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348860 (SFD)BUILDING PERMIT :jgok DEPARTMENT OF BUILDING & SAFETY ` FIELD OFFICE E PERMIT NO. fl 3 4 8 8 6 0 P3488ERMI68 T NO. Job Address Space Zi s�-3�� ,� ,�, COUNTY OF RIVERSIDE Coom/Tunity /' /� OF QvC„ /' `'� �� Valuation E %% CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES 'MH Permit Fee E 1ST FL. 2ND FL. POR. GAR. SQ. CAR P. SQ, WALL ESTIMATED CONSTRUCTION SQ. FT. Qct $ UNITS Parcel No.- Use No. Ck.b -3 —eL f.2— O J Mech. Fee E IPI. Ck. Fee E SQ. FT. @ YARD SPKLR SYSTEM Lot Size S�X100 SQ. FT. (a3 MOBILEHOME SVC. BAR SINK Legal Descriprion C% / `� IJ /y,( POWER OUTLET ROOF DRAINS FT. (a} S S SJ DRAINAGE PIPING FT, Ga - Electrical Fee Z I E SQ. FT. DRINKING FOUNTAIN T 3 SQ. FT. URINAL VALUATION $ WATER PIPING Plumbing Fee NOTE: Not to be used as property tox valuation SWIM POOL, PVT Plan No. FLOOR DRAIN Final ,Date 21 Inspector MECHANICAL FEES SWIM POOL, COMM Dental. Fee WATER SOFTENER 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 corn. pensation laws of California." AddressCJ Zip Owner Signature / Builder Signature :Registr. Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN �Reinsp. Fee WASHER (AUTO) (DISH) Owner/Ag t Tel. Zip APPLIANCE ❑ DRYER (Total Fees E GARBAGE DISPOSAL City Zi P ' I M.O.C. ash ❑ Chec FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Cantrocto � LAUNDRY TRAY License # ,Trees required AIR HANDLING UNIT CFM IDLE METER Addr • / KITCHEN SINK Workers' Comp. yes ❑ no ❑ i ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. (aa, ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID (a� 1'Aa SEWAGE DISPOSAL SQ. FT. GAR 6 Y ¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE "BrBW. /C/� FE. """ MOB. MM. FEE MICRO FEE CH. FES PL�^EE I COFEE � ��. FEE SM�IE FEE PLUMB E PERMIT NO. fl 3 4 8 8 6 0 Supp. Permit �a� Job Address Space Zi s�-3�� ,� ,�, Owner Coom/Tunity /' /� OF QvC„ /' `'� �� Valuation E Dote L 1/,/ /V � Dist. /l J7 F.C. 'MH Permit Fee E Micro Film Fee Cop b Use of Permit P� "'� / � i l/ ��/J" Parcel No.- Use No. Ck.b -3 —eL f.2— O J Mech. Fee E IPI. Ck. Fee E Set B ckoc/cks Lot Size S�X100 Construction Fe E ��, Legal Descriprion C% / `� IJ /y,( F�D S S SJ /5 - Electrical Fee Z I E Zon//e_ ., T 3 Unit SMI Fee E Plumbing Fee E Bond Amt. y Plan No. Plan Checker Final ,Date 21 Inspector .Sp. Insp. Fee b Dental. Fee E 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 corn. pensation laws of California." AddressCJ Zip Owner Signature / Builder Signature :Registr. Fee E tMileoge Fee E .iWitness Fee b �Reinsp. Fee E Owner/Ag t Tel. Zip i (Total Fees E Address - City Zi P ' I M.O.C. ash ❑ Chec Received Cantrocto � Tel.-- is �9 — License # ,Trees required � Sewage System I�� LL P6X� Addr • / Cit Zip ��l i Workers' 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 AP1IT OME VOID. I HEREBY AGREE THAT ALL THIS PERMIT WILL BE DONE IN ACCORDANCE WITHTHE LAWS OF RIVERSIDE COUNTY TE 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. 'Sewer District Form 284.208 (Rev. 4.77) 0s