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334729 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO . PERMIT NO. 334729 iW COUNTY OF RIVERSIDE 1101111"' �334729 v�e �: • Comm Comm nity ``.. J - w� Dsr / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES MH Permit Fee E NO. PLUMBING FEES Use of Permit - 1 ST FL. SQ. 2ND FL. POR, a 29 GAR. SQ. AIVCAR P. WALL ESTIMATED CONSTRUCTION FT. (al�� $ �s 7�� O UNITS Set Backs Lot Size Construction Fee Dbf b A�: / Z) Legal Description �/ 6;&,-,',-1 r�— f Ij O YARD SPKLR SYSTEM SQ. FT. (a3 SQ. FT. @ � � Oct � MOBILEHOME SVC.. BAR SINK Electrical Fee Dbl b 31/f FT. 8 r' POWER OUTLET ROOF DRAINS Grp SQ. FT. 8 DRAINAGE PIPING Unit DRINKING FOUNTAIN SQ. FT. Q SMI Fee b D SQ. FT. URINAL VALUATION $ �rJ ffg'a 4n? WATER PIPING a O NOTE: Not to be used as property tax valuation Final D� — SWIM POOL, PVT Sp. Insp. Fee $ FLOOR DRAIN Const. Lender Branch '-I certify that in the per ce of t . i r w , s permit is tssued I sholl not employ any person to any mon o o bloc ¢ workmen's com pensonon laws of California. Address City Zip _ Owner Signa ure Builder Signature -Registr. Fee $ MECHANICAL FEES Witness Fee b SWIM POOL, COMM O r z / �y� WATER SOFTENER Total Fees E pZ�� VENT SYSTEM ❑ FAN ❑ EVAP. COOL ,Ig HOOD 3 SIGN Received by / WASHER IAUT(*DISH) Tel. License # Trees required APPLIANCE 6E DRYER Address City Zip Workers'Comp. yes ❑ no ❑ GARBAGE DISPOSAL uz !! FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK a ABSORPTION SYSTE O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR L % HP POLE, TEMP/PERM LAVATORY 0 HEATING SYSTEM Z FORCED ❑ GRAVITY taJ AMPERES SERV ENT D SHOWER BOILER O B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Go ¢ WATER HEATER a SQ. FT. RESID p 1 t/.¢ f7 SEWAGE DISPOSAL p a2 SQ. FT. GAR 9 3/.¢ 3 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 3 PERMIT FEE 3 D DBL. TOTAL FEES a� �9 MOB. HM. FEE - MICRO FEE MECHH�� a o PL. CK. FEE CONST: FEE is 7'` ELECT. FEE SMI FEE - FEE - - PLUMB. FEE --'//' — PERMIT NO . Supp. Perm �Job Address� Space �3Owner �334729 v�e �: • Comm Comm nity ``.. J - w� Valuation Dat /` 7 � �S4 e(%"'G Dist. - f Z F.C. MH Permit Fee E Micro Film Fee Cop5 _ Use of Permit - Parcel No. �j Use No. Ck.by Mech. Fee Obl E PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbf b A�: / Z) Legal Description �/ 6;&,-,',-1 r�— f Ij O [ S`� Electrical Fee Dbl b 31/f Zoe Grp T e Unit SMI Fee b D Plumbing Fee Obl E Bond Amt g Plan No. 3 Planf}y1/ �j/� moi' Final D� — Insp /trot Sp. Insp. Fee $ Dental. Fee _ b Const. Lender Branch '-I certify that in the per ce of t . i r w , s permit is tssued I sholl not employ any person to any mon o o bloc ¢ workmen's com pensonon laws of California. Address City Zip _ Owner Signa ure Builder Signature -Registr. Fee $ Mileage Fee E Witness Fee b Reinsp. Fee E O r z / �y� Tel. Zip Total Fees E pZ�� d i !C�^�.. u. City T tine �) %/� ` Zip � �I7''/[/ A)el?' M.O.❑ N.C.❑ Cash Chec Received by Contractor Tel. License # Trees required Sewage System Address City Zip Workers'Comp. yes ❑ no ❑ Sewer District (( , ,l Form 284-208 (Rev. 4771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. i HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV%SIDE COUNTY 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. /,