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341037 (SFD)BUILDING PERMIT ,jak DEPARTMENT OF BUILDING & SAFETY .jft FIELD OFFICE PERMITNO. 34103-� PERMITNO. 341037 Job Address COUNTY OF RIVERSIDE Space Zip DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES r-./ 1 ST FL.. 2ND FL.. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. Q_� $ Date �. �� UNITS _, Dist. /` Off. SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. ®_ MOBILEHOME SVC. BAR SINK SQ. FT. Q w ? —STS POWER OUTLET ROOF DRAINS Micro Film Fee Cop -E SQ. FT. @ DRAINAGE PIPING / �� n i%I1 /rFGG: DRINKING FOUNTAIN SQ. FT. (a} Parcel No. SQ. FT. ® URINAL Use No. VALUATION $ oy WATER PIPING by NOTE: Not to be used as property toxvoluotion Set Backs SWIM POOL, PVT FLOOR DRAIN :onstruction Fee Dbl E Legal Description^� 4,97-1-1 MECHANICAL FEES Feo SWIM POOL, COMM WATER SOFTENER R Electrical Fee Dbl E VENT SYSTEM CkAN ❑ EVAP. COOL HOOD Grp /Z 3 SIGN WASHER IAUTOI I _ISH) SMI Fee E APPLIANCE DRYER Bond Amt. E Plan No. GARBAGE DISPOSAL Plan Checker ' Final Date Inspectol, FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Sp. Insp. Fee E pemol. Fee E AIR HANDLING UNIT CFM Branch 'I certify that in the performance of the not employ any person in any manner so as pensonon jaws of California.-. City Zip Owner Signature Builder Signature IDLE METER KITCHEN SINK Mileage Fee E Witness Fee E ABSORPTION SYSTEM 0 B.T.U. Owner/Agent I TEMP USE PERMIT SVC . WATER CLOSET Zip COMPRESSOR HP notal Fees E POLE, TEMP/PERM LAVATORY City ' _ ae� HEATING SYSTEM FORCED ❑ GRAVITY M.O. ❑ N .C. ❑ Cash ❑ Check s, AMPERES SERV ENT 10 SHOWER Tel. BOILER B.T.U. License p SQ. FT. p ¢ - BATH TUB Sewoge System eel X /o Address City SQ. FT. Ga ¢ 14 WATER HEATER SQ. FT. RESID p 1'/.¢SEWAGE DISPOSAL SQ. FT. GAR 6 Y. HOUSE SEWER GAS PIPING PERMIT FEE —MEM. PERMIT FEE PERMIT FEE Ap DBL. TOTAL FEES 4v MOB. M. FEE ' ' MICRO.•FEE " FEE PL. CK. FEE I CONST. FEE ELE4.'9 SMI FEE Z 9G FEE PLU E 7sta PERMITNO. 34103-� Supp. Permit Job Address .� Space Zip Owner Communi y r-./ Valuation E A Date �. �� _, Dist. /` Off. F.C. MH Permit Fee E Micro Film Fee Cop -E Use of Permit L / �� n i%I1 /rFGG: Parcel No. Use No. by Mech. Fee Dbl E Pl. Ck. Fee E.Gi� Set Backs Lor Size :onstruction Fee Dbl E Legal Description^� 4,97-1-1 - Feo ,S S R Electrical Fee Dbl E Zone Grp /Z 3 Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. ' Plan Checker ' Final Date Inspectol, Sp. Insp. Fee E pemol. Fee E Const. Lender Address Branch 'I certify that in the performance of the not employ any person in any manner so as pensonon jaws of California.-. City Zip Owner Signature Builder Signature r4 for w rich this permit is issued I shall tovcome subject to the workmen's com. Registr. Fee E Mileage Fee E Witness Fee E teinsp. Fee E Owner/Agent I r/ J ii Tel. Zip notal Fees E Address `.. <Zn City ' _ ae� Zip M.O. ❑ N .C. ❑ Cash ❑ Check Zeceived by Contractor Tel. License p frees required Sewoge System eel X /o Address City Zip Workers' Comp. yes ❑ no ❑ - I LL P District ,arm 284.208 (Rev. 4.771 ©s 1HI5 PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I I.HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV&QSIDE COUNTY AND THE STATE OF CALIFORNIA. ! I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.