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334712 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE K _ � PERMITNO. 3347 12 PERMIT NO. 334712 COUNTY OF RIVERSIDE �► DST �r CONSTRUCTION ESTIMATE- NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2N13 FL.' FOR. GAR.. � CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT.. Q $' UNITS YARD SPKLR SYSTEM SQ. FT. SQ. FT. MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS ' SQ. FT. � SQ. FT.. @ DRAINAGE PIPING SQ. FT. ®' DRINKING FOUNTAIN SQ. FT. URINAL VALUATION Is WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT' FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER . VENT SYSTEM ' ❑ FAN ❑ EVAP: COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Micro Film Fee APPLIANCE ❑ DRYER - GARBAGE DISPOSAL FURNACE 1 ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY ' AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Mech. Fee DbI $40 ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC ' WATER CLOSET Construction Fee Dbl 8 s COMPRESSOR d � HP POLE, TEMP/PERM LAVATORY SMI Fee 8c•�— HEATING SYSTEM. ❑ FORCED ❑ GRAVITY AMPERES SERV ENT. SHOWER Dbl $ BOILER O B.T.U. SQ. FT. p ¢ BATH TUB Bond Amt. $ SQ. FT. 8 ¢ WATER HEATER Plan Checker SQ. FT. RESID p I V.¢ SEWAGE DISPOSAL Inspector SQ. FT. GAR Ga 1/.¢ HOUSE SEWER GAS PIPING Demol. Fee PERMIT FEE PERMIT FEE PERMIT FEE � a TOTALFEES /a MOB. MM. FEE 't MICRO FEE MECH: FEE - PL. CK. FEE . CONST..FEE ELECT. FEE. SMI FEE FEE PLUMB. FEE PERMITNO. 3347 12 Supp. Permit Job Address - Space Zip Owner Community .�� •[Jd��i/% Valuation $ Date G`�/7� Dist. Off. F.C. QMH Permit Fee - $ Micro Film Fee Cop $ Use of Permit Cc? _ //e,tJ ICJ �ill�AG•C ` .'� 3 /� I /�� L• . legal Description - / _ —. /may �(f� `''�by3%J G,� Parcel No. Use No. Set Backs Lot Size F ;=;l`e' S ! - S r ,/d Zone Grp Type Unit Ck. by 0 Mech. Fee DbI $40 "PI. Ck. Fee $ Construction Fee Dbl 8 s Electrical Fee Dbl $ a /3 SMI Fee 8c•�— Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker i Inspector Sp. Insp. Fee 8 Demol. Fee _ $ Const. Lender s Address Branch 'I certify that in the performance of jtoGoik for which this permit is issued s te subiev to the workmen's not employ any person in any manner o om pensation taws of California." City Zip Owner Signotur Builder Signature I shall com- Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent 41 Tel. _ Zip Total Fees $ A2Address ` •y J - �3p[ �Q//��/Y'✓ City �IR�"Z.�/� , Zip M.O. C)C]N.C. ❑ Cosh C,eck Received by Contractor - ,- "Tel. License p - Trees required - - Sewage System Address • City Zip Workers'Comp. yes ❑ no 0 T LL P\ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED TNITHIN 120 DAYS. CESSATION OF . vvihed by: Sewer District "R Ivy WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE 1,N ACCORDANCE ` - WITH THE LAWS OF RIVEJSIDE COUNTY AND THE STATE OF CALIFORNIA. ['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 (Re, 4.77) ©s CALIFORNIA. I