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347543 (SFD)BUILDING PERMIT ter DEPARTMENT OF BUILDING 8 SAFETY FIELD -OFFICE PERMITNO.'Supp. 347543 PERMIT NO. 34-7543 Job Address Space- Zip COUNTY OF RIVERSIDE Owner - T CONSTRUCTION ESTIMATE > t NO. ELECTRICAL FEES NO. PLUMBING FEES F.C. 1ST FL. oe F4 2ND FL. POR. GAR. CAR P. • , WALL _ ESTIMATED CONSTRUCTION SQ. FT. Q �G $ MH Permit Fee $ UNITS Cop $ SQ. FT. YARD SPKLR SYSTEM Parcel No. li` 6Jr �7Y SQ. FT. @ A -y MOBILEHOME SVC. BAR SINK Ck. by SQ. FT.. (a} 49 pyJ -POWER OUTLET ROOF DRAINS. PI. Ck. Fee $ SQ. FT. Ia3 DRAINAGE PIPING Lot Size /©Z� SQ. FT. Q ' DRINKING FOUNTAIN Legal Description .�► lw- 'I - SQ. FT..;Ca3 URINAL S VALUATION $ oo WATER PIPING Electrical Fee Dbl $ NOTE: Not to be used as property tax valuation Grp /i ,3 SWIM POOL, PVT FLOOR DRAIN SMI Fee $ MECHANICAL FEES r Dbl $ SWIM POOL, COMM WATER SOFTENER Plan No. �/ �7ri.�_ Plan Checker��,,CC - �'J VENT SYSTE FAN ❑ EVAP. COOL HOOD Inspector SIGN WASHER (AUT ISH) Demol. Fee $ APPLIANCE it DRYER. 7GARBAGE _ Registr. Fee $ DISPOSAL Witness Fee $ Reinsp. Fee FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent LAUNDRY TRAY Total Fees AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK M.O. ❑ N.C. ❑ Cosh ❑ Check Received by ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET License k Trees required COMPRESSOR � HP An POLE, TEMP/PERM LAVATORY City' _ Zip —r - Workers' Comp. yesfC, no ❑ HEATINGSYSTEM FORCED ❑ GRAVITY '' 0.0 AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ¢ BATH TUB SQ. FT. G ¢ WATER HEATER C42tQ. FT. RESM Q 1'/.¢ SEWAGE DISPOSAL oe 4a SQ. FT. GAR 6 Y/.¢ HOUSE SEWER Ao GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE .DBL.. TOTA4FEE5 MOB. HM. FEE MICRO FEE MECH. FEET 'PL. CK. FEE CONST. FEE ELECT, FEE SMI FEE FEE PLUMB. FEE PERMITNO.'Supp. 347543 Permit Job Address Space- Zip Owner - Community ValuotionDote > t Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit ".� L.� S �•.,•. /�,��i[.r,.. Parcel No. li` 6Jr �7Y Use No. Ck. by Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size /©Z� Construction Fee Dbl $ Legal Description .�► lw- 'I - F S S R Electrical Fee Dbl $ Zone � Grp /i ,3 Type � Unit SMI Fee $ Plumbing Fee - r Dbl $ Bond Amt. $ Plan No. �/ �7ri.�_ Plan Checker��,,CC - �'J Final Dote&—X b Inspector - Sp. Insp. Fee $ Demol. Fee $ _ Const. Lender - Branch "I certify that in the performopce of ihelmork for which this permit is issued Ishall not employ any person in any manner so as to become subject to the workmen's com. - - pensption lows of California." Address City Zip Owner Signature . Builder Signature _ Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel./, ` 't ^ Zip /lJ; Com/ -./i Total Fees $ Address City Zip M.O. ❑ N.C. ❑ Cosh ❑ Check Received by Contractor 3 Tel. - License k Trees required Sewage System T LL G�x ,ya73 P Address fn�� 'Nle �c L. / l=zi City' _ Zip —r - Workers' Comp. yesfC, no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION. OF verified by; - WORK FOR 120 DAYS SHALL AL AUS PERMIT.TO BECOME VOID. j I HEREBY AGREE THAT A C WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OERIV6RSIDECOUNTY D THE STATE OF CALIFORNIA. .. ' 1 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. Sewer District .. \ \1 Form 284.208 (Rev. 4-7.71 ©s