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341116 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 341116 PERMIT NO. 341116 Job Address Space COUNTY OF RIVERSIDE Owner. ' s� Community -4 s/ !Pl/7jy7 DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Off. [ NO. PLUMBING FEES 1ST FL. SQ.:FT. 2ND FL. POR. GAR.SQ. . CAR P. :WALL, ESTIMATED CONSTRUCTION $ UNITS Use of Permit � � _ (�%•>��!'�1 ` Parcel No. J 7 -2V—?2e 5 Use No. .Q YARD SPKLR SYSTEM SQ. FT. @ Mech. Fee Dbl$ SQ, FT. (a3_ MOBILEHOME SVC. BAR SINK Set Backs FT. 8 POWER OUTLET' ROOF DRAINS Construction Fee Dbl $ SQ. FT. DRAINAGE PIPING F SQ. FT. Q - DRINKING FOUNTAIN SQ. FT. @ – URINAL Electrical Fee Dbl $ 1y_ VALUATION $ WATER PIPING Grp NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Plumbing Fee Dbl $ y Bond Amt - g MECHANICAL FEES SWIM POOL, COMM Final Date Ins WATER SOFTENER , Sp. Insp. Fee $ VENT.SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Registr. Fee $ - WASHER (AUTO) (DISH) Witness Fee $ Reinsp. Fee $ APPLIANCE ❑ DRYER Tel. Zip �lr24. . GARBAGE DISPOSAL Address City Zip FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Received by Contractor LAUNDRY TRAY License # ' frees required ~ AIR HANDLING UNIT CFM IDLE METER City Zip KITCHEN SINK THIS PERMIT.SHALL-BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verdtedby; WORK FOR 120 DAYS SHALL ALSO CAUSE.PERMIT TO BECOME VOID. - } Ln IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV&PSIDE 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. ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT: Ga ¢ WATER HEATER SQ. FT. RESID @ 11A¢ SEWAGE DISPOSAL SQ. FT. GAR C 1Y ¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE RAL.. TOTAL FEES ]MOB. HM. FEE . ,MICRO FEE . MECH:FEE PL. CK. FEE CONST. FEE ELECT. FEE' ' SMI FEE FEE PLUMB. FEE PERMIT NO. 341116 Supp. Permit �~- Job Address Space Zip Owner. ' s� Community -4 s/ !Pl/7jy7 Valuation $ DoteC p ,jam Dist. Off. [ F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit � � _ (�%•>��!'�1 ` Parcel No. J 7 -2V—?2e 5 Use No. Ck.by Mech. Fee Dbl$ PI. Ck. Fee $ Set Backs Lot Size " Construction Fee Dbl $ Legal Description t F S R Electrical Fee Dbl $ 1y_ Zone Grp Type Unit SMI Fee $ Plumbing Fee Dbl $ y Bond Amt - g Plan No. Plan Checker Final Date Ins r ' C , Sp. Insp. Fee $ bemol. Fee $ Const. Lender - Branch "I certify that in the performonce of the work for which this permitis issued I sholl -_ _- not employ any person to any manner so as to become -subject to the workmen's com. _ pen -hon laws of California." Address - City Zip Owner Signature Builder Signature Registr. Fee $ - Mileage Fee $ Witness Fee $ Reinsp. Fee $ ' Owner/Age s Tel. Zip �lr24. . rotal Fees $ - Address City Zip - M.O. ❑ N.C. ❑ Cash ❑ Check Q, Received by Contractor Tel.' - License # ' frees required ~ Sewage System /doA .. / x_I� T LL P Viewer District 01 -- ' Form 284.208 (Rev. 4.771 ©s Address - City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT.SHALL-BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verdtedby; WORK FOR 120 DAYS SHALL ALSO CAUSE.PERMIT TO BECOME VOID. - } Ln IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV&PSIDE 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.