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349457 (RPL)1 ' f . BUILDING PERMIT `• ��-.`DEPARTMENT. OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 3'4 4 5 7 PERMIT No. _ 3.4945 COUNTY OF RIVERSIDE InaZ6e,�� • �o �� osT CONSTRUCTION ESTIMATE t NO. ELECTRICAL FEES Valuoti%/+ /t .G $ , Vy 00 O u V NO. PLUMBING FEES Dist. ,/ 1ST FL. :., SQ. 2ND.FL. r FOR. GAR. SQ. ' CAR P. //BALL Ziw- ESTIMATED CONSTRUCTION _ FT. @ $ UNITS MPermit Fee - $ SQ.,FT. @ YARD SPKLR SYSTEM SQ. FT. MOBILEHOME SVC. BAR SINK Parcel No. POWER OUTLET ROOF DRAINS FT. ®. Ck. by SO. FT., @ DRAINAGE PIPING PI. Ck. Fee $Set SQ. FT. ® DRINKING FOUNTAIN Lot Size SQ. FT. ® URINAL Construction Fee Dbl $00 VALUATION $ ��Q •� WATER PIPING NOTE: Not to be used as property tax valuation f SWIM POOL, PVT QD FLOOR DRAIN �Q Grp MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SMI Fee $ [. Plumbing Fee VENT SYSTEM ❑ FAN ❑ EVAP..000L ❑ HOOD SIGN Bond Amt. $ WASHER (AUTO) (DISH) Plan Checker APPLIANCE ❑ DRYER Inspector � - s- GARBAGE DISPOSAL Demol. Fee • $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR. ❑ SUSPENDED _ - Branch -I certify that in the performapce of 1 ork for which this permit is issued I shall - - 'not employ any person in any manner soV to become subject to the workmen's com- pensation laws of California.- City Zip Owner Signature V . Builder Signature LAUNDRY TRAY Iylileoge Fee E Witness Fee $ AIR HANDLING UNIT CFM IDLE METER. KITCHEN SINK - Tel. ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC • oral fees WATER CLOSET Z Address •, - COMPRESSOR 0 HP POLE, TEMP/PERM - Zip LAVATORY Received by HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT - //J� Z / w (/�/f' SHOWER License p -1 Freesrequired BOILER B.T.U. SQ. FT. p ¢ ._ BATH TUB r Q /J' ` AA4kSl r/£ ✓I� City Zip f� iw //(i I J Workers' Comp. Yes•. no ❑ SQ. FT. 0 ¢ WATER HEATER 00 SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ca, sb¢ HOUSE SEWER / GAS PIPING v� PERMIT FEE PERMIT FEE 3 PERMIT FEE 3 Qct DBL. 00 2FEESe MOB. HM. FEE MICRO FEE . MECH. FEEPL.. CONST. FEE ELECT. FEE ' sMl FEE .. FEE PD. FuE L,�1B PERMIT NO. 3'4 4 5 7 Supp. Permit Job AddressOwner -5-7,0 c-� Zip - Space /a�� ` c InaZ6e,�� • �o �� Community _ ?H / f " 4 Valuoti%/+ /t .G $ , Vy 00 O u V Date �L� / '� Dist. ,/ 'O%ff.� �!► ... F.C. ZQ MPermit Fee - $ Micro Film Fee Cop $ Use of Permit �^ s j . PV � •- 44J - s Parcel No. Use No. Ck. by Mech. Fee Dbl $ PI. Ck. Fee $Set Backs Lot Size Construction Fee Dbl $00 Legal Description - G/ U � � , � /O Electrical Fee - Dbl $ 406 Zone � ` Grp Type Unit SMI Fee $ [. Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date ✓ �' Inspector � - s- Sp. Insp. Fee $ Demol. Fee • $ Const. Lender Address - Branch -I certify that in the performapce of 1 ork for which this permit is issued I shall - - 'not employ any person in any manner soV to become subject to the workmen's com- pensation laws of California.- City Zip Owner Signature V . Builder Signature - Registr. Fee $ Iylileoge Fee E Witness Fee $ Reinsp. Fee $ Owner/Agent - - Tel. ZIP oral fees E Z Address •, - _ 4� City - - •• - - - Zip M.O. ❑C. ❑ Cash C]Check Received by Cont a /// P;�• - //J� Z / w (/�/f' Tel. �� ,%� `IVT/ License p -1 Freesrequired �ewoge System ... .. ._ Address V r Q /J' ` AA4kSl r/£ ✓I� City Zip f� iw //(i I J Workers' Comp. Yes•. no ❑ T LL P t ewer District - L Form 284.208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified byt: WORK FOR 120 DAYS SHAkitL,10 -4,IiUSE MIT TO BECOME VOID. y' I HEREBY AGREE T O mN C N ION' WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ' �r WITH THE LAWS OF RIVERSIDE CO TY 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.