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339505 (SFD)BUILDING PERMIT DEPARTMENT OF. BUILDING & SAFETY FIELD OFFICE PERMITNO. 339505 PERMIT NO.COUNTY 33950-5 Job Addresss,) OF RIVERSIDE - - Zip Owner DST & CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Date 71-32 of 1ST FL. SQ. 2ND FL. POR. - .GAR. Z SQ.. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION +IFO $-2 3, FT. Q Sv UNITS WH Permit Fee $ Micro Film Fee Cop $ YARD SPKLR SYSTEM SQ. FT.. Use of Permit SQ" FT. Oa O� MOBILEHOME SVC. BAR SINK ,—�D POWER OUTLET ROOF DRAINS FT. (a} Use No. FT. @ DRAINAGE PIPING Mech. Fee Dbl $ DRINKING FOUNTAIN FT. @ ' Set Backs SQ. FT. Cai URINAL VALUATION Is a 0-:!t WATER PIPING Legal Description - l .. NOTE:, Not to be used as property tax valuation SWIM POOL, PVT- S 1,02 FLOOR DRAIN i Electrical Fee Dbl $ t Zone V MECHANICAL FEES Ty pe _ SWIM POOL, COMM WATER SOFTENER iSMI Fee $ ' Plumbing -Fee VENT SYSTEM - fikFAN ❑ EVAP. COOL Z HOOD 3 SIGN Plan No. WASHER (AUT" DISH) Plan Checker Final Date - Inspector APPLIANCE DRYER �Sp. Insp. Fee $ GARBAGE DISPOSAL' $ FURNACE- ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Branch "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. pensation laws of California.' City Zip Owner Signature Builder Signotoie . 1Registr. Fee $ 1 j.Mileage Fee $ LAUNDRY TRAY Reinsp. Fee $ AIR HANDLING UNIT CFM Owner/Agent IDLE METER Tel. KITCHEN SINK Zip ABSORPTION SYSTEM O'B.T.U. $ TEMP USE PERMIT SVC Address \ . � � WATER CLOSET . City COMPRESSOR HP ! M.O. ❑ N.C. ❑ Cash ❑ Check POLE, TEMP/PERMLAVATORY Contractor HEATING SYSTEM ;a FORCED ❑ GRAVITY License # AMPERES SERV ENT IAZ t Trees required SHOWER /� BOILER B.T.U. SQ. FT. (a} ¢ Workers'Comp. yes ❑ no ❑ BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID p 1+/.¢ SEWAGE DISPOSAL SQ. FT. GAR C 1/.¢, 3 HOUSE SEWER GAS PIPING a �� PERMIT FEE - PERMIT FEE PERMIT FEE DBL. 1. .TOTAL FEES MOB. HW FEE MICR(TPEE J MECH. FEE °r PL: CK. FEE .CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMITNO. 339505 Supp. Permit Job Addresss,) Space Zip Owner Community /� ©IA//7�%`ice Valuation �3 $ �G� �y��' �=U Date 71-32 of Dist. �� Off. ! F.C. e=,o, WH Permit Fee $ Micro Film Fee Cop $ . OZ Use of Permit Parcel No. 773 Use No. k.by Mech. Fee Dbl $ i PI. Ck. Fee $ - Set Backs Lot Size Construction Fee Dbl $ � Legal Description - l .. " �'cvcg� F,=VO S 1,02 i Electrical Fee Dbl $ t Zone V Grp Ty pe _ Unit iSMI Fee $ ' Plumbing -Fee Dbl $ 3 Bond Amt. Plan No. Plan Checker Final Date - Inspector p �Sp. Insp. Fee $ iDemol, Fee $ Const. Lender -- Address Branch "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. pensation laws of California.' City Zip Owner Signature Builder Signotoie . 1Registr. Fee $ 1 j.Mileage Fee $ �Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address \ . � � 'A City Zip ! M.O. ❑ N.C. ❑ Cash ❑ Check .`Received by Contractor Tel. r� License # IAZ t Trees required jSewage System,/. /� Address City, Zip Workers'Comp. yes ❑ no ❑ r T LL P iSewer District Form 284.208 fRev. 4-771 ©s THIS PEPAIT SMALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verihed by: WORK FOR/ P8(jj'S�5 L 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 RIVfiRSIDE COUNTY AND 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.