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323775 (SFD)
BUILDING PERMIT t; DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERM IT NO.Supp. 'p PERMIT NO. 3Z377 f COUNTY OF RIVERSIDE Space - Owner - d. © C DST �,. CONSTRUCTION ESTIMATE Community e�/4' NO. ELECTRICAL FEES Valuation $ NO.' PLUMBING FEES Date —?11� I 1 ST FL. SQ. 2ND. FL. POR. GAR.. SQ. CAR P. SQ. WALL . ' SQ. ESTIMATED CONSTRUCTION FT,.. @ oeg� $ � UNITS MH Permit Fee 8 Micro Film Fee Cop 8 SQ. FT.. @ I YARD SPKLR SYSTEM SQ. FT.. (a} /y� �f� MOBILEHOME SVC. BAR SINK Use No. POWER OUTLET ROOF DRAINS FT. @ Ck.by FT. tai DRAINAGE PIPING PI. Ck. Fee $ FT. DRINKING FOUNTAIN Lot Size SQ. FT. 8 URINAL Construction Fee Dbl $ - 41 VALUATION $ WATER PIPING - NOTE: Not to be used os property tax voluotion S..S SWIM POOL, PVT R �/ FLOOR DRAIN Zone .« MECHANICAL FEES - Type SWIM POOL, COMM WATER SOFTENER Plumbing Fee VENT SYSTEM y F.AN ❑EVAP.'COOL HOOD Band Amt. $ SIGN Plan Checker WASHER (AUT ISH). Inspector �� _ �. APPLIANCE DRYER. Sp. Insp. Fee 8 Dental. Fee GARBAGE DISPOSAL Const. Lender _ Address FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED s I com. Registr. Fee 8 Mileage Fee $ LAUNDRY TRAY Reinsp. Fee AIR HANDLING UNIT CFM Owner/Agent IDLE METER Tel. / KITCHEN SINK ABSORPTION SYSTEM B.T.U. $ S "'! TEMP USE PERMIT SVC - WATER CLOSET Zip COMPRESSOR HP 07 POLE, TEMP/PERM Contractor LAVATORY —12 HEATING SYSTE RFORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. Workers* yes , ❑, SQ. FT. p ¢ BATH TUB SQ. FT. 6 ¢ WATER HEATER SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR CEJ 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 3 PERMIT FEE DBL. TOTAL FEES JAZIt. - MOB. HM. FEE ' MICRO FEE .IAA ECH:i^EE ,2 e-= CK. FEE PL2? CONST. FEE /o �=' ELECT. FEE 3t= SMI -FEE �' FEE PLUMB. FEE 33 cry PERM IT NO.Supp. Permit Job Address � - Space Zip Owner - d. © C Community e�/4' ��.f/� Valuation $ Date —?11� I Dis Off. • F.C. � MH Permit Fee 8 Micro Film Fee Cop 8 Use of Permit Parcel No. Use No. Ck.by Mech. Fee Dbl $ PI. Ck. Fee $ et Backs Lot Size Construction Fee Dbl $ - 41 Legal Description J / yy ��q ��//-•� d—.�I % / cagrc f�f/� / ,�C.� - F �Q S..S S ,�% R �/ Electrical Fee Dbl $ Zone .« Grp Type Unit SMI Fee E Plumbing Fee Dbl 8 - Band Amt. $ Plan No. Plan Checker Final D /La t t �� J . 7 f' JJJ Inspector �� _ �. Sp. Insp. Fee 8 Dental. Fee $ Const. Lender _ Address Branch "I certify that in the per ormonce of the.or which t Is permit is issu not employ any person in any manner so as t come subject to the workmen's pensotion laws of California." City Zip. -Owner Signature a' - Builder Signature s I com. Registr. Fee 8 Mileage Fee $ Witness Fee $ Reinsp. Fee 8 Owner/Agent t R& 4 40J, Tel. / Zip Total Fees $ S "'! Address - City ' - Zip M.O. ❑ N.C. •❑ Cash ❑ Ch k Received by Trees required' - Contractor Tel. - License # - Sewage System Address City Zip Workers* yes , ❑, Comp. no C] I T LL P Sewer District Form 284.208 (Rev. 4.77) ©s IHIJ PtKMiI JHALL bt(-UMt VUIU It' WUKK IJ NUI CVMMtNL,tU WIININ IlU UATJ. LtJJAIIUN VY venneo oy: 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 RIVERSIDE COUNTY AND THE STATE"OF CALIFORNIA. Y N 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.