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347433 (PAT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ��. FIELD OFFICE t PERMIT NO. -f 347433 PERMITNO. - 347433 COUNTY OFRIVERSIDEDST _ Space Zip 2,� C.4�i •z. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. -PLUMBING FEES 1ST FL. SQ. .2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION UNITS FT.. Q YARD SPKLR SYSTEM SQ. FT.. @ SQ. FT. (a} MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. . � SQ. FT. (+i DRAINAGE PIPING SQ: FT. ,Q DRINKING FOUNTAIN SQ. FT. ' a URINAL VALUATION It WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN .F.C. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) MH Permit Fee$ APPLIANCE I 1❑ DRYER GARBAGE DISPOSAL Use of Permit �'')®N. /� y/�J•..�%/�%�. " ! FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK k.by ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET .PI. Ck. Fee $ COMPRESSOR O HP POLE, TEMP/PERM LAVATORY Lot Size HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Construction Fee Dbi $ BOILER'- � B.T.U. SQ. FT. Ca ¢ BATH TUB F SQ. FT. (a, ¢ WATER HEATER S, SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL Electrical Fee Dbl $ SQ. FT. GAR Ga 1/.¢ HOUSE SEWER Grp GAS PIPING Unit PERMIT FEE PERMIT FEE PERMIT FEE SMI Fee - $ DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE I FEE PLUMB. FEE PERMIT NO. -f 347433 Supp. Permit 7�"2 . Job Address - S3 — 5�J'J _ Space Zip 2,� C.4�i •z. G��3 Owner � Ti�z�✓/ Community �NilN�f�% Valuation $�p�t! Date Dist. Off. .F.C. MH Permit Fee$ Micro Film Fee Cop $ Use of Permit �'')®N. /� y/�J•..�%/�%�. " ! Parcell No. �•� �I}r�'Q �� 6f+cl U No. k.by Mech. Fee Dbl $ .PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbi $ Legal DescriptionS� • /�ryj -- F 5+�� S, R /� Electrical Fee Dbl $ Zone Grp Type Unit SMI Fee - $ 'Plumbing Fee Dbl $ Bond Amt, Plan No. Plan Checker F' % Inspector " �p. Insp. Fee $ Demol. Fee $ -Const. lender - Address Branch "I certifythat in the performance pert apse of ' not employ any person in any manner pensation laws of California." City Zip Owner Signature Builder Signature rk for which this permit is issued I shah s to become wNect to the workmen's com- - - Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Feed $ Owner/Agent 177� y ! Tel. • - Zip Total Fees y $ 44 Address �/Q r -l'y City Zip • M.O. ❑ N.C. ❑ Cash C] C eckZ Received by 04 Contractor Tel. License p Trees required Sewage System _ ._ ... Address - City Zip- Workers'Comp. yes ❑ no ❑ LL I P' Form 284.208 (Rev. 477) ©s IHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS: CESSATION OF. •verified by: WORK FOR 120 DAYS SHALL ALS AUS RMIT TO BECOME VOID. [ cc �-- {1 I HEREBY AGREE THAT A � &fc WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDE COUNTY A 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.