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341278 (SFD)
BUILDING PERMIT Agft DEPARTMENT OF BUILDING & SAFETY Adjk FIELD OFFICE PERM IT NO. 1 2 781 PERMITNO. 3412'18 Job Address COUNTY OF RIVERSIDE Zip Owner DST ,, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Community NO. PLUMBING FEES Valuation E 1 ST FL. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Dist.Off. / F.C. SQ. Fr. @ YARD SPKLR SYSTEM SQ. FT. ®_ MOBILEHOME SVC. BAR SINK Micro Film Fee FT. Q POWER OUTLET ROOF DRAINS Use of Permit SQ. FT. @ DRAINAGE PIPING Parcel No. L ^ SQ. FT. DRINKING FOUNTAIN Use No. SQ. FT. URINAL k.by VALUATION $ WATER PIPING 'PI. Ck. Fee $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Legal Description AL!r Ac> �j' 77.75 F MECHANICAL FEES SWIM POOL, COMM R WATER SOFTENER Zone Grp VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) E Bond Amt. APPLIANCE ❑ DRYER Plan Checker Final Date GARBAGE DISPOSAL r FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Sp. Insp. Fee LAUNDRY TRAY $Const. Lender Address AIR HANDLING UNIT CFM IDLE METER Mileage Fee $ KITCHEN SINK Reinsp. Fee $ ABSORPTION SYSTEM E== B.T.U. TEMP USE PERMIT SVC el WATER CLOSET lip COMPRESSOR � HP POLE, TEMP/PERM Address /" LAVATORY lJ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Received by SHOWER Contractor E BOILER � B.T.U. SQ. FT. @ ¢ BATH TUB Trees required Sewage System /d.�.fl SQ. FT. C a Address I WATER HEATER City Zip I SQ. FT. RESID C 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR G '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT..FEEp SMI FEE' FEE PLUMB. FEE PERM IT NO. 1 2 781 Supp. Permit Job Address Space Zip Owner "�. •J, Community * Valuation E Date Dist.Off. / F.C. MH Permit Fee E Micro Film Fee Cop $ Use of Permit / `'-, i/ T / L �T Gi�/L/�tras Parcel No. L ^ Use No. k.by .Meth. Fee $ 'PI. Ck. Fee $ Set Backs Lot Size �a Construction Fee / E Legal Description AL!r Ac> �j' 77.75 F lj S S — R -Electrical Fee SMI Fee $ Zone Grp Type " Unit 'Plumbing Fee E Bond Amt. Plan No. Plan Checker Final Date Ins r Sp. Insp. Fee Demol. Fee $Const. Lender Address Branch I certify that in the performance of the work for which this permit is issued I sholl not employ any person in any monner so as to became subject to the workmen's com p.nsotion laws of California. City Zip Owner Signature Budder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent el lip rotol Fees $ t Address /" City lJ Zip M.O. ❑ N.C. ❑ Cash ❑ Check_ Received by Contractor E Tel. License # Trees required Sewage System /d.�.fl �' 'v, Idl Address I City Zip I Workers Comp. yes ❑ no ❑ I LL P District Form 284.208 (Rev. 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 1 HEREBY AGREE W I THAT ALL N N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE _1 WITH THELAWSOFRIV5QSIDECOU B4R-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. verif,ed by