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348720 (AR)BUILDING PERMIT DEPARTMENT •OF.BUILDING & SAFETY ,IgML FIELD OFFICE PERMIT NO. 3 4 8 7 2 8� PERMIT NO. 1348720 1/ COUNTY OF RIVERSIDE '�� Owner rDST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES uaI- n /}o n E 'L/ / NO. PLUMBING FEES Date / /'3�• 7E 1ST FL. SQ. 2ND FL. POR. GAR. " SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. ® ♦ $ UNITS MH Permit Fee $ Micro Film Fee SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. ® MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. Use No. Ck.b l FT. @ DRAINAGE PIPING Set Backs.� FT. ® DRINKING FOUNTAIN Lott S/iz�e/�'� �j��4.II f. leo X/©L/ SQ. FT. @ URINAL Legal Description `�j `r /j �� j �/ G a4f ,J 5C L—f VALUATION $ WATER PIPING y /f G+ NOTE: Not to be used as property tax valuation SWIM POOL, PVT, 'Electrical Fee Dbl $ FLOOR DRAIN Grp Type MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER ,Plumbing Fee Dbl 8 ,VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plan No. WASHER (AUTO) (DISH) Fina re ` ector. CCC...work APPLIANCE ❑ DRYER :Sp.Insp. Fee E Demol. fee GARBAGE DISPOSAL Const Lender - Branch - "I certify that in the performance of the or which this permit is issued I sholl . - not employ any person in any manner so as to become subject to the workmen's com. pensation'lows of California." " Address City Zip Owner Signature Builder Signature " FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED !Mileage Fee E Witness Fee E LAUNDRY TRAY $ AIR HANDLING UNIT CFM IDLE METER Zi KITCHEN SINK Total Fees $ M.O.❑ N.C. ❑ Cosh Chec ' ❑ ABSORPTION SYSTEM ,B.T.U. TEMP USE PERMIT SVC Received byContractor WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM License N LAVATORY Sewage System HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT City SHOWER Workers' Comp' yes ❑ no ❑ BOILER B.T.U. SQ. FT. Cay ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Q 1'A I SEWAGE DISPOSAL SQ. FT. GAR G '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL' TOT�A'LF ry5l l 7V'OV ]MOB, HM. Fee :MICRO FEE MECH. FEE PL. CK: Fg�. CONS:. FES O'c� ELECT, FEE SMf FJ:E FEE PLUMB. FEE PERMIT NO. 3 4 8 7 2 8� Supp. Permit Job Address Space I Zip Owner Co unity ♦ r/ry/n�q /� ,. P's/' / o �iLi % � uaI- n /}o n E 'L/ / �' 9� �"� Date / /'3�• 7E Dist. >/ F.C. / O� / -- MH Permit Fee $ Micro Film Fee Cop $ Use of Permit uA % x•°�'� , ! 1� /jam) . I R J /' ! �f j fry✓ Pe u • 7L `b/ t:.(J r ♦ Parcel No. '3 Use No. Ck.b l Mech. Fee Dbl $ SPl. Ck. Fee E _ Q Set Backs.� Lott S/iz�e/�'� �j��4.II f. leo X/©L/ Construction Fee Dbl $ Ile Legal Description `�j `r /j �� j �/ G a4f ,J 5C L—f F y /f G+ / S/ 'Electrical Fee Dbl $ Zo Grp Type Unit ' SMI Fee E ,Plumbing Fee Dbl 8 ` Bond Amt. Plan No. Plan Checker Fina re ` ector. CCC...work - - :Sp.Insp. Fee E Demol. fee $ Const Lender - Branch - "I certify that in the performance of the or which this permit is issued I sholl . - not employ any person in any manner so as to become subject to the workmen's com. pensation'lows of California." " Address City Zip Owner Signature Builder Signature " IRegistr. Fee $ !Mileage Fee E Witness Fee E IReinsp. Fee $ Owner�Agen - - - Tel. 'J Zi Total Fees $ M.O.❑ N.C. ❑ Cosh Chec ' ❑ AcKress ,;74 �U �(�t✓��i City -Zip _ Zip seq4 Received byContractor Tet. License N Trees required Sewage System Address - City Zip Workers' Comp' yes ❑ no ❑ -T LL P • . THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: Sewer Distrix I WORK FOR 120 DAYS SHALL PEA IT TO BECOME VOID. �eit� I HEREBY AGREE THAT K CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF ROWER51DE'COUNT AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT'THE INDIVIDUAL WHO- PREPARED THE PLANS AND SPECIFICATIONS HAS DONE • SOACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.2081Rev. 4771 ©s CALIINFORNIA.