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348641 (SFD)BUILDING PERMIT iAft DEPARTMENT OF BUILDING & SAFETY ,ift FIELD OFFICE PERMIT NO. 348641 1 GUUNIY VF RIVERSIDt Zip Owner DST CONSTRUCTION ESTIMATE Date ;//15 J �• NO. ELECTRICAL FEES NO. PLUMBING FEES F.C. do a 1 ST FL. l/ SQ. 2ND FL. SQ. POR. � SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. @At UNITS MH Permit Fee E :Micro Film Fee Cop $ FT. @ YARD SPUR SYSTEM Use of Permit FL Ga �) MOBILEHOME SVC. BAR SINK Use No. Ck.by FT. @40 O!7 POWER OUTLET ROOF DRAINS .PI. Ck. Fee s FT. DRAINAGE PIPING Lot Size FT. (ja DRINKING FOUNTAIN Legal Description / �s d3 9i! /�� as 3 'j, tel.. i% /J �f7 ✓� IV✓C� J� FT. C URINAL VALUATION $ ( WATER PIPING ow NOTE: Not to be used as property tax valuation Zone „j, SWIM POOL, PVT FLOOR DRAIN Unit MECHANICAL FEES Plumbing Fee S SWIM POOL, COMM WATER SOFTENER Plan No. ^ �� /7 y Plan Checker G. "4 �11�,��' VENT SYSTEM A) FAN ❑ EVAP. COOL JeHOOD Inst SIGN J WASHER (AUTO) fBfZRI Const. Lender Branch 'I certify that in the performance of the work f r hick this permit is issued I shall not employ any person in any manner so as to becWne subject to the workmen's com- pensotion lows of California.-' Address City Zip Owner Signature Builder Signature APPLIANCE DRYER Mileage Fee $ Witness Fee $ GARBAGE DISPOSAL Owner/Agent FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Total Fees $ LAUNDRY TRAY Address City Zip AIR HANDLING UNIT CFM Received by IDLE METER KITCHEN SINK O% •�J License N J ABSORPTION SYSTEM � B.T.U. Sewage System �avrJ T LL TEMP USE PERMIT SVC WATER CLOSET G/ Worker,' Camp. yes no ❑ COMPRESSOR T � HP 7 POLE, TEMP/PERM 3 LAVATORY CO HEATING SYSTEM IZ FORCED ❑ GRAVITY AMPERES SERV ENT V SHOWER BOILER � B.T.U. SQ. FT. (a, it BATH TUB a SQ. FT. Cr ¢ WATER HEATER 7 SQ. FT. RESID G ]'Aa SEWAGE DISPOSAL b SQ. FT. GAR C. Y,c 3Z HOUSE SEWER GAS PIPING PERMIT FEE 31 PERMIT FEE bT PERMIT FEE DBL. [.TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE. PL. CK. FEECONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3486-411 Supp. Permit Job Address Space -53 -� r �r�� 04 Zip Owner Community ./,09 � T ��� Valuotion s � 74-4 Date ;//15 J �• Dist. Off. F.C. do a MH Permit Fee E :Micro Film Fee Cop $ Use of Permit Parcel No. G Use No. Ck.by 'Mech. Fee Dbl E .PI. Ck. Fee s Set Backs Lot Size Construction Fee Dbl $Als Legal Description / �s d3 9i! /�� as 3 'j, tel.. i% /J �f7 ✓� IV✓C� J� F -30�— 0 moi•/ Electrical Fee Dbl E 3-'5-1 , Zone „j, Grp 23 Type Unit SMI Fee E Plumbing Fee S 3 Bond Amt. E Plan No. ^ �� /7 y Plan Checker G. "4 �11�,��' Final DateX/, �t'J Inst rDb Sp. Insp. Fee $ Denial. Fee $ Const. Lender Branch 'I certify that in the performance of the work f r hick this permit is issued I shall not employ any person in any manner so as to becWne subject to the workmen's com- pensotion lows of California.-' Address City Zip Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee s Owner/Agent Tel. Zip Total Fees $ ' Address City Zip M.O. ❑ N.C. ❑ Cash ❑ ck 29 Received by Comet ractor • 0000 , _ Tel. 3 —113P4-1 13P ifI License N J Trees required Sewage System �avrJ T LL - x 4, P Address G �7 /3� %G / City Zip / KL i��v���' Worker,' Camp. yes no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by WORK FOR t20 DAYS SHV ALSO CAUSE PERMIT TO BECOME VOID. 4 HEREBY AGREE N E CECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDNTY AND THE STATE 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 \�G�-• �� _� 7 Form 284.208 (Rev. 4.77) ©s