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335031 (SFD)BUILDING PERMIT 40 DEPARTMENT OF BUILDING & SAFETY IJAh FIELD OFFICE I.PERMITN0. 335031 PERMITNO. 335031 Job Address o .x-17 COUNTY OF RIVERSIDE ' Owner r Communitg7 t ��'" DST CONT/RUCTION ESTIMATE Diisst. / NO. ELECTRICAL FEES F.C. 6 8 I NO. PLUMBING FEES MH Permit Fee $ i I; Micro Film Fee 1ST FL. o r SQ. 2ND FL. POR. 4 � GAR. ��` SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q t� $ 4�9 �r 3 /o " UNITS Use No. .. /CXby "�+ f' J Mech. Fee Dbl $ ,1 "`Z. PI. Ck. Fee $ _....�� YARD SPKLR SYSTEM SQ. FT. (a3 I' Construction Fee Dbl $ % i' u / SQ. FT. @�// � / 7d MOBILEHOME SVC. BAR SINK �} FT. t! �U cfi 1K� POWER OUTLET ROOF DRAINS SQ. IT, ® DRAINAGE PIPING DRINKING FOUNTAIN SQ. FT. (a} SQ. FT. ® URINAL VALUATION $ ... 1 WATER PIPING NOTE: -Not to be used os property tox voluotion Bond Amt. $ SWIM POOL, PVT Checker Plc IL6!Gl�' FLOOR DRAIN Ins r R�: - I Sp. Insp. Fee $ - MECHANICAL FEES $ SWIM POOL, COMM Const Lender Branch Address City . I�c%rti'f'y that in the performance of the work for which this permit is issued I sholl not employ any person in any manner so as to become subject to the workmen's cam. pensmion laws. of California." Zip ; Owner Signature , Builder Srgnorure WATER SOFTENER I Mileage Fee $ r Witness Fee $ i' I. Reinsp. Fee VENT SYSTEM KFAN ❑ EVAP. COOL X HOOD SIGN Tel. Zip WASHER (AUTO)tMSR) Total Fees ) APPLIANCE DRYER 3 City Zip I M.O. ❑ N.C. ❑ Cosi ❑ Check Received byv l;• GARBAGE DISPOSAL 4-c- _ G T) FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED License # Trees required Sewage System ►. _ LAUNDRY TRAY Ci( , / Workers' Comp. yes ❑ no ❑ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC a WATER CLOSET r1? COMPRESSOR f/�� HP POLE, TEMP/PERM 6 LAVATORY HEATING SYSTEM FORCED ❑GRAVITY 6-0 /,0 AMPERES SERV ENT `! C` SHOWER BOILER B.T.U. SQ. FT. 8 ¢ I BATH TUB SQ. FT. Ga ¢ ` WATER HEATER SQ. FT. RESID p I V, it 61 SEWAGE DISPOSAL O SQ. FT. GAR G 'G¢ 3 HOUSE SEWER GAS PIPING oZ PERMIT FEE rr 6 PERMIT FEE 0-V it PERMIT FEE 3 6T�1 DBL: I TOTAL FEES, IMOB.HM.FEE MICRO FEE MECH. FE as PL. CK. FEE �-- CONST. F Ff3 ELECT. F-E,E fy SMI . EE f= - FEE PLUMB. F 3 I.PERMITN0. 335031 Supp. Permit Job Address o .x-17 Space GZip Owner r Communitg7 t ��'" Valuation $ �F k-� • / Diisst. / Off F.C. 6 8 I MH Permit Fee $ i I; Micro Film Fee Cop $ Use of Permit - " , f�/''� " Lf�elr '� (ii'1�� J Parcel No.? j � � •J - 0- / - e f 6 Use No. .. /CXby "�+ f' J Mech. Fee Dbl $ ,1 "`Z. PI. Ck. Fee $ _....�� Set Backs Lot Size - F D S S R ssZ3 h Gt / eft) J Zone GrP TYPe./` Unit - / 3 I' Construction Fee Dbl $ % i' Legal Descripti6 % i A . G .,� �?"� i , r, / y •� �}� �(,� (1 !l y� 2, �7 Electrical Fee Dbl $ SMI Fee $ � i Plumbing Fee Dbl $ 7 Bond Amt. $ Pion No. Checker Plc IL6!Gl�' Final Date ��.,1.) Ins r R�: - I Sp. Insp. Fee $ - t Dental. Fee $ Const Lender Branch Address City . I�c%rti'f'y that in the performance of the work for which this permit is issued I sholl not employ any person in any manner so as to become subject to the workmen's cam. pensmion laws. of California." Zip ; Owner Signature , Builder Srgnorure Registr. Fee $ I Mileage Fee $ r Witness Fee $ i' I. Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address f City Zip I M.O. ❑ N.C. ❑ Cosi ❑ Check Received byv l;• �Q. / 4-c- _ ContractorTel. , +� 4 - r-� (�-t 6 License # Trees required Sewage System ►. _ AddressZip /ger �� vo �d ll.t�s� Ci( , / Workers' Comp. yes ❑ no ❑ Tf ( - LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: ' Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV54SIDE COUNTY AND THE STATE OF CALIFORNIA. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5.541 OF THE BUSINESS. AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Rev. 4.77) ©s CALIFORNIA.