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347456 (SFD)
BUILDING PERMIT ,;da, DEPARTMENT OF. BUILDING & SAFETY FIELD OFFICE PERMIT NO. 347455 PERMITNO. 1347456 Job Address COUNTY OF RIVERSIDE ZipOwner _ CONSTRUCTION ESTIMATE . Community ._ )s%%%' NO: ELECTRICAL FEES Valuation $ Q% f O NO. PLUMBING FEES 1ST FL. _ 2ND. FL. POR. GAR. SQ. CAR P. WALL, ESTIMATED CONSTRUCTION ^, 3 SQ. FT. (7 $ dd� UNITS MH Permit Fee 8 YARD SPKLR SYSTEM SQ. FT.. Cop $ SQ. FT. (t) b,+ MOBILEHOME SVC. BAR SINK Parcel No. 77 _�j �y FT. POWER OUTLET ROOF DRAINS 8 Use No. SO. FT. DRAINAGE PIPING Mech. Fee Dot S SQ. FT. (a} DRINKING.FOUNTAIN Set Backs SQ. FT. @ { URINAL VALUATION$' a ftp WATER PIPING legal Description /,,^�� NOTE: Not to be used as property tax valuation F� SWIM POOL, PVT FLOOR DRAIN Electrical Fee Dbl 8�- Zone 1.. MECHANICAL FEES Type �./ I_ SWIM POOL, COMM WATER SOFTENER Plumbing Fee Dbl 8 VENT SYSTEM FAN?, ❑ EVAP. COOL _HOOD Plan No. SIGN WASHER (AUTO ISH) Inspector APPLIANCE DRYER Sp. Insp. Fee.,� )emol. Fee - $ GARBAGE DISPOSAL "I certify that in the%performopce of the war r which this permit is issued Ishan - not employ any person in any manner so as to became subject to the workmen's tom• pensotion laws of California." Zip Owner Signature . Builder Signature Registr. Fee $ FURNACE ❑ UNIT .❑ WALL ❑ FLOOR ❑ SUSPENDED Witness Fee b teinsp. Fee $ LAUNDRY TRAY ,. . AIR HANDLING UNIT CFM Zip IDLE METER final Fees KITCHEN SINK Address - ABSORPTION SYSTEM O B.T.U. "' TEMP USE PERMIT SVC M.O. ❑ N.C. ❑ Cash ❑ Chec WATER CLOSET Contractor - COMPRESSOR HP 01 POLE, TEMP/PERM License q LAVATORYA0 A-0 Sewoge System /�s0. .._ HEATING SYSTEM FORCED ❑ GRAVITY Address AMPERES SERV ENT City SHOWER Workers' Comp. Yes ❑ no ❑ BOILER B.T.U. SQ. FT. @ ¢ BATHTUB ' SQ. FT. 6 a WATER HEATER Q. FT. RESID @ I V.a SEWAGE DISPOSAL SQ. FT. GAR @ Y.a HOUSE SEWER GAS PIPING JPw PERMIT FEE PERMIT FEE PERMIT FEE DBL:TOTAL FEES MOB,HM. FEE MICRO FEE MECH. FEE 'PL. CK. FEE CONST. FEE . ELECT. FEE SMI FEE FEE PL B. FEE. PERMIT NO. 347455 Supp. Permit Job Address Space ZipOwner _ - Community ._ )s%%%' Valuation $ Q% f O Date /�1 7 b" Dist. "/ O''ffff'.. I F.C. MH Permit Fee 8 Micro Film Fee Cop $ Use of Permit ^�}}�is� _ y � ��G� Parcel No. 77 X - Use No. k.by Mech. Fee Dot S )I. Ck. Fee � $ Set Backs Lot SSize � Construction Fee Dbl $ legal Description /,,^�� F� Electrical Fee Dbl 8�- Zone 1.. Grp _ Type �./ I_ Unit .- SMI Fee 8% Plumbing Fee Dbl 8 Bond Amt. Plan No. - Plan Checker Final Dare .' Inspector Sp. Insp. Fee.,� )emol. Fee - $ Const. Lender Branch. Address City "I certify that in the%performopce of the war r which this permit is issued Ishan - not employ any person in any manner so as to became subject to the workmen's tom• pensotion laws of California." Zip Owner Signature . Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee b teinsp. Fee $ Owner/Agent ,. Tel. Zip final Fees $ Address - - City jj "' Zip _ M.O. ❑ N.C. ❑ Cash ❑ Chec Received by Contractor - Tel. License q trees required Sewoge System /�s0. .._ / .-.. V. x to Address City Zip Workers' Comp. Yes ❑ no ❑ T LL P newer District Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL.BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL CA E PERMIT TO BECOME VOID. I HEREBY AGREE THAT AN WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWSOF RIVERSIDE COUNTY ND 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.