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341264 (SFD)
BUILDING PERMIT , DEPARTMENT OF BUILDING & SAFETY ilIftFIELD OFFICE PERMITNO. 3412 PERMIT No. 341264 Job Address COUNTY OF RIVERSIDE zz Owner - - DST CONSTRUCTION ESTIMATE NO. ELECTRICAL -FEES 6>//1-�f/`E NO. PLUMBING FEES Date p ��-17 'f 1ST FL. SQ. 2ND FL. POR- GAR. SQ. CAR P. SQ. WALL" SQ. ESTIMATED CONSTRUCTION FT... Q $ UNITS NH Permit Fee $' YARD SPKLR SYSTEM SQ. FT. @• Cop $ SQ. FT. @— MOBILEHOME SVC. BAR SINK Parcel No. s POWER OUTLET ROOF DRAINS FT. FT. , @ DRAINAGE PIPING Mech. Fee t D 8 -tc•'t KZ sl. Ck. Fee$,.�� FT. DRINKING FOUNTAIN Lot Size �.. SQ. FT. 8 URINAL _ D $ , VALUATION $ WATER PIPING F NOTE: Not to be used as property tax valuation SWIM POOL, PVT - FLOOR DRAIN Grp - C Type MECHANICAL FEES SWIM POOL, COMM SMI Fee 8 WATER SOFTENER D $ $ - Bond Amt. S VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Final Date Inspector—'"' WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER Jemol. Fee $ GARBAGE DISPOSAL Branch - "I certify that in the performance of the work for which this permit is issued 1 shall not employ ally person in any monner so as to become subject to the workmen's com. penswion laws of California.- - City Zip Owner Signature _ Builder Signature Zegistr. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Witness Fee $ teinsp. Fee LAUNDRY TRAY Owner/AgentTel. 40 s" AIR HANDLING UNIT CFM IDLE METER Zip KITCHEN SINK -otol Fees$ ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC City •'' WATER CLOSET Zip M.O. ❑ N.C. ❑ Cash ❑ Check [3r COMPRESSOR HP POLE, TEMP/PERM Contractor LAVATORY Tel. - - HEATING SYSTEM'. " ❑ FORCED ❑ GRAVITY AMPERES SERV ENT 'tees required SHOWER Address BOILER B.T.U. SQ. FT. ® ¢ Zip BATH TUB Comp. no ❑ SQ. FT. p a WATER HEATER, SQ. FT. RESID ® 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Y. HOUSE SEWER - --H GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DZLy ` TOTAL' FEES rnoa. tern. FEE - MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE EILECT.'FEE SMI FEE FEE +PLUMB. FEE PERMITNO. 3412 Supp. Permit Job Address Space Zip _ - zz Owner - - Community 6>//1-�f/`E Valuation $ Date p ��-17 'f Dist. Off. F.C. NH Permit Fee $' Micro Film Fee Cop $ Use of Permit _ - ✓L.7�-/`'!!f'�%j% - J ./ /�, �. Parcel No. s ---a- Ck.by ! Mech. Fee t D 8 -tc•'t KZ sl. Ck. Fee$,.�� t acks Lot Size �.. :onstruction Fee$ Electrical Fee / _ D $ Legal Description a / F S •� Zone e Grp - C Type Unit - SMI Fee 8 Plumbing Fee / Sp. Insp. Fee - D $ $ - Bond Amt. S Plan No. p a_ . Plan Checker[F-1'7—?-� Final Date Inspector—'"' Jemol. Fee $ Const. Lender Address Branch - "I certify that in the performance of the work for which this permit is issued 1 shall not employ ally person in any monner so as to become subject to the workmen's com. penswion laws of California.- - City Zip Owner Signature _ Builder Signature Zegistr. Fee $ Mileage Fee $ Witness Fee $ teinsp. Fee $ Owner/AgentTel. 40 s" Zip -otol Fees$ Address . - 71 City •'' Zip M.O. ❑ N.C. ❑ Cash ❑ Check [3r Zeceived by Contractor - Tel. - - License p 'tees required kwoge System Address City Zip Workers* yes ❑ Comp. no ❑ LL P fewer -District 'orm 284-208 (Rev. 4-77) ©s THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 1.20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT N IN NNECTION WITH THIS PERMIT WILL BE DONE.IN ACCORDANCE WITH THE LAWSOF RIVfi9S "ATE 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. . verified by: