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347145 (SFD)
BUILDING PERMIT ` DEPARTMENT OF BUILDING. & SAFETY FIELD OFFICE - PERMITNO. - 347145 PERMIT NO. 134-7145 Job .Address _ —L17 /4-(/� v g�J Space Zip �= a� COUNTY OF RIVERSIDE- .- Community /� �/T" f�i1/ T� Dsr CONSTRUCTION ESTIMATE Off. NO. ELECTRICAL FEES. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. ,- CAR P., SQ. WALL SQ. - ESTIMATED CONSTRUCTION FT. @1/6 $ D7 UNITS Use of Permit f��� - Parcel No. •7 —' /1 Use No. Ck.by `J YARD SPKLR SYSTEM SQ. FT. 8 • Set Backs SQ. FT. @ �H og MOBILEHOME SVC. BAR SINK t Construction Fee Dbl $D.D FT. Ca3' 110, POWER OUTLET ROOF DRAINS L��� -- FT. @ DRAINAGE PIPING F 670 FT., ® DRINKING FOUNTAIN S V SQ. FT. .�. URINAL :Electrical Fee Dbl $ ISMI Fee $ VALUATION $ ," WATER PIPING Grp NOTE: Not to be used as property tox valuation Unit SWIM POOL, PVT 'Plumbing Fee FLOOR DRAIN Bond Amt $ Plan No. \ - MECHANICAL FEES Final Dote/ Inspector � _( SWIM POOL, COMM WATER SOFTENER tDemol. Fee. $ .. VENT SYSTEM ❑ FAN - ❑ EVAP. COOL A HOOD - f SIGN Registr. Fee $ oZ WASHER (AUTO{ WISH) Witness .Witnessss Fee $ Reinsp. Fee APPLIANCE DRYER Owner/A ent '-w V Tel. Zip GARBAGE DISPOSAL Total Fees FURNACE ' ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Zip LAUNDRY TRAY �P.eceived by Trees required AIR HANDLING UNIT CFM IDLE METER Tel. KITCHEN SINK Sewage System �/�"/1 - Y•L�is• ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC City Zip WATER CLOSET COMPRESSOR 3 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑GRAVITY — AMPERES SERV ENT SHOWER BOILER � B.T.U. SO. FT. Ga ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER Q. FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cat '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES a sa ]MOB- rtes. FEE - MICRO FEE • MECH. FEE /7 �' PL. CK. F.EE CONST. FEE /ai 6= ELECT. FEE a *r G SMI FEE i qx FEEt-PLUMB. FEE , ow PERMITNO. - 347145 Supp. Permit Job .Address _ —L17 /4-(/� v g�J Space Zip �= a� Owner Coves:- � - .- Community /� �/T" f�i1/ T� Valuation - g '00, �G Dote Dist. .110,412-91A, Off. F.C. MH Permit Fee $ ;Micro Film Fee Cop $ Use of Permit f��� - Parcel No. •7 —' /1 Use No. Ck.by `J Mech. Fee Clot $ Pi. Ck. Fee $ Set Backs Lot Size t Construction Fee Dbl $D.D Legal Description L��� -- oC� '% % �'1/'CQ A—k { �� �� - F 670 SI S V R,.74- :Electrical Fee Dbl $ ISMI Fee $ Zone Grp Type ,..,/ Unit 'Plumbing Fee Dbl $ Bond Amt $ Plan No. \ PlanChecker Final Dote/ Inspector � _( ISp. Insp. Fee $ tDemol. Fee. $ .. Const. Lender Add ess - f Branch .. - "I certify that in the performapce 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- pensation lows of California.'* - % ] . CZip Owner Signature , 1J Builder Si nature Registr. Fee $ Fee $ Witness .Witnessss Fee $ Reinsp. Fee $ Owner/A ent '-w V Tel. Zip Total Fees Address Zip M.O.❑ N.C. ❑ Cash ❑ Ch kg �P.eceived by Trees required Contractor Tel. License # Sewage System �/�"/1 - Y•L�is• Address - City Zip Workers' Comp. yes ❑ no ❑ " r LL - P .— IHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:' WORK FOR 120 DAYS SHAL�.�CA ER T TO BECOME VOID. - I HEREBY AGREE THA •C WON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNT AND THE STATE OF CALIFORNIA. Sewer District -r. 0 Form 284.208 (Rev. 4.77) ©s 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.