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346862 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 3468621 PERMIT NO. 34588 Job Address COUNTY OF RIVERSIDE Owner DST � CONSTRUCTION ESTIMATE valuation E C7?.5j- � NO. ELECTRICAL FEES NO. PLUMBING FEES Of�,,,� -�-►' 1ST FL. 0 SQ. 2ND FL. FOR. GAR.44YSQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. (ay It C2,2 �'�� UNITS lkcro Film Fee Cop E SQ. FT. Ca YARD SPKLR SYSTEM Use of Permit / !llSr— G SQ. FT. Ca3 "!' MOBILEHOME SVC. BAR SINK Use No. FT. (a} — e� / �P POWER OUTLET ROOF DRAINS Mech. Fee Dial E SQ. FT. @ DRAINAGE PIPING Set Backs SQ. FT. (a} DRINKING FOUNTAIN SQ. FT. URINAL Legal Description d9 // / .. j�li/ �19LY 6� VALUATION Is pr o WATER PIPING S NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Grp /e 3 Type MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER (Plumbing Fee Dbl E3 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ,® HOOD APPLIANCE g DRYER Bond Amt. E SIGN WASHER 1AUTO1 &SH1 GARBAGE DISPOSAL Fin I Dote�\j R Inspector FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED ' p. Insp. Fee E mot. Fee LAUNDRY TRAY Const. Lender Address AIR HANDLING UNIT CFM egistr. Fee E IDLE METER KITCHEN SINK Reinsp. Fee E ABSORPTION SYSTEM O B.T.U. Owner/Agent &V 'S TEMP USE PERMIT SVC WATER CLOSET Zip COMPRESSOR 3Y2, E== HP E POLE, TEMP/PERM LAVATORY -41 Zip HEATING SYSTEM &FORCED ❑ GRAVITY (Received by AMPERES SERV ENT ®0 SHOWER Contractor BOILER � B.T.U. license # SQ. FT. ty ¢ BATH TUB Address SQ. FT. Ca, ¢ / WATER HEATER 3Q -:35Q. FT. RESID Ga 1'G¢ �G, SEWAGE DISPOSAL Qd #4 Ir SQ. FT. GAR G^ IK HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEEy PERMIT FEE Grp DBL. I TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3468621 Supp. Permit Job Address Space Zip Owner Community AA ���/f%f°i� valuation E C7?.5j- � Dote/ / g/a�%� Dist. // Of�,,,� -�-►' F.C. Qo/ H Permit Fee E lkcro Film Fee Cop E Use of Permit / !llSr— G Parcel No. 77/ �L�,3 �3O? Use No. Ck. by Mech. Fee Dial E IPI. Ck. Fee E Set Backs Lot Si¢i,,m Construction Fee Dbl E Legal Description d9 // / .. j�li/ �19LY 6� F C-70 S S (Electrical Fee Dbl EQ% Zone / Grp /e 3 Type Unit I Fee E (Plumbing Fee Dbl E3 Bond Amt. E Pion No. Plan /Checker Fin I Dote�\j R Inspector ' p. Insp. Fee E mot. Fee E Const. Lender Address Branch "I certify that in the performance 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- pensation lows of California." City Zip Owner Signature Builder Signature egistr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent &V 'S Tel. Zip otol Fees E aia Address City � %//%� Zip p41� M.O. ❑ N.C. ❑ Cosh C]k �l (Received by ' Contractor Tel. license # tees required ISe wage System I; Address City Zip Workers' Comp. yes ❑ no ❑ District Form 284.208 (Rev. 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS�WLL AL,50 CAYSE PERMIT TO BECOME VOID. IHEREBY AGREI4aTQP?0F%-4C0-NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE 00UNTY 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.