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347294 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Amok FIELD OFFICE PERMIT NO. 347294 PERMIT NO.'{ 347294 Job Address COUNTY OF RIVERSIDE Space Zip SGO Owner DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Dare / NO. PLUMBING FEES Off. 1ST FL.. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATE f! $ FT. Q �� G 2 UNITS Micro Film Fee Cop $ Use of Permit ip ,(% G -T-��, YARD SPKLR SYSTEM SQ. FT. (a} Parcel No. SQ. FT. @ MOBILEHOME SVC. BAR SINK CCk�k.by FT. ® O-- POWER OUTLET ROOF DRAINS 1Pl. Ck. Fee E $Q. FT. ® DRAINAGE PIPING Lot Size SQ. FT. (a3 DRINKING FOUNTAIN legal Descfiption /Q /y A,07-7 T G.. /"�.� '7V{:. SQ. FT. ® URINAL :=11 VALUATION $ — WATER PIPING S NOTE: Not to be used os property tax voluotion SWIM POOL, PVT Zone FLOOR DRAIN Type Unit MECHANICAL FEES ,Electrical SMI Fee b SWIM POOL, COMM Dbl $ WATER SOFTENER Plan No. !,5 Pion Checker VENT SYSTEM AN ❑ EVAP. COOL Q400D. 0 SIGN ettor WASHER (AUT ISH) QD ,Sp. Insp. Fee $ APPLIANCE CJCDRYER 00 Const. Lender - Address Branch - City GARBAGE DISPOSAL ;Registr. Fee b 'Mileage Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Reinsp. Fee $ Owner/Agent LAUNDRY TRAY Tel. AIR HANDLING UNIT CFM t IDLE METER Address J KITCHEN SINK F.17-1011 City ABSORPTION SYSTEM B.T.U. ;Received by TEMP USE PERMIT SVCI Contractor Z S ^"T v WATER CLOSET 4 4110 Tel. C/ 3 dr o O COMPRESSOR 3 7— HP 00 POLE, TEMP/PERM 'Sewage System i, LAVATORY 90 HEATING SYSTEM FORCED. ❑ GRAVITY 00 2.4001 AMPERES SERV ENTIr 0.0 SHOWER BOILER B.T.U. SQ. FT. Cja ¢ 2P, BATH TUB i9a r SQ. FT. Ca ¢ WATER HEATER 0�? SQ. FT. RESID 8 1'/.¢ Q SEWAGE DISPOSAL 90 4140 SQ. FT. GAR @ V. 0 HOUSE SEWER GAS PIPING PERMIT FEE 30471 PERMIT FEE 3 QD PERMIT FEE 00 .DBL. TOTAL FEES a c- � ns0e. HM. FEE MICRO FEE MECH. FEE ,1 It142- PL. CK. FEE CONST. FEE ov ELECT. FEE 0 30 SMI FEE 9s' FEE PL MB. FEE o' PERMIT NO. 347294 Supp. Permit Job Address Space Zip SGO Owner Community U�yV Valuation p. VV $ 26 3Z — Dare / Dist. // Off. F.C. OQ� I iMH Permit Fee $ Micro Film Fee Cop $ Use of Permit ip ,(% G -T-��, �R,� Parcel No. Use No. CCk�k.by ,Mech. Fee Dbl $ 00 I' 1Pl. Ck. Fee E Set Backs Lot Size ,Construction Fee Dbl E legal Descfiption /Q /y A,07-7 T G.. /"�.� '7V{:. �% l vh :=11 F4?—% S Fee Dbl $ 30 Zone Grp Type Unit ,Electrical SMI Fee b :Plumbing Fee Dbl $ Bond Amt. $ Plan No. !,5 Pion Checker Final Dote Ins ettor ,Sp. Insp. Fee $ jDemol. Fee I $ Const. Lender - Address Branch - City "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 laws of California." Zip Owner Signature Builder Signature ;Registr. Fee b 'Mileage Fee $ i Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip t (Total Fees $ M.O. ❑ N.C. ❑ Cash ❑ Check Address City Zip ;Received by Contractor Z S ^"T v Tel. C/ 3 dr o O License P L7.3a ;Trees required 'Sewage System i, Address ^'i% / �.. ® L� City ��Lij•1 Zip Workeerrs' Comp. yes no ❑ (900T LL P& District Form 284208 (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 ACAUSMIJ TO BECOME VOID. I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AlTHE 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.