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349230 (TT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 'PE RM IT NO. 3 4 9.23 0 PERMITNO. 13,4923D - '1COUNTY-OF RWERSIDE W DST CONSTRUCTION'ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES • 1ST FL. 2ND -FL. POR: GAR. SO.. .CAR P. _ WALL 'd f7' ? �L ' ESTIMATED CONSTRUCTION ^ SQ. FT. 8 $ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. F.T. MOE-ILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. SQ. FT.., @ - DRAINAGE PIPING _ SQ., FT. 8 DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE:. Not to be used as property tax valuation SWI M POOL, PVT FLOOR DRAIN -Micro Film Fee MECHANICAL FEES SWI -A POOL, COMM WATER SOFTENER Use of Permit. T - 4e 5 / y 'msc.s14 / Q VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGPI WASHER IAUTO)1 DISH) Use No. APPLIANCE ❑ DRYER GARBAGE DISPOSAL Mech. Fee Dbl $ FURNACE, ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Set Backs AIR HANDLING UNIT CFM IDLEMETER KITCHEN SINK ,Construction Fee Dbl $ ABSORPTION SYSTEM � B.T.U. TEM? USE PERMIT SVC WATER CLOSET F G•// COMPRESSOR OHP ROL=,TEMP/PERM LAVATORY ' HEATING SYSTEM O'FORCED ❑ GRAVITY AMI'ERES SERV ENT SHOWER -Electrical Fee - Dbl $ BOILER 0 B.T.U. SQ. FT. @ ¢ BATHTUB Grp SQ. FT. Co, Q WATER HEATER Unit - SO. FT. RES ID p 1 t/.¢ SEWAGE DISPOSAL ,SMI Fee $ SQ. FT. GAR Ca • '/.¢ HOUSE SEWER Dbl- $ Bond Amt. $ GAS PIPING Plan Checker PERMIT FEE PERMIT FEE PERMIT FEE conk% DBL. I TOTALab 11,10......F . EE - MICRO FEE -MECH. FEE PL. CK. FEE.CONST. FEE - ELECT. FEE SMI FEE , •jam9 •FEE PLUMB. FEE 'PE RM IT NO. 3 4 9.23 0 Supp. Permit 3 y Z z Job Address Space Zip 3 s 64 ilte 5� A �o� Z,?.s3 Owner - r3A2� R . Community. �., t / tY ✓ /, Voluation Dolee Dist. +Offer. F.C..- -MH Permit Fee $ -Micro Film Fee Cop $ Use of Permit. T - 4e 5 / y 'msc.s14 / Q Paarrcceell No. Use No. Ck.by Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size d g ,Construction Fee Dbl $ Legal Description 'a _ L` - +J 75— S G �.+ + ZL•••- , F G•// -Electrical Fee - Dbl $ Zone Grp Type Unit ,SMI Fee $ :Plumbing Fee Dbl- $ Bond Amt. $ Plan No. Plan Checker F' a Inspe ' Sp. Ins p. Fee $ Dental. Fee. , $ ., Const. Lender Branch - 'I certify that in the performance of t rk for which this permit i:issued I shoes .. - not employ any person in any manners o become subject to the workmen's com- - pensotion lows of California." Address City Zip Owner Signature w Builder Signature Registr. Fee $ - Mileage Fee $ . Witness Fee $ `Reinsp. Fee $ Own / em - ,Tel. Zip Total Fees M.C. C] N. $ Cosh C3 Chec Address Zip City. - bz L.��It Received by Contractor - - s Tel. License # ' Trees required Sewage System . _..,. -. ... .. T LL P Sewer District \ I;;... Form 284.208 Mev. 4.771 ©s Address - City - Zip Workers Comp. yes O no THIS PERMIT SHALL BECOME VOID IF `YORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHAG O E 16jAMT,TO BECOME VOID. I. HEREBY AGREE THAWORK CDNNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY ANC 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.