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335154 (GRES)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ah FIELD OFFICE PERMIT NO. ` 335154_d PERMIT N1o. 5 3354 `� � COUNTY OF RIVERSIDE '� Owner Ds � CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Do'tJe' NO. PLUMBING FEES ff. % 1 ST FL. SQ. 2ND FL. ,,poR. L�273 GAR. SQ. CAR P. SO. WALL SQ. ESTIMATED CONSTRUCTION FT. 8 $ UNITS Cop E Use of Permit /� SQ. FT. @ YARD SPKLR SYSTEM Use No. k. by d SQ. FT. ®_ MOBILEHOME SVC. BAR SINK PI. Ck. Fee E FT. Sao a= POWER OUTLET ROOF DRAINS Lot Si zek �bD FT. @ DRAINAGE PIPING Legal Description FT. Q DRINKING FOUNTAIN ls/e:l SO. FT. @ URINAL I R VALUATION $ WATER PIPING Zone NOTE: Not to be used as property tax valuation SWIM POOL, PVT Unit FLOOR DRAIN ;SMI Fee Plumbing Fee III! MECHANICAL FEES SWIM POOL, COMM Bond Amt. $ WATER SOFTENER Plan No. Plan Checker Final Date �'�-'Jc✓W'�"` VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Sp. Insp. Fee b WASHER (AUTO) (DISH) E APPLIANCE ❑ DRYER Branch -I certify that in the performance of thew { not employ any person in any n+onner so as to come '� f % pensot,on laws of Coliformo. City /j Zip Owner Stgnoture ��, 1.r Budder Signature or which this permit 4 issued I shall subject to the workmen's com. GARBAGE DISPOSAL Witness Fee $ Reinsp. Fee FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent LAUNDRY TRAY Tel. Zip AIR HANDLING UNIT CFM IDLE METER' $ KITCHEN SINK Address r s� S 77 " a 1!:'4v4 [:'r ABSORPTION SYSTEM [�I B.T.U. TEMP USE PERMIT SVC M.O. ❑ N.C. Cash Ch C]C]e � WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM Tel. LAVATORY License q Trees required HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER City BOILER B.T.U. SQ. FT. Ga C BATH TUB SQ. FT. @ a WATER HEATER SQ. FT. RESID 6 11Aa SEWAGE DISPOSAL ,dle,ro SQ. FT. GAR 6 s/.¢ � HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE s -U PERMIT FEE DBL. TOTALFEES 1-7 MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE --F FEE PLL MB. FEE PERMIT NO. ` 335154_d Supp. Permit Job Address Space�2,ip ��`/Iit�P/�lr9 Z.a� Owner Community N/ C.f/H//iT/� Valuation E �� d>v Do'tJe' Dist. ff. % F.C. •MH Permit Fee E ;Micro Film Fee Cop E Use of Permit /� Parcel No. %7 — rjCN p7 �. � Use No. k. by d I Mech. Fee Dbl b PI. Ck. Fee E Set Backs Lot Si zek �bD t� ,.Construction Fee Dbl E a Legal Description F 71 ls/e:l s7,,-7 I R Electrical Fee Dbl b d/� Zone I Grp Type Unit ;SMI Fee Plumbing Fee III! Dbl E Bond Amt. $ Plan No. Plan Checker Final Date �'�-'Jc✓W'�"` InspectDor,� s _ Sp. Insp. Fee b Demol. Fee E Const. Lender Address2 Branch -I certify that in the performance of thew { not employ any person in any n+onner so as to come '� f % pensot,on laws of Coliformo. City /j Zip Owner Stgnoture ��, 1.r Budder Signature or which this permit 4 issued I shall subject to the workmen's com. kk `Registr. Fee E I Mileage Fee E Witness Fee $ Reinsp. Fee b Owner/Agent �l'c,�,tC..i •- i0kl�L Tel. Zip Total Fees $ d Address r s� S 77 " a 1!:'4v4 [:'r City �j GY:i/,'n-w Zip M.O. ❑ N.C. Cash Ch C]C]e � Received by Contractor Tel. License q Trees required Sewage System Address City Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ver4red by Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. # 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS Of RIVEgSIDE 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 (Rev. 4.77) ©s CALIFORNIA.