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348875 (SFD)BUILDING PERMIT +' DEPARTMENT OF BUILDING & SAFETYAift FIELD OFFICE PERMITNOO.. �4SU I% PERMIT NO. - COUNTY OF RIVERSIDE Space Zip - 31 Owner �•/1/L,/z/:, DST Community �`^1j �.t 4� �"� I!'�"i/T 348875 i Date /� / .7 Dist. Off. F.C. CONSTRUCTION ESTIMATE Micro Film Fee NO. ELECTRICAL FEES NO. PLUMBING FEES 3 sl. Ck. Fee $LG UNITS Electrical Fee Dbl $ ,9 ' Plumbing fee 1ST FL. SQ. FT. Bond Amt. $ Plan No. 3 713 Plan Checker 1 em -41 dam 2ND FL. SQ. FT. @ Inspector YARD SPKLR SYSTEM bemol. fee POR p SO FT @ MOBILEHOME SVC. Const. Lender A~ j BAR SINK Registr. Fee $1 GAR. -map SQ. FT. Q 9HE .3&,o POWER OUTLET Reinsp. Fee ROOF DRAINS CAR P. SQ. FT. @ Tel. Jlof - 57i 3� Zip - DRAINAGE PIPING �orol Fees WALL SQ. FT. ® 9, Address 7 '" /a �/ryy/// DRINKING FOUNTAIN SQ. FT. .8 M.O. ❑ N.C. ❑ Cash ❑. Check Received by URINAL Contractor ESTIMATED CONSTRUCTION VALUATION $ �7 Tel. License p WATER PIPING Sewage System NOTE: Not to be used as property tax valuation V l� /r SWIM POOL, PVT FLOOR DRAIN Workers' yes ❑ Comp. no ❑ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM7-2�`FAN ❑ EVAP. COOL EK HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE g DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC CZ WATER CLOSET COMPRESSOR 7- � HP % a POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY 3 aJ AMPERES SERV ENT Vito SHOWER BOILER B.T.U. SQ. FT. (ja ¢ BATH TUB SQ. FT. C5 ¢ WATER HEATER 3o8SQ. FT. RESID Gn 1'/.¢ /� 3S SEWAGE DISPOSAL SQ. FT. GAR @ Y/.¢ HOUSE SEWER GAS PIPING PERMIT FEE Quo PERMIT FEE 3d-� PERMIT FEE 3 DBL. TOTAL FEES MOB. HM. FEE MICRO FEE- MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE I PERMITNOO.. �4SU I% Supp. Permit Job Address Sc�-Jc7j vat 4.01275- Space Zip - 31 Owner �•/1/L,/z/:, Community �`^1j �.t 4� �"� I!'�"i/T valuation �7 $ � /� y, � � • Date /� / .7 Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit Parcel No. Use No.Ck.by 4 / K�� 773 G/ Set Backs Lot Size Le al Descri tion ^"' 9 p F� Q S—S S 1- /J —/��v��/f7 'r•-'�� Zone Grp Type Unit I ` `J" / 41ech. Fee Dbl $ aJ sl. Ck. Fee $LG construction Fee Dbl $ D Electrical Fee Dbl $ ,9 SMI Fee $ Z Plumbing fee Dbl $ Bond Amt. $ Plan No. 3 713 Plan Checker 1 em -41 dam Final Dote Inspector Sp. Insp. Fee $ bemol. fee $ Const. Lender A~ j Branch "I certify rhos in the performaAce of the work for whA this permit is issued I shall _ not employ any person in any manner so as to become subject to the workmen's corn. + pensation laws of Californio." Cites- y Zip Owner Signature _ (�—(/� Builder Signature Registr. Fee $1 'Mileage Fee $A Witness Fee $ Reinsp. Fee $ Owner/Agent �� i v� iG Tel. Jlof - 57i 3� Zip - �orol Fees $ 9, Address 7 '" /a �/ryy/// City /�Liy/ �.��, x•=77 Zip M.O. ❑ N.C. ❑ Cash ❑. Check Received by Contractor Tel. License p Tees required f Sewage System V l� /r Address City Zip Workers' yes ❑ Comp. no ❑ M District Form 284-208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified liy: WORK FOR 120 DAYS SH A AUSE RF MIT TO BECOME VOID. I HEREBY AGREE TH/A�TJA WO IN C CTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE 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.