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344139 (SFD)BUILDING PERMIT DEPARTMENT OFrBUILDING & SAFETY gMk FIELD OFFICE PERMIT NO. t 3441 3 9 PERMIT NO. 344139 Job Address Space �� 42 q COUNTY OF RIVERSIDE Owner Com nit y y 01 A � �f'j+� /7 Valuation $� 90i CFO — CONSTRUCTION ESTIMATE Dist. //low NO. ELECTRICAL FEES FC NO. PLUMBING FEES 1 ST FL. SQ. 2ND FL. _ POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. O° $ i UNITS Micro Film Fee Cop $ Use of Permit Q / 1 /AA, 41,"Zii4f a SQ. FT. YARD SPKLR SYSTEM Use No. FT. @ MOBILEHOME SVC. BAR SINK FT. @ + POWER OUTLET ROOF DRAINS - FT. @ DRAINAGE PIPING Lot Size FT. G° DRINKING FOUNTAIN .r SQ. FT. @ URINAL O VALUATION $ . ..► WATER PIPING S V NOTE: Not to be used as property tax valuation Electrical Fee $ [Db SMI FeePlumbing SWIM POOL, PVT ZO FLOOR DRAIN Unit MECHANICAL FEES Fee b SWIM POOL, COMM Bond Amt. $ WATER SOFTENER Plo �Qeckker J� Final Date VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD SIGN WASHER (AUTEJ44SHI Const. Lender Branch "I certify that in the performance of the wwk for which this permit u issued I sham - not employ any person in any manner so as to become subject to the workmen's com- pensation lows of California.-' Address City Zip Owner Signature 1 Builder Signature APPLIANCE DRYER 1 Mileage Fee $ GARBAGE DISPOSAL Reinsp. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent Tel Zip LAUNDRY TRAY EAddress -Total Fees $ AIR HANDLING UNIT CFM Cit Zip IDLE METER Chec KITCHEN SINK Contractor ABSORPTION SYSTEM O B.T.U. License p TEMP USE PERMIT SVC WATER CLOSET 4z 99—roo' Address l COMPRESSOR � HP Workers' Comp. yes ❑ no ❑ POLE, TEMP/PERM Sewe 'strictt Form 284-208 (Rev. 4.77) ©s AVATORY 4V HEATING SYSTEM K FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER _Az BOILER � B.T.U. SQ. FT. =BATHTUB ..� SQ. FT. CW ¢ WATER HEATER vVSQ. FT. RESID Ga 1144 SEWAGE DISPOSAL 447XSQ. FT. GAR G° Y c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 31 MEZ. PERMIT FEE DBL. I,&/FBF S� IMOB.FIM.FEEI MICRO FEE MECH. FE PL. C=. F=E I CONST.FEE ELFT%` SMF` FEE P. FESor PERMIT NO. t 3441 3 9 Supp. Permit Job Address Space �� 42 q Z' 4� Owner Com nit y y 01 A � �f'j+� /7 Valuation $� 90i CFO — Date 9.zO-78� Dist. //low FC tMH Permit Fee 5 t Micro Film Fee Cop $ Use of Permit Q / 1 /AA, 41,"Zii4f a parcel No. '/•�•/•y O / Use No. Mech. Fee Dbl $ Pl. Ck. Fee $ - Set Backs Lot Size tConstruction Fee $ .r Legal Description 1 y)) r+ / /J O S' S V R. Electrical Fee $ [Db SMI FeePlumbing ZO C'rpTYA'}�" Unit Fee b i Bond Amt. $ Plartt.Noo... J�(j — !0I Plo �Qeckker J� Final Date Inspector Sp. Insp. Fee $ Demol. Fee 5 Const. Lender Branch "I certify that in the performance of the wwk for which this permit u issued I sham - not employ any person in any manner so as to become subject to the workmen's com- pensation lows of California.-' Address City Zip Owner Signature 1 Builder Signature ;Registr. Fee $ 1 Mileage Fee $ I Witness Fee $ Reinsp. Fee $ Owner/Agent Tel Zip EAddress -Total Fees $ - /CZ 11.40 Cit Zip N M.O. Cosh ❑ ❑ Chec Received by Contractor Tel. License p Trees required Sewage System ''jr/ P �/v Address l City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHA LKf"€ P" I� T TO_BECOME VOID. 1HEREBY AGREE THA ARK�I:7JCONuNEC'TION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE 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. Sewe 'strictt Form 284-208 (Rev. 4.77) ©s