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335022 (SATT)BUILDING PERMIT PERMIT NO. 3350 22 CONSTRUCTION ESTIMATE I ST FL: '* SQ. FT. 2ND FL. SQ. FT. @ r POR. SQ.. FT. 1 Y A dU . D GAR.. 9 SQ. F.T. @ n • _,. CARP., SQ. FT.. @ WALL SQ. FT., (a� SQ. FT. ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used os property tax voluotion. DEPARTMENT OF BUILDING & SAFETY ' COUNTY OF RIVERSIDE . NO. ELECTRICAL FEES UNITS /7, � 4v - MOBILEHOME SVC. 5 POWER OUTLET SWIM -POOL. PVT FIELD OFFICE NO. PLUMBING FEES .YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING r FLOOR DRAIN PERMIT NO. 3 22 MECHANICAL FEES 'Job Address G�ir - Space "p SWIb1 POOL, COMM'' _ Community /- teMicro WATER SOFTENER jDo�/� VENT SYSTEM FAN. ❑ EVAP. COOL H006 Off. T— '(S (J , SIGN SIGN : Film Fee - Cop $ WASHER (AUTOI=%H1) e r -- %/ / 3 � G `Parcel g �, PiYP �.ry ! _ - No. . - APPLIANCE • DRYER �k.by P Pl. Ck. Fee 8 � Set Backs LotLot Size '-Zp 6/G"/ Construction Fee Dbl $ GARBAGE DISPOSAL 6 •. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED S� S J R® Electrical Fee Dbl- $ Zone -Grp LAUNDRY TRAY Unit -AIR HANDLING UNIT CFM Plumbing Fee Dal $ 37 7 IDLE METER Plan No. -� / /yv % KITCHEN SINK Inspector , ABSORPTION SYSTEM 0 B.T.U. Demol. Fee 8 TEMP USE PERMIT SVC - Branch, ''I certify that in the performance of the work for which this permit is issued 1 shall _ - not employ any person in any manner soas to become subject to the workmen's com. _ pensotion lows of California."- - - City Zip Owner. Signature Builder Signature Registr. Fee $ WATER CLOSET , ;Witness fee $ j Reinsp. Fee COMPRESSOR HP S v / 1 1 - POLE, TEMP/PERM k Total Fees $ (p��. M.O. 4 N.C. ❑ Coshy ❑ Check LAVATORY C /tl8 F �� HEATING SYSTEM FORCED ❑• GRAVITY �' Gr�j, AMPERES SERV ENT 5 aT SHOWER yd Workers' Comp, ' yes ❑. no Q BOILER B.T.U. SQ. FT. @ - ¢ BATH TUB e SQ. FT. O C WATER HEATER SQ. FT. RESID p 11G¢ 4' SEWAGE DISPOSAL Q ////f f SQ. FT. GAR Go 'Ga 3 HOUSE SEWER l GAS PIPING PERMIT FEEPERMIT FEE .3 6D / PERMIT FEE, - DBL. I TOTAL FEES�. rnoB. Hm: FEE MICRO FEE CH. F_EE.' - PL. CK. FEE CONST. FEE ELECT. FFA ..SMI FEE FEE - PLUMB•. PERMIT NO. 3 22 Supp. Permit 'Job Address G�ir - Space "p Owner _ Community /- teMicro Valuation jDo�/� Dist. I Off. T— F.C.. MH Permit Fee $,(b"' Film Fee - Cop $ e r -- %/ / 3 � G `Parcel g �, PiYP �.ry ! _ - No. . - Use No. �k.by Mech. Fee Dbl 8 � � Pl. Ck. Fee 8 � Set Backs LotLot Size '-Zp 6/G"/ Construction Fee Dbl $ ezcn �/ f C F S� S J R® Electrical Fee Dbl- $ Zone -Grp Type Unit SMI fee 8 Plumbing Fee Dal $ 37 7 Bond Amt. $ _ Plan No. -� / /yv P,II:)Checker !! f Final Dote /D-3- ! Inspector , Sp. Insp. Fee $ Demol. Fee 8 Const. Lender Address - - Branch, ''I certify that in the performance of the work for which this permit is issued 1 shall _ - not employ any person in any manner soas to become subject to the workmen's com. _ pensotion lows of California."- - - City Zip Owner. Signature Builder Signature Registr. Fee $ i Mileage Fee $ b ;Witness fee $ j Reinsp. Fee $ Owner/Agent Address - / 1 1 - Tel. .. Zi , P City - - Zip P - - - k Total Fees $ (p��. M.O. 4 N.C. ❑ Coshy ❑ Check Received by - C /tl8 F �� Contractor Tel.. - License# • Trees required ;Sewage System i ltns A dress y )� `�G 4� 3 '��/ ��/i1f (/ City - .r/y/� Sip F" j�/7�"/ Ile t� Workers' Comp, ' yes ❑. no Q Vr/" " LL PP --t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: .Sewer District 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 RIVF4SIDE 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 Form 284.208 (Rev. 4771 ©z CALIFORNIA.