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351425 (SFD)
BUILDING PERMIT Aft DEPARTMENT OF BUILDING & SAFETY jg& FIELD OFFICE PERMIT NO. 3514251 �L PERMIT NO. 351425 Job AddressSpace s.� _ ��.�",��e d�,q.4e� COUNTY OF RIVERSIDE DST ST CONSTRUCTION ESTIMATE Dote / / ZL.i _f NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL POR. e2fiesm I GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. � UNITS Use of Permit n r ,J`[ T/y- /V/T� � j�t � n _ /� /J��� Parcel No. Use No. Ck.by / -32414-0101 ! 41 /O / SQ. FT. Ga YARD SPKLR SYSTEM PI. Ck. fee y SQ. FT. 32T& MOBILEHOME SVC. BAR SINK Sett SQ. FT. Q POWER OUTLET ROOF DRAINS SQ. FT. DRAINAGE PIPING Construction Fee E SQ. FT.(ja DRINKING FOUNTAIN SQ. FT. URINAL ZoneC/ VALUATION $ �WATER PIPING Ty _. NOTE: Not to be used os property tax valuation SWIM POOL, PVT Plumbing Fee E FLOOR DRAIN Bond Amt. E+.L��s Plan No. �] MECHANICAL FEES Figq� t r Inspector �-12 1 SWIM POOL, COMM WATER SOFTENER Sp. Insp. Fee E Dental. Fee b VENT SYSTEM FAN ❑ EVAP. COOL HOOD Const. Lender Branch 'I certify that in the performance of theve not employ any person in any manner so as t pensation lows of California.' Address City Zip Owner Signature Builder Signature SIGN ` WASHER (AUT ISH) Witness Fee E Reinsp. Fee b APPLIANCE DRYER Owner/Agent n Tel. Zip GARBAGE DISPOSAL .t. � FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Ciy Zip M.O. ❑ N.C. ❑ Cash C]Chec LAUNDRY TRAY Contractor e���r/ AIR HANDLING UNIT CFM IDLE METER Trees required KITCHEN SINK d Address O ABSORPTION SYSTEM B.T.U. Workers* Comp. yes no ❑ TEMP USE PERMIT SVC Z WATER CLOSET cjCi COMPRESSOR 3 — HP Da POLE, TEMP/PERM LAVATORY Qle7 HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Cai ¢ BATH TUB SQ. FT. Cq, ¢ WATER HEATER �) Q. FT. RESID G 1'/.¢ SEWAGE DISPOSAL SQ. T. GAR Ga 3/.¢ HOUSE SEWER GAS PIPING PERMIT FEEOa PERMIT FEE PERMIT FEE DBL. TOTAL FEES. MOB. FIM. FEE MICRO FEE MECK FEE PL. CK. FEE CONST. FEE ELECT. FE 1 ze SMI FEE 94CIT FEE PLUMB. FEE.11 PERMIT NO. 3514251 �L Supp. Permit Job AddressSpace s.� _ ��.�",��e d�,q.4e� ZiaOwner Community /'A9 Voluotion �� 6i! Dote / / ZL.i _f Dist./ Off F.C. MH Permit Fee $ Micro Film Fee Cop E Use of Permit n r ,J`[ T/y- /V/T� � j�t � n _ /� /J��� Parcel No. Use No. Ck.by / -32414-0101 ! 41 /O / Mesh. Fee DbI 5 PI. Ck. fee y Sett cks Lot Size C•/(Y v Construction Fee E Legal Description M V� f/+ Electrical Fee E/ ZoneC/ Grp _: Ty _. Unit SMI Fee E ]Db Plumbing Fee E Bond Amt. E+.L��s Plan No. �] Plan esker P Figq� t r Inspector �-12 1 Sp. Insp. Fee E Dental. Fee b Const. Lender Branch 'I certify that in the performance of theve not employ any person in any manner so as t pensation lows of California.' Address City Zip Owner Signature Builder Signature k for which this permit is issued I shall come subject Io the wukmen's com. Registr. Fee $ Mileage Fee E Witness Fee E Reinsp. Fee b Owner/Agent n Tel. Zip Total Fees $ � Addres s � �� G�t,. e � Ciy Zip M.O. ❑ N.C. ❑ Cash C]Chec Received by Contractor e���r/ Tel. —.*4L�.� License ,# Trees required Sewage System —�L D'' d Address O City ^/f /A-� Zip %iFj1`/J Workers* Comp. yes no ❑ L P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified y: Sewer District WORK FOR 120 DAYS SHALL"COUNTY P . IT TO BECOME VOID. I HEREBY AGREE THATCON ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDD 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. 4.771 ©s CALIFORNIA.