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335012 (SFD)BUILDING PERMIT •DEPART E T,OF BUILDING & SAFETY ift FIELD OFFICE., PERMIT NO. 3 5 012. 3350121' PERMITNO. 335012 Job Address �.-s`i• Space Zip .� s� � L, 6- /0 ` COUNTY OF RIVERSIDE - Owner � u,14.��zs t Community f•' "' G[.jif'� �'- osr ESTIMATE Off. NO. ELECTRICAL FEES NO' PLUMBING FEES Micro Film Fee Cop E !CONSTRUCTION 1ST FL. % 3 2ND FL. FOR. Q GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION �j $ SQ. FT. Q 19 r !� r� O [� UNITS Parcel No. + — ew Use No. k.by Mech. Fee '' Dbl $ ,� �• �U PI. Ck. Fee ` ,�. E _�� SQ. FT. (+} YARD SPKLR SYSTEM - Lot Size �/ !i 3 �l SQ. FT. @�bl. f��! MOBILEHOME SVC. BARSINK Legal DDescri tion / F.- - FT. @ POWER OUTLET ROOF DRAINS cJ .CJ r/ F�Q SQ. FT. (a} r "' DRAINAGE PIPING S SJ' SQ. FT. DRINKING FOUNTAIN Electrical Fee Dbt $ •~ SQ. FT. @` URINAL; Grp tT' •Z J VALUATION $ �• r E% " WATER PIPING +> NOTE: Not to be used as property tox voluation SMI Fee E �- t„ SWIM POOL, PVT �t8 FLOOR DRAIN Plan No. _ - !J PI heckerr41 i/ .Y /•/ !,! Final Dote Inspector �Ll �-� MECHANICAL FEES r SWIM POOL, COMM Demol. Fee $ - WATER SOFTENER Const. Lender • - Address 1 - Branch'I cemfy that in the. performance of the work for which this permit is issued I shall not employ any person o any mann`, so as to become subject to the workmen's com. - pensotion laws of California." ,r City Zip _Owner Signature Builder Signature Registr. Fee $ VENT SYSTEM FAN ❑ EVAP. COOL X HOOD Witness Fee $ SIGN WASHER IAUTCOTDISHI - Tel. , Zip APPLIANCE DRYER 4-0 Address ,—city GARBAGE DISPOSAL M.O. ❑ N.C. ❑ Cosh Check Received by (r7 l t { tf ei jj/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Conrad r l r Y f G"�t. , Tel. _ ' %7/ License p r LAUNDRY TRAY Sewage System • / ci. -A - _ I i = AIR HANDLING UNIT CFM ! ✓ '�/D Al � t IDLE METER Workers' Comp. yes ,❑ no ❑ KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC J. WATER CLOSET 6-0 COMPRESSOR HP i POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY ,t U AMPERES SERV ENT pct SHOWER BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB a ¢ 0 + SQ. FT. Ga ¢ WATER HEATER 30h7SQ. FT. RESID Oa 1'/k ��, _91 ` SEWAGE DISPOSAL d {f J� SQ. FT. GAR Ga y- ¢ 3 V HOUSE SEWER ! `� ti GAS PIPING PERMIT FEE Q2E? I PERMIT FEE 3 PERMIT FEE DBL..J TOTAL FEE - IMOB.HM.FEE MICRO FEE' .- MECH. FEE PL. CK. FEE ,� ° CONST. FEE oaf "` ELECT. FEE_ a y �' SMI FEE 19� FEE ' PLUMB. FEE '3142,_0 PERMIT NO. 3 5 012. 3350121' Supp. Permit Job Address �.-s`i• Space Zip .� s� � L, 6- /0 »s3 Owner � u,14.��zs Community f•' "' G[.jif'� �'- Valuation $ -Date/ Dist /// Off. F.C. MH Permit Fee b Micro Film Fee Cop E Use of Permit r -La: �•�r l ��(/e.'fJ7/�j ,fir t '•" Parcel No. + — ew Use No. k.by Mech. Fee '' Dbl $ ,� �• �U PI. Ck. Fee ` ,�. E _�� Set Backs Lot Size �/ !i 3 �l Construction Fee Dbl $ 64D Legal DDescri tion / F.- - _ /� i `f.. .tk �Oi j *.�_ to T a'A � . F�Q S�`J` S SJ' RL/L j Electrical Fee Dbt $ •~ Z ppe / / Grp tT' •Z J Type./G�Jy ai '' Unit SMI Fee E �- t„ Plumbing Fee Dbl $ �t8 Bond Amt. $ Plan No. _ - !J PI heckerr41 i/ .Y /•/ !,! Final Dote Inspector �Ll �-� /�J�� /� V !J �J�.�/ l r Sp. Insp. Fee $ Demol. Fee $ - Const. Lender • - Address 1 - Branch'I cemfy that in the. performance of the work for which this permit is issued I shall not employ any person o any mann`, so as to become subject to the workmen's com. - pensotion laws of California." ,r City Zip _Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent - Tel. , Zip Total Fees $ a Address ,—city Zip .. - M.O. ❑ N.C. ❑ Cosh Check Received by (r7 l t { tf ei jj/ Conrad r l r Y f G"�t. , Tel. _ ' %7/ License p r Trees required Sewage System • / ci. -A - _ I i = Addres1s` � x ` ! ✓ '�/D Al � t t k�sIl ���qw y � Zip Workers' Comp. yes ,❑ no ❑ ,A-' TIdi/v LL P& X Q THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF o .h.d.by P Sewer District WORK FOR 120 DAYS SHALL -ALSO CAUSE PERMIT TO BECOME VOID. : - - •• i s 7. IY I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE r WITH THE LAWS OF RIVEiSIDE COUNTY'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 Form 284-208 (Rev. 4.77) ©s • CALIFORNIA. '