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341101 (SATT)BUILDING PERMIT jft- DEPARTMENT OF BUILDING & SAFETY A& FIELD OFFICE PERMIT NO. 341101 PERMITNO.� 341101 COUNTY OF RIVERSIDE - OST CONSTRUCTION ESTIMATE NC. ELECTRICAL FEES NO. PLUMBING FEES 1STFL. 2ND FL._ POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION SO.. FT. ® $ UNITS SQ. FT. 8 YARD SPKLR SYSTEM SO. FT. (a}_ MOBILEHOME SVC. BAR SINK FT. 8 POWER OUTLET ROOF DRAINS SQ. FT. DRAINAGE PIPING SQ. FT.la3 DRINKING FOUNTAIN SQ. FT. (+i URINAL VALUATION $ _ WATER PIPING NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM C] FAN. EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Micro Film Fee . APPLIANCE DRYER GARBAGE DISPOSAL FURNACE Q UNIT 0 WALL C] FLOOR ❑ SUSPENDED LAUNDRY.TRAY - Parcel No. AIR HANDLING UNIT CFM • IDLE METER KITCHEN SINK •;Ck by ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET PI. Ck. Fee $ COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Lor Size HEATING SYSTEM 0 FORCED 0 GRAVITY AMPERES SERV ENT SHOWER Legal Description - v BOILER B.T.U. , SO. FT: p ¢ BATH TUB S -.)—s SQ. FT. Cw ¢ WATER HEATER « SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL Zone SQ. FT. GAR Oa 1/.¢ HOUSE SEWER Type GAS PIPING �_ PERMIT FEE PERMIT FEE' PERMIT FEE "lumbing Fee Dom,• TOTAL FEES M08. NM. EEE MICRO FEE , MECH. FEE PL. CK. FEE CONST. FEE - ELECT. FEE � 'SMI FEE is FEE PLUMB. FEE Jti PERMIT NO. 341101 Supp. Permit �.,��T Job Address - Sp Zip - � - Owner - �- Community r% i Valuation . $ Date :2 Dist. Off. F.C. MH Permit Fee E- Micro Film Fee . Cop $ Use of Permit /7 y� - .. �.. Ar , , - /' - Parcel No. Use No. •;Ck by Mech.Fee Dbl $""""��C PI. Ck. Fee $ Set Backs Lor Size :onstruction Fee Dal $ Legal Description - v F O& S -.)—s -SIR °learical Fee Dbl $ Zone Grp Type Unit WI Fee E "lumbing Fee Dal $ �., Bond Amt $- Plan No. Plan Cl ecker Final Date In, r :p. Insp. Fee E Dermal. Fee $ Const. Lender BroncF. '-I certify that 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. - pensotion lows of California." Address« Ciry Zip Owner Signature ' Builder Signoture 7egistr. Fee $ .Aileage Fee $ Nitness Fee E leinsp. Fee 8 Owner/Agent Tel. V Zip btal Fees $ Address City Zip M.O.C] N.C. ❑ Cash C3 Check feceived by - Contractor I Tel. License p - 4ees required =wage System �d LL. =wer District Farm 284.208 (Rev. 4-771 ©s �PX/ \ Address - ' City Zip Workers' Comp. yes 0 • no 0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIONOFverified by: WORK FOR 120 DAYS SHALL ALSO CAUS" PERMIT TO BECOME VOID. - I HEREBY AGREE THAT ALL WORK ltf CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVWSIDE COUNTY PND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5!41 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -