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349054 (SFD)BUILDING PERMIT, DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. - -3490 5 4 PERMIT NO. - 349054 Job Address .�6 ���s �/% Qo41� -COUNTY OF RIVERSIDE Owner DST / CONSTRUCTION ESTIMATE Valuation Date Dist. $ 933.._ .7 // NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 1,3 79, - 2ND FL. POR. GAR. -, CAR P.. WALL ESTIMATE SQ. FT. $ j UNITS Use of Permit %%'�J /%}/�j�%�/f L� /9� / //G� l/ i!�/T SQ. FT. @ YARD SPKLR SYSTEM Use No. Ck. by -7% iS ry. S Ix MOBILEHOME SVC. BAR SINK SQ. FT.. @ PI. Ck. Fee $ SQ. FT. (a} J�% �� - POWER OUTLET ROOF DRAINS Ic, Size 9,S �., SQ. FT. @ DRAINAGE PIPING Le got Description //�,,�1l /� //�+' W (`J /// DRINKING FOUNTAIN SQ. FT. 8 S URINAL SQ. FT. C is/S 2 VALUATION $ J WATER PIPING Zo .NOTE: Not to be used os property tax valuation T SWIM POOL, PVT FLOOR DRAIN SMI Fee $ Plumbing Fee ” Dbl 8 MECHANICAL FEES Bond Amt. - $ SWIM POOL, COMM WATER SOFTENER Final ate ('�// 7 Inspector � � f — G VENT SYSTEM FAN ❑ EVAP. COOL HOOD O>n. SIGN WASHER (AUT SHI Const. Lender - - Branch .'I certify that in the performaPce of the Zork for which this permit is issued I shall 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 Builder Signature Registr. Fee $ APPLIANCE DRYER Witness Fee $ Reinsp. Fee $ GARBAGE DISPOSAL ner/ nt T Zip FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Total Fees $ LAUNDRY TRAY Cit - -Z'P M.O. ❑ C. ❑. ash C]Che AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK License # s ' frees required ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Workers' Comp. i yes ❑ no ❑ COMPRESSOR 0 HP 6 POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. Qct ¢ ` BATH TUB _ SQ. FT. CW ¢ / WATER HEATER . FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ca, Yk HOUSE SEWER GAS PIPING PERMIT FEE �17 PERMIT FEE PERMIT FEE n0 ..DBL. TOTAL.FE ES OB. HM. FEE as,g MICRO FEE M H. FEE PL.,CK. FEE ��..� CONST. FEE .-.340,- ELECT. FEE SMIFEE /.- FEE P MB. FSE ES .-.- PERMIT NO. - -3490 5 4 Supp. Permit Job Address .�6 ���s �/% Qo41� Space Zip Owner Comm nit Valuation Date Dist. $ 933.._ .7 // Off. F.C. 10/ MH Permit Fee $G(,r�� Micro Film Fee Cop $ Use of Permit %%'�J /%}/�j�%�/f L� /9� / //G� l/ i!�/T Parcel No. '�� �� �D� � Use No. Ck. by -7% iS ry. S Ix Mech. Fee Dbl $ PI. Ck. Fee $ Bac Ic, Size 9,S �., ConstructiomFee Dbl $ Le got Description //�,,�1l /� //�+' W (`J /// S S L Vyya,.��-+••�V is/S Electrical Fee Dbl $ Zo G„_ T Unit/ SMI Fee $ Plumbing Fee ” Dbl 8 Bond Amt. - $ Plan Np �/ PIoaLbecker O's -al • 47-C, Final ate ('�// 7 Inspector � � f — G Sp. Insp. Fee. $ Demol. Fee .. - $ - Const. Lender - - Branch .'I certify that in the performaPce of the Zork for which this permit is issued I shall 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 Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ ner/ nt T Zip Total Fees $ Ad ess Cit - -Z'P M.O. ❑ C. ❑. ash C]Che Received by Contractor Tel. License # s ' frees required Sewage System - Address - City - - Zip Workers' Comp. i yes ❑ no ❑ fewer District Form 284208 (Rev. 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL ALSUSE PITO BECOME VOID. _ I HEREBY AGREE.THAT ALL �TI�Li NE/CT�IGON/WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THELAWSOFRIVERSIDE COUNTY AN THESTATEOFCALIFORNIA.. 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.