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341274 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY >� FIELD OFFICE PERMIT NO. 341274 PERMIT NO. 3 412 74] Job Address Space Zip -�_ COUNTY OF RIVERSIDE Owner - ,�_- Communtry Dig CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Off. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Qct $ UNITS Cop E Use of Permit I T �� YARD SPKLR SYSTEM SQ. FT. Use No. SQ. FT. ® MOBILEHOME SVC. BAR SINK k.by FT. Q POWER OUTLET ROOF DRAINS -PI. Ck. Fee $ SQ. FT. @ DRAINAGE PIPING Lot Size � 6I SQ. FT. @ DRINKING FOUNTAIN Construction Fee Electrical Fee / SMI Fee SQ. FT. URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Rte, FLOOR DRAIN Grp Type MECHANICAL FEES SWIM POOL, COMM Plumbing Fee / WATER SOFTENER Bond Amt. y—^(/J� VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Final Date WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER Demol. Fee y GARBAGE DISPOSAL Const. Lender Branch 1 certify that to the performance of the work for which this permit is issued not employ any person in any manner so as to become subjecr to the workmen's pensation laws of California." Address City Zip Owner S.gnoture Bwlder Signature I shall com- FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Mileage Fee b Witness Fee E LAUNDRY TRAY b AIR HANDLING UNIT CFM IDLE METER Zip KITCHEN SINK Totol Fees y ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC City WATER CLOSET M.O. ❑ N.C. ❑ Cash ❑ Check Received by COMPRESSOR HP POLE, TEMP/PERM Contractor LAVATORY License # HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT LL SHOWER Address City Zip BOILER C� B.T.U. SQ. FT. p ¢ BATHTUB SQ. FT. CW ¢ WATER HEATER SQ. FT. RESID Gn I t/.¢ SEWAGE DISPOSAL SQ. FT. GAR 6 sb¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE TOTAL FEES a9 MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE ��z CONST. FEE Gtr 3-�✓ ELECT. FEE y %'� SMI FEE FEE PLUMB. FEE -..S v PERMIT NO. 341274 Supp. Permit ,?�6e;T Job Address Space Zip -�_ Owner - ,�_- Communtry Valuation Date Dist. Off. F.C. MH Permit Fee b Micro Film Fee Cop E Use of Permit I T �� Parcel No. •- — Use No. k.by 'Meth. FeeYQbL.s -PI. Ck. Fee $ Ser Bocks Lot Size � 6I Construction Fee Electrical Fee / SMI Fee I Db $ E �` 7 S S Rte, Zone Grp Type Unit Plumbing Fee / D E Bond Amt. y—^(/J� Plan No. Plan Checker Final Date Inspect Sp. Insp. Fee b Demol. Fee y Const. Lender Branch 1 certify that to the performance of the work for which this permit is issued not employ any person in any manner so as to become subjecr to the workmen's pensation laws of California." Address City Zip Owner S.gnoture Bwlder Signature I shall com- Regisir. Fee $ Mileage Fee b Witness Fee E Reinsp. Fee b Owner/Agent ! Q . s Tel. Zip Totol Fees y - Address �L. City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by i Contractor Tel. License # Trees required Sewage System T LL / P Address City Zip 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 CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALLNNFFff��ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV5QSIDE CO b?1It 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) Os