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349304 (SFD)
BUILDING PERMIT �ft DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO.Supp. 3493 0 4 PERMIT NO. 3493U4 � COUNTY OF RIVERSIDE z, Owner �,� 4�.,�, �- DST �f CONSTRUCTION ESTIMATE Valuation NO. ELECTRICAL FEES Dist. NO. PLUMBING FEES F.C. 1ST FL. SQ. 2ND FL. POR. GAR. d Z! SQ. . CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q UNITS Micro Film Fee Cop E Use of Permit �- t �y+�...— I " SQ. FT. (} YARD SPKLR SYSTEM Parcel No. 773. is SQ. FT. @ MOBILEHOME SVC. BAR SINK Ck. by FT. 8 O' M POWER OUTLET ROOF DRAINS PI. Ck. Fee Q E I FT. 8 DRAINAGE PIPING Lot Siz FT. (I} DRINKING FOUNTAIN Legal Description SQ. FT. URINAL S �. VALUATION $ 3 f v WATER PIPING �,/ NOTE: Not to be used as property tax valuation Zone / SWIM POOL, PVT Type p7p- FLOOR DRAIN SMI Fee E z MECHANICAL FEES Dbl b 3 SWIM POOL, COMM Pion No. yp� oa, WATER SOFTENER Fiinnaall Dote ( Inspector >` VENT SYSTEM XFAN 0 EVAP. COOL HOOD p7j SIGN E 7WASHER IAUTOI>CISHI tegisrr. Fee E .Aileoge Fee b APPLIANCE ig DRYER 3 E Ow /Agent GARBAGE DISPOSAL Zip FURNACE ❑ UNIT ❑ WALL O FLOOR O SUSPENDED $ O.14 Address j City 11-9P9 LAUNDRY TRAY M.O. E) N.C. O Cash Ch ec Received by Tees required AIR HANDLING UNIT—CFM Contractor IDLE METER License # KITCHEN SINK Sewage System /0-0-0 ABSORPTION SYSTEM � B.T.U. City Zip 1 TEMP USE PERMIT SVC Comp. no d WATER CLOSET n COMPRESSOR 3 -r HP dG POLE, TEMP/PERM a LAVATORY 30rp HEATING SYSTEM FORCED O GRAVITY rB ��- AMPERES SERV ENT 7ev SHOWER BOILER � B.T.U. SQ. FT. BATH TUB SQ. FT. G a WATER HEATER 4,i -EQ. FT. RESID iy 1'/.¢ b SEWAGE DISPOSAL (>y} SQ. FT. GAR Ga 3/.a HOUSE SEWER GAS PIPING d /� PERMIT FEE 3 O-� PERMIT FEE PERMIT FEE DBL.TOTAL FEES o7/a as MOB. HM. FEE . MICRO FEE MECH. FEE L. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO.Supp. 3493 0 4 Permit Job Address -.5. - ao ,�„ �N,��,� Z Space Zip z, Owner �,� 4�.,�, �- Community /t/l? Valuation Date 7-16-157S Dist. Off. I F.C. "MH Permit Fee E Micro Film Fee Cop E Use of Permit �- t �y+�...— I " Parcel No. 773. is Use No. Ck. by Mech. Fee Dbl b PI. Ck. Fee Q E I Set Backs Lot Siz Construction Fee Dbl b /a Legal Description F �Q S �. 5 �,/ Electrical Fee Dbl E— Zone / Grp Type p7p- Unit SMI Fee E z llumbing Fee Dbl b 3 Bond Amt. .g Pion No. yp� oa, Plan Checker �a«wS Fiinnaall Dote ( Inspector >` ip. Insp. Fee b Demol. Fee E Const -Mt nd Branch 'I certify that in the performo/xe of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- Olsotion laws of California.-' Addiess ," Cit Zip Owner Signature Builder Signature tegisrr. Fee E .Aileoge Fee b Witness fee E Feinsp. Fee E Ow /Agent Tel. Zip Tatol Fees $ O.14 Address j City 11-9P9 Zip M.O. E) N.C. O Cash Ch ec Received by Tees required Contractor Tel. License # Sewage System /0-0-0 Address City Zip 1 Workers' Yes 0 Comp. no Sewer District THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: `WORK FOR 120 DAYL CAU PERMIT TO BECOME VOID. R Iq f / I HEREBY AGR T L ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE C UNTY 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 F.rm 284-208 (Rev. 4-771 ©s CALIFORNIA.