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334715 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY,. FIELD OFFICE PERMITNO. - 33471 5 - PERMIT NO. 334715 Job Address COUNTY OF RIVERSIDE Ow � - Com u/nfity /' y��+ - //J`/ �Kr.�/V/ �7 J %I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES- Dist. NO. PLUMBING FEES F.C. 1ST FL. 2ND FL. FOR. GAR.. CAR P. WAIL ESTIMATED CONSTRUCTION SQ. FT.. Q $ UNITS 'MH Permit Fee $ Micro Film Fee Cop $ ' YARD SPKLR SYSTEM SQ. FT. 8 SQ. FT. (a3_ ' MOBILEHOME SVC. BAR SINK Use No. Ck.by . ' POWER OUTLET ROOF DRAINS SQ. FT. PI. Ck. Fee $ , SQ. FT. (a} DRAINAGE PIPING Lor Si ee `� I SQ. FT. fad DRINKING FOUNTAIN Legal Descripttiion �9 JI!E?TlY G�/!if• SQ. FT. @ URINAL VALUATION $ WATER PIPING Electrical Fee - 1 $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN SMI Fee $ MECHANICAL FEES SWIM POOL, COMM Bond Amt. $ WATER SOFTENER Plan Checker VENT SYSTEM ❑ FAN .'o EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Denial. Fee $ APPLIANCE ❑ DRYER "I certify that in the performance of the not employ any person in any manner so as pensation lowvi of California.' • Owner Signa ra Builder Signature wor or which this permit is issued 1 sholl to become wbject to the workmen'scom. s � f GARBAGE DISPOSAL Mileage Fee $ g Witness Fee $ FURNACE ❑ UNIT ❑. WALL , ❑ FLOOR ❑ SUSPENDED Owner/Ag ^ r LAUNDRY TRAY Tel. 398�� Zip AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Cit y�/j�yZip ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC Received by WATER CLOSET Contractor COMPRESSOR 0 HP POLE, TEMP/PERM License # LAVATORY Sewage System . HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT City SHOWER Workers' Comp. yes ❑ no ❑ BOILER 0 B.T.U. SQ. FT. ® ¢ BATH TUB SQ. FT. C ' ¢ WATER HEATER SQ. FT. RESID @ 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR C '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE -TOTAL FEES• MOB. Iimi.FEE MICRO FEE MECH.-FFA PL�FEE ' CONST. FEE ELECT. IE SMI FEE � ' FEE PLUME PERMITNO. - 33471 5 - Supp.Permir -�''��.� Job Address Space 'p 3 Ow � vi,� r , Com u/nfity /' y��+ - //J`/ �Kr.�/V/ �7 J Valuation Dat % /�� / 8 Dist. F.C. 'MH Permit Fee $ Micro Film Fee Cop $ Use of Permit e A yam, - M /��'iuAV /.00 /J �1 /� z lf" ! /�! 1_4 'eI Parcel No. � /�_�� Use No. Ck.by . ' Mech. Fee .:,� $ PI. Ck. Fee $ Set Backs Lor Si ee `� I Construction Fee $ S� Legal Descripttiion �9 JI!E?TlY G�/!if• Electrical Fee - 1 $ Zo Grp Type t Unit - SMI Fee $ Plumbing Fee $79 D Bond Amt. $ Plan No. Plan Checker Final D nspector Sp. Insp. Fee $ Denial. Fee $ Const. Lender Branch - • Address City Zi P "I certify that in the performance of the not employ any person in any manner so as pensation lowvi of California.' • Owner Signa ra Builder Signature wor or which this permit is issued 1 sholl to become wbject to the workmen'scom. s � f Registr. Fee $ Mileage Fee $ g Witness Fee $ Reinsp. Fee $ Owner/Ag ^ r Tel. 398�� Zip Total Fees re�lss., +.•'��/,1,//� / ��/!J �i.0.� Cit y�/j�yZip 346 M.O. Check Received by Contractor Tel. License # Trees required Sewage System . Address City Zip. Workers' Comp. yes ❑ no ❑ T/69ULL P 01"'tU THIS PERMIT SHAH BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO @ECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WDLL'BE DONE IWACCORDANCE WITH THE LAWS OF RIV%SIDE 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 Form 284.208 Me, 4.771 ©s CALIFORNIA. ,