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335028 (SFD)
BUILDING PERMIT Ah DEPARTMENT OF. BUILDING & SAFETY Ah FIELD OFFICE PERMITNO.Y 335028 PERMIT NO. 335028 Job Address COUNTY OF RIVERSIDE I Zi. Owner T CONSTRUCTION ESTIMATE IDot � 78-1 NO. ELECTRICAL FEES ,,,pEFr NO. PLUMBING FEES 1ST FL.. XA�SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. •W $ ' r UNITS Parcel No. Use No. Ck. by SQ. FT. @ YARD SPKLR SYSTEM PI. Ck. Fee $/✓Ju:/7 SQ. FT. v . _..' MOBILEHOME SVC. BAR SINK .Loott✓Size `� 0�/D� POWER OUTLET ROOF DRAINS FT. Legal Description ' / / I , I SQ. FT. DRAINAGE PIPING SV SQ. FT. DRINKING FOUNTAIN R/ SQ. FT. @ URINAL Zone VALUATION WATER PIPING T�p� NOTE: Not to be used as property tox valuation SWIM POOL, PVT $ FLOOR DRAIN Plan No. .JvI� ((! Plan Checker MECHANICAL FEES Inspector PT� SWIM POOL, COMM Sp. Insp. Fee E WATER SOFTENER $ Const. Lender Branch I certify' ihot m the performance of the work for which this permit,s issued I shall tar employ any person m any manner so as to become subject to the workmen's wm. pensatan tows of California. Address City Zip Owner Signature. Budder Signoture VENT SYSTEM X FAN ❑ EVAP. COOL HOOD Mileage Fee $ SIGN Reinsp. Fee WASHER lAUT01J4019M1 Owner/Agent Tel. - Zip APPLIANCE DRYER Total Fees $ Address 00,itY GARBAGE DISPOSAL M.O. N.C. Cosh ❑ Che Received b FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Contractor Tel..-••� License q / Trees required LAUNDRY TRAY a AddressCit /3 Ox /� AIR HANDLING UNIT CFM IDLE METER ! KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC Z WATER CLOSET -At . COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT.Cra ¢ BATH TUB SQ. FT. Ga ¢ / WATER HEATER SQ. FT. RESID Ga l td¢ ��' SEWAGE DISPOSAL SQ. FT. GAR @ 14,r 3 3 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE / PERMIT FEE DBL. - TOTAL FEES / y-- MOB. HM, FEE MICRO FEE - MECH. FEE /9 PL -CK. FEE - CONST. FEE ,=, ELECT. F SMI FEE /Z7 FEE PLUMB. FEE 31 PERMITNO.Y 335028 Supp. Permit Job Address Space I Zi. Owner Commyni�ry 71,/ � �,/(%�� Valuation �� IDot � 78-1 Dist. ,,,pEFr F.0,MH / Permit Fee E Micro Film Fee Cop E Use of Permit �" !//y Parcel No. Use No. Ck. by Mech. Fee Dbl E/3 PI. Ck. Fee $/✓Ju:/7 S157et Backs .Loott✓Size `� 0�/D� Construction Fee Dbl $ Legal Description ' / / I , I II�� r140 SV 5 R/ Electrical Fee Dbl E SMI Fee Zone Grp T�p� Unit Plumbing Fee Dbl $ Bond Ami. E Plan No. .JvI� ((! Plan Checker Final Dote \ ^-.�— ( Inspector PT� Sp. Insp. Fee E Demol• Fee $ Const. Lender Branch I certify' ihot m the performance of the work for which this permit,s issued I shall tar employ any person m any manner so as to become subject to the workmen's wm. pensatan tows of California. Address City Zip Owner Signature. Budder Signoture Re tstr. Fee 9 $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. - Zip Total Fees $ Address 00,itY Zip r M.O. N.C. Cosh ❑ Che Received b Contractor Tel..-••� License q / Trees required Sewage System YA .. w I Lill s;�l/3 AddressCit /3 Ox /� Zip, Workers' Comp. �` W �d ���, yes ❑ no ❑ Mt/I/ a ;Sewer District (� n I; _ {vAdNJ Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by 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 IN ACCORDANCE ' WITH THE LAWS OF RIVGJSIDE 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 CALIFORNIA.