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341272 (SFD)BUILDING PERMIT fAh DEPARTMENT OF BUILDING & SAFETY ,ft FIELD OFFICE PERMIT NO. 3 412 72 PERMIT NO. 341272 Job Address _ COUNTY OF RIVERSIDE Space Zip Owner DST , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Community �4 NO. PLUMBING FEES ation r$v. 1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Oa $ UNITS - Off. F.C. SQ. FT. Ca YARD SPKLR SYSTEM QMH Permit Fee E SQ. FT. (a}_. MOBILEHOME SVC. BAR SINK Use of Permit ~ j`G (p�iJL/->I /its POWER OUTLET ROOF DRAINS FT. Ca} Parcel No. — FT. ® DRAINAGE PIPING FT.t is DRINKING FOUNTAIN 'Meth. Fee / Dbl E 1L SQ. FT. URINAL SetBacks VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Zone WATER SOFTENER Typed Unit VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Bond Amt. $ WASHER (AUTO)((DISH) Plan Checker Final Date` Inspectgr-� 9- APPLIANCE ❑ DRYER GARBAGE DISPOSAL Demol. Fee b Const. Lender • Address FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Registr. Fee $ jMileage Fee b LAUNDRY TRAY Reinsp. Fee b Owner/Agent AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK f ".1otof Fees y ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC City r �ry--71 WATER CLOSET M.O. ❑ N.C. C]Cash ❑ Check IReceived by I o4 'Trees required COMPRESSOR HP POLE, TEMP/PERM Tel. LAVATORY License p HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Zip Workers' Comp. yes ❑ no ❑ BOILER � B.T.U. SQ. FT. C ¢ BATH TUB SQ. FT. ¢ WATER HEATER SQ. FT. RESID 1'Air SEWAGE DISPOSAL SQ. FT. GAR C, '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DA" I TOTAL FEES /.i MOB. HM. FEE .MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 412 72 Supp. Permit �� Job Address _ - Space Zip Owner Community �4 H , �;/'% ation r$v. Date O a� , Dist. •�� - Off. F.C. QMH Permit Fee E (Micro Film Fee Co E Use of Permit ~ j`G (p�iJL/->I /its Parcel No. — Use No. Ck.b 'Meth. Fee / Dbl E 1L IPI. Ck. Fee E SetBacks Lot Size (aS `6 Construction Fee / E Legal Description xtp7 R (Electrical Fee Dbl E SMI Fee E Zone Grp Typed Unit (Plumbing Fee I b Bond Amt. $ Pion No. Plan Checker Final Date` Inspectgr-� 9- iSp.Insp. Fee E Demol. Fee b Const. Lender • Address Branch I certify that in the performance of the work for which this permit ;s issued I shall not employ any person to any manner so as to become subject to the workmen's com. pensanon laws of California. City Zip Owner Signature Budder S+gnororc Registr. Fee $ jMileage Fee b Witness Fee E Reinsp. Fee b Owner/Agent I Tel.4U-yJ�1r)11X1 Zip f ".1otof Fees y Address - /+ City r �ry--71 Zip M.O. ❑ N.C. C]Cash ❑ Check IReceived by I o4 'Trees required Contractor Tel. License p LSewoge System Address City Zip Workers' Comp. yes ❑ no ❑ m District Form 284-208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALI T R I C 1ty�j�CEN WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVEQSIDE[[%)VlUI , 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.