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SFD (344147)
'BUILDING PERMIT ,,PEPA T ENT OF BUILDING & SAFETY , FIELD OFFICE" - . 4PERMITNO 1.4' '. r ?COUNTY OF RIVERSIDE • - y • - • r '. C NSTRUCTION ESTIMA Dist NO.=: ELECTRICAL'FEES NO.�PLUMBING FEES Parcel No. Use No. a y -� f 7,Set 1ST FL. 2ND FL. � -POR.SQ. GAR. CAR P. ,WALL ESTIMATED CONSTRUCTION SQ. FT. Q $ , UNITS �//�i F 5 SQ. FT. �, K YARD SPKLR SYSTEM I'+v/ '�i✓•` FT. MOBILEHOME SVC:. BAR SINK Q1- $Q. FT. ® ✓ 0� POWER OUTLET ROOF DRAINS SQ. FT. b' DRAINAGE PIPING SQ. FT. Q = r :: DRINKING FOUNTAIN Grp 3 ------------- SQ. FT:+.,� , URINAL Unit./ VALUATION = $ WATER PIPING Bond Amt. NOTE: Not to be used as plroperty tax voluotion Plo ecker"= . ' ..i SWIM POOL, PVT Inspector FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM w WATER SOFTENER pensation lows of California.*' VENT SYSTEM C] FAN C] EVAP. COOL HOOD City •Zip ` Owner Signature SIGN 4 Builder Signature - WASHER TAUT HI Tel. ♦ Zip APPLIANCE IaDRYER �j - GARBAGE DISPOSAL. - .4!:.r ' Contractor - FURNACE (] UNIT ❑ WALL O FLOOR 0°SUSPENDED TeL License # Address - LAUNDRY TRAY Gry - Zip Workeri Comp. AIR HANDLING UNIT CFM - IDLE METER yes ❑' .no KITCHEN SINK - ABSORPTION SYSTEM _ B.T.U. TEMP USE PERMIT SVC WATER CLOSET ,.�. COMPRESSOR HP } POLE, TEMP/PERM r LAVATORY=5 - HEATING SYSTEM KFORCED Q. GRAVITY 05F4 4V'aS AMPERES SERV ENT 7_;W SHOWER e BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. ,Ga ¢ WATER HEATER' fAyCCAQ. FT.'RESID Ua 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ga '/.¢ HOUSE SEWER ' GAS PIPING PERMIT FEE PERMIT FEE."- ....: PERMIT FEE DBL. j,,:4;,EES rnae. NM -FEE MICRO FEE. . F -PL: CK::FEE 'COIJ .FEE - ELECJ.F)�." - SMI FEF FEE P FEE PERMIT NO. J4414� MH Permit Fee $ Micro Film Fee Cop $ Mech. Fee Dial $ SPI. Ck. Fee $ Construction Fee Dbl $ .Electrical Fee - Dbl $ SMI Fee $ Plumbing Fee Dbl $ Sp. Insp. Fee $ Demol. Fee $ . Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Total Fees • I $ M.O. Pa.C. Cosh Received by Trees required , Sewage System Sewer District Form 284 2081Rev. 4771 ©s r-' Supp. Permit Job Address - - Space' Zip .. C tion Valu �.I�f• Dist • Use of Permit V,�v s Parcel No. Use No. a y -� f 7,Set Backs Lot Size Y v 1 Legal Description �//�i F 5 I'+v/ '�i✓•` GI/�C , Q1- S Za Grp 3 Types, l Unit./ Bond Amt. PI Plo ecker"= . ' ..i Final Dare Inspector - Const. Lender - ,� Branch, "I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- pensation lows of California.*' Address.- - City •Zip ` Owner Signature 4 Builder Signature - -Owner/Agent Tel. ♦ Zip A ress /J �j Cityj��• Zi r .4!:.r ' Contractor - - _ TeL License # Address - Gry - Zip Workeri Comp. / _*''/ ._ - - yes ❑' .no THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED: WITHIN 120 DAYS. CESSATION OF 'verified by: WORK FOR 120 DAYS SHALL ALSO CAUS% B ME VOID: , a A 1 HEREBY AGREE .THAT ALL WORK.I NN ION WITH THIS PERMIT WILL BE7DONE IN ACCORDANCE a� WITH THE LAWS OF RIVERSIDE COUNTY) ND THE S ATE 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.