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347345 (SFD)v ` BUILDING PERMIT DEPARTMENT OF BUILDING 8" SAFETY.. FIELD OFFICE - ;� - PERMIT NO. 347345 PERMIT NO. 347 345 Job Address - (.UUIV I TpVr KIYCK31YC Spoce Zip zZ- Owner DST �. CONSTRUCTION ESTIMATE NO. I ELECTRICAL FEES NO. PLUMBING FEES Community,. ." �G r' �%frljl/�y " 1ST FL. SQ. 2ND FL. SQ. FOR. SQ. GAR. SQ: CAR P., SQ. WALL SQ. SO. ESTIMATED CONSTRUCTION FT. $ UNITS Dote /�. Dist. Off.. 7 _6 FT. @ YARD SPKLR SYSTEM MH Permit Fee E FT. ® MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. (r} _ _ DRAINAGE PIPING FT. @' ' Parcel No. / DRINKING FOUNTAIN FT. @ Ck.by FURINAL L Cal _Pl. tk. Fee $ IDb . VALUATION $ WATER PIPING Lot Size NOTE: Not to be used as property rax valuation SWIM POOL, PVT FLOOR DRAIN ' MECHANICAL FEES SWIM POOL, COMM Zone WATER SOFTENER Ty^p/e�/.i.� Unit VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plumbing Fee $ WASHER (AUTO) I DISH) Bond Amt. $ Plan No. 3� 64>�/ APPLIANCE ❑ DRYER Checker Final Dote �( n f v0i GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED DemoL Fee E LAUNDRY TRAY Const. Lender _ Branch • - - Address - City • ' AIR HANDLING UNIT CFM' IDLE METER Witness Fee $ KITCHEN SINK $ ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC Tela WATER CLOSET Total Fees COMPRESSOR 0 HP POLE, TEMP/PERM .Address LAVATORY City Zip _ HEATING SYSTEM ❑ •FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Contractor - BOILER B.T.U. SQ. FT. Q ¢ License N " BATH TUB Address 73 SQ. FT. fg ¢ City WATER HEATER Workers' Comp. yes no ❑ SQ. FT. RESID 8 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR fg '/k HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE "at- /sL TOTAL FEES /D ZS �' MOB. r M.FEe , MICRO FEE MECH. FEE PL. CK. FEErONST. %'—� FEE 3� ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 347345 Sapp. Permit , - Job Address - Spoce Zip zZ- Owner Community,. ." �G r' �%frljl/�y Valuation $ , , Dote /�. Dist. Off.. 7 F.C. MH Permit Fee E Micro Film Fee E Use of Permit .rlr _ _ _ Parcel No. / Use No. Ck.by Mech. Fee 8���~� _Pl. tk. Fee $ IDb Set Bocks Lot Size Construction Fee 8 3 Legal Description Electrical Fee $ Zone Grp Ty^p/e�/.i.� Unit SMI Fee $ Plumbing Fee $ Bond Amt. $ Plan No. 3� 64>�/ Pion Checker Final Dote �( n f v0i Inspector Sp. Insp. Fee _. S DemoL Fee E - Const. Lender _ Branch • - - Address - City • - - -"I certify that in the performance of rh work for which this permit is issued I shag not,employ any person in any manner so as to become subject to the workmen's com. pensotion laws of California." Zip Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tela Zip - Total Fees $ .Address City Zip _ M.O.,❑ N.C. ❑ Cosh ❑ Check91 Received by Trees required Contractor - Tel. G ��� License N " Sewage System Address 73 City Zip Workers' Comp. yes no ❑ Sewer District Form 284.208 (Rev. 4.771 ©s IHIJ FtKMll DHALL t$tL.UMt VOID IF WORK IS NOT COMMENCED WITHIN. 120 DAYS. CESSATION OF -verified by: WORK FOR 120 DAYS SHAL • SOC SE PERMIT TO BECOME VOID: I HEREBY.AGREE THA N'9d14WnON WITH THIS PERMIT WILL BE DONE, IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COU�ND 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 CALIFORNIA. r