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341271 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAF ET:FIELD OFFICE J PERM IT NO. 341271 PERMIT No. 3412711 . COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P! WALL . - ESTIMATED CONSTRUCTION FT. 8 $ UNITS YARD SPKLR SYSTEM SQ. FT,. (a} FT. ®_ MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. 8 SQ. FT.. Cil DRAINAGE PIPING SQ. FT. Q DRINKING FOUNTAIN SQ. FT. URINAL VALUATION $ WATER PIPING NOTE: Not to be. used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MH Permit Fee $Z2�>A- MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Cop b VENT SYSTEM ❑ FAN Q EVAP. COOL . ' ❑ HOOD SIGN WASHER (AUTO) ( DISH) Use of Permit TI�'4 r APPLIANCE ❑ DRYER GARBAGE DISPOSAL Use No. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Mech. Fee / DbL AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Set B cks ABSORPTIONSYSTEM O B.T.U. TEMP USE PERMIT SVC _ WATER CLOSET :onstruxion Fee / Electrical Fee COMPRESSOR HP POLE, TEMP/PERM LAVATORY Legal Description 447 �•� ��. ��iy �v�� p2 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T:U. SQ. FT. p ¢ BATH TUB R SQ. FT. Ga ¢ WATER HEATER /G. SQ. FT. RESID p 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ga 1/.¢ HOUSE SEWER SMI Fee b _ Plumbing Fee / GAS PIPING PERMIT FEE. PERMIT FEE PERMIT FEE Plan Checker QBL— TOTAL FEES ToB.HM.FEE1 - MICROFEE MECH. FEE PL: CK. FEE . CONST. FEE ' ELECT.FEE SMI FEE FEE PLUMB. FEE3 PERM IT NO. 341271 Supp. Per it i^ t �� Job Address Space Zip Owner ` Community iv7W Valuation. Dote •O Dist. J Off. F.C. .. MH Permit Fee $Z2�>A- Micro Film Fee Cop b Use of Permit TI�'4 r Parcel No. Use No. Ck.by Mech. Fee / DbL PI. Ck. Fee 8 Set B cks Lot Size „•S�i �� .. :onstruxion Fee / Electrical Fee D E DIaL.$ Legal Description 447 �•� ��. ��iy �v�� p2 F 5 R Z_oneGrpt/ ��, /G. Type Unit �'`T. - SMI Fee b _ Plumbing Fee / b Bond Amt. g Pion No. � Plan Checker Final Date �7 Inspect �( / " Sp. Insp. Fee �. $ Demol. Fee E Const. Lender Branch - 'I certify thot in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- - pensation laws of California." Address City Zip Owner Signature " Builder Signature Registr. Fee S Mileage Fee b 'Witness Fee b Reinsp. Fee $ Owner/Agent 9 • Tel. (�Cr3 Zip Total Fees - S d Address 7'�"� n City :/ �. zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by Contractor Tel. License # - Trees required Sewage System /T LL J P Address , _ • City "Zip Workers* Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMITTO BECOME VOID. I HEREBY AGREE THAT ALLK�WITH THIS PERMIT WILL BE DONE IN ACCORDANCE NITHTHELAWSOF.RIVEkQSIDE Y 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.' - -verified by: Sewer Distrix Form 284-208;Rev. 4.771 ©s'