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347340 (SFD)
FIELD OFFICE • 3 NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // MECHANICAL FEES SWIM POOL, COMM BUILDING PERMIT PERM IT NO. Y F - DEPARTMENT,OF BUILDING & SAFETY COUNTY OF RIVERSIDE 347340 WASHER (AUTO) I DISH) Dist. r CONSTRUCTION ESTIMATE F.C.... NO. ELECTRICAL FEES IST FL. _. SQ. -FT. tai $ UNITS SQ, F.T. @ AIR HANDLINGUNIT CFM IDLE METER ___2ND F.L. SQ. FT. ABSORPTION SYSTEM O B.T.U. MOBILEHOME SVC' ' POR. _ SQ. FT,fa3 COMPRESSOR HP POWER OUTLET GAR. _ SQ. FT. HEATING SYSTEM ❑ FORCED I. ❑ GRAVITY . AMPERES SERV ENT CAR P. SQ. FT, BOILER B.T.U. SQ. FT. a WALL SQ. FT. (�} SQ. FT. Cw ¢ WATER HEATER VALUATION $ SQ. FT. RESID p 114c ESTIMATED CONSTRUCTION NOTE: Not to be used as property tax valuation SWIM POOL, PVT FIELD OFFICE • 3 NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // 'PERM IT NO. 34 7 3 4 0 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) I DISH) Dist. APPLIANCE ❑ DRYER F.C.... GARBAGE DISPOSAL' FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED MH Permit Fee ,Cop LAUNDRY TRAY AIR HANDLINGUNIT CFM IDLE METER KITCHEN SINK Mech, fee Dbl $ ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY S HEATING SYSTEM ❑ FORCED I. ❑ GRAVITY . AMPERES SERV ENT SHOWER Zone BOILER B.T.U. SQ. FT. a BATHTUB SQ. FT. Cw ¢ WATER HEATER Bond Amt. :$ Pion No. - - 3i��.,,•• , .. SQ. FT. RESID p 114c SEWAGE DISPOSAL p or SQ: FT. GAR C' '/.a HOUSE SEWER $ Const. lender - - -Branch .. _.� .. "I terrify that in the performance of theArk for which this permit is issued Ishall - • - not employ any person in anymanner so to come subject to the workmen's tom . pensation laws of California." Address City Zip Owner Signature " - Builder Signature Registr. Fee E GAS PIPING Witness Fee E PERMIT FEE r PERMIT FEE PERMIT FEE _ DAL. �2- ,.. TOTAL FEESM08.NM. /ps-af FEE MICROFEE MECH.'FEE PL. CK. FEE. 9�-. • 4 - CONST. FEE ELECT. FEE Gv� A)11 SMI FEE7- FEE PLUMB. FEE /e s?� 'PERM IT NO. 34 7 3 4 0 Supp. Permit z2 • -� Job Address - - Space Zip .j _ _ 1 1 Owner _ Community.. _. Valuation $_73Ilea Date Dist. .Off. F.C.... MH Permit Fee ,Cop Micro Film Fee $ Use of Permit � Parcel No. ,► _ Use No. Ck.by Mech, fee Dbl $ PI. Ck.-Fee $ Set Backs lot Size Construction Fee Dbl $- Legal Description, ` �nS ..�/ /� �T �'V / ✓l '2 .�J6•r./��/`�'r �' _F S S R Electrical Fee Dbl $ SMI Fee E Zone Grp �% Type Unit , Plumbing Fee Dbl $ Bond Amt. :$ Pion No. - - 3i��.,,•• , .. Plan Checker R t .In _ p or Sp. Insp, Fee $. Oemol: Fee $ Const. lender - - -Branch .. _.� .. "I terrify that in the performance of theArk for which this permit is issued Ishall - • - not employ any person in anymanner so to come subject to the workmen's tom . pensation laws of California." Address City Zip Owner Signature " - Builder Signature Registr. Fee E Mileage Fee $- Witness Fee E teinsp. Fee $ Owner/Agent #Tel.✓ s Zip Total Fees- $ ��% Address 3 —,O City • Zip M.O. ❑ N.C. ❑ Cash ❑ Ch iteceived by Controctor - - _ - .. Tel. - License p frees required Sewage Syste�m..�•r T LL / y P Address - City Zip Workers' Comp. Yes ❑ no ❑. THIS;PERMIT SHALL BECOME. VOID IF WORK ISNOTCOMMENCED WITHIN 120 DAYS. CESSATION OF - WORK FOR 120 DA A O SE PERMIT TO BECOME.VOID. -' " I HEREBY AG AL ORK IN .CONNECTION WITH THIS PERMIT WILL BE DONE IN'ACCORDANCE WIT THE UNTYAND THE STATE -OF CALIFORNIA: r 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: ' - >ewer District �R - ' ��.,J" i Form 284.208 (Rev. 4.77) ©s