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335032 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD•OFFICE••_ pa PERMITNO. - 335032 - PERMIT 33503IN 2 , - � •'�►� - COUNTY OF RIVERSIDE � Owner G��•�� i ' - - , • -�� CONSTRUCTION ESTIMATE Date t 3"0 r NO. ELECTRICAL FEES NO. PLUMBING,FEES MH Permit Fee $ ... 1ST FL. 2ND FL.. - FOR. 3 GAR. '�% / 'ZI C SQ. CARP. WAILSQ. ESTIMATED CONSTRUCTION SQ. FT. Q $- r� JG UNITS .. r Use No - . ,y SQ. FT. (a3 - YARD SPKLR SYSTEM ;Meth. Fee Dbl $ - "J tru D MOBILEHOME SVC. BAR SINK SQ. FT. - �� 1 - Set Backs - F.T. Q l S� POWER OUTLET :a ROOF DRAINS Construction Fee Dbl $ w , SQ. FT.. t DRAINAGE PIPING, - FT. ' DRINKING FOUNTAIN SQ. FT.'y +' t URINAL Elect Electrical Fee Dbl $ 121 ' VALUATION $ WATER PIPING Gr NOTE: Not to be used as property tax valuation Unit ' SWIM'POOL, PVT SMI fee 'Plumbing Fee FLOOR DRAIN MECHANICAL, FEES - Plan No. SWIM POOL, COMM FinalDate Insp r WATER SOFTENER .•F VENT SYSTEM. FAN Q EVAP. COOL HOODS`: 6lI • SIGN Const. Lender - Branch �f - '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 com. - .� ' - pensotion tows of California." Address City Zip .. : ' Owner Signalure - - _ _ �- ,..Builder Signature - - Registr. Fee $ WASHER (AUTO) TISHI , Witness Fee $ -it APPLIANCE DRYER $, Owner/Agent - - - - f GARBAGE DISPOSAL �. 47 u .- FURNACE ❑ UNIT ❑ WALL'❑ FLOOR Q SUSPENDED . �d�0 Address _ - f _ f : • r Ci•' - •• - - ZiP. - - + t • M.O. Q N.C. O Cash Q Check LAUNDRY TRAY AIR HANDLING UNIT CFM. -. IDLE METER �:• + Trees required y KITCHEN SINK p ABSORPTION SYSTEM 0 B:T.U. AddressG �/ / �•} `/ TEMP USE PERMIT SVC Workers' Com . P no 0 ` WATER CLOSET GL a COMPRESSOR a 0 HP- ;7 POLE, TEMP/PERM a LAVATORY HEATING SYSTEM. FORCED 0 GRAVITY ' • 490 AMPERES SERV ENT • ; SHOWER . BOILER 0 B.T.U. SQ..FT. p ¢ % BATHTUB _ e .. SQ. FT. Ca ¢ } WATER HEATER d _ «SSI SQ. FT. RESID 8 I %a , `� O l h, SEWAGE DISPOSAL � - /�y� SQ. FT. GAR Cat Nr HOUSE SEWER - GAS PIPING J PERMIT FEE'- PERMIT FEE PERMIT FEE DBL. TOTAA/L//FEESq s 1101013.1-11A.FEEI.. MICRO FEE MECH. FEE PL. CK. FEE•- COfNSST. FEE• -ELECT F SMI F _ 'FEE PLUMB. FEE PERMITNO. - 335032 - ,Supp. Perm it 'Job Address - - - .�N'f - - ��•s��°� • ��,Q Space 'p Owner G��•�� 'Community //[�• r /"'. f.� u•�'r'? �� Valuation $ Date t 3"0 r Dist)1,11 j/ • MH Permit Fee $ ... Micro Film Fee - Cop $ Use of Permit _ t '�•` - '� J/�///,�/sem{�J.�• _8r�f �•`q '� s.�/ ' F '.� ^ • ° Poicel No. ✓j / //>✓ y .. / � ~ 4/ ` S . Use No - . ,y 1;-F66y l 'S ;Meth. Fee Dbl $ - "J . PI, Ck. Fee g , "{" Set Backs - La Size ^- p Construction Fee Dbl $ w Legal Descri tion ( 419g /////t ."� �^�/- - ;' .Ti+•©I� �4- , F . - S Elect Electrical Fee Dbl $ 121 ' Zo Gr Type Unit ' SMI fee 'Plumbing Fee Dbl $ -Band Amt. -' - Plan No. Pla esker - c^ FinalDate Insp r _ - Sp. Insp. Fee $ \ Demol..Fee $ Const. Lender - Branch �f - '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 com. - .� ' - pensotion tows of California." Address City Zip .. : ' Owner Signalure - - _ _ �- ,..Builder Signature - - Registr. Fee $ Mileage Fee $ Witness Fee $ -it Reinsp. Fee $, Owner/Agent - - - - Tel. " - .. ' Zi Totol Fees $ �d�0 Address _ - f _ f : • r Ci•' - •• - - ZiP. - - + t • M.O. Q N.C. O Cash Q Check Received by% Contrattor /f j1 j ` �V 7 T �,,(.�•ri 7 , Tel. License # ' Trees required y Sewage System AddressG �/ / �•} `/ City y/• �� 2i i�� Workers' Com . P no 0 T / LL P'�f 4"'W 1 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:f Sewer District WORK FOR 120'DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -, � � - • s I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE G WITH THE LAWS OF RIV54SIDE COUNTY -AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SOIN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE, STATE OF Form 284.208 (Rev. 4-77) ©S CALIFORNIA- -