/ License # Trees required 10000, !Sewage System - Address ��' �I $1 'ty {� /�•}��^ 1 Zip Qf Workers' Comp. _ ,�yy,��• p/(y 7 i`r F yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK jlZ�r/LL ' IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF, verified by: WORK FOR 120 DAYS SHALL A RMI BECOME VOID. wer District _ I HEREBY AGREE THAT ALRK IN NNECTWITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDECOUNTYA THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE Form 284.208 (Rev. 4.771 ©s SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CAL FORNIA.