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341260 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD. OFFICE _ PERMIT NO, 34.1266 ' COUNTY OF RIVERSIDE". Owner - s --7 DST �. CONSTRUCTION ESTIMATE. Date jf-^• �f, 'NO. ELECTRICAL FEES NO. PLUMBING FEES F.C. ' 1ST FL.- SQ. 2ND,FL._ FOR. GAR. Sb. CARP. WALL ESTIMATED CONSTRUCTION FT. Q $ 11H Permit Fee $ UNITS Use of Permit- •T _ / Parcel No. - YARD SPKLR SYSTEM SQ. FT. .(o} ' Ck.by. ti SQ. FT., MOBILEHOME SVC. BAR SINK I. Ck. Fee $ POWER OUTLET ROOF DRAINS FT. lot Size �� SQ. FT. F ' DRAINAGE PIPING n . Legal Description - ". `% ••, A + f+Ii'�0�- /'3G -3`/!S ..:J'�-•.VHT� DRINKING FOUNTAIN SQ. FT: (a} S �. URINAL . SQ. FT. R VALUATION $ WATER PIPING Zone NOTE: Not to be used as property tax valuation + Type SWIM POOL, PVT FLOOR DRAIN .MI Fee $ 'lumbing Fee / _ $ -- MECHANICAL FEES Plan No. SWIM POOL, COMM WATER SOFTENER " VENT SYSTEM', ❑FAN. ❑EVAP.COOL •, ❑`HOOD lemol. Fee $ - SIGN. WASHER (AUTO) I DISH) dileage Fee $ VVitness Fee $ - - APPLIANCE ❑ DRYER 2wner/Agent ry Tel. - - Zip GARBAGE DISPOSAL oral Fees $ M.O. ❑ N.C. ❑ Cash ❑ Chec Address 72 FURNACE ❑UNIT ❑WALL ❑ FLOOR ❑ SUSPENDED received by l Contractor - - LAUNDRY TRAY , License p - gees required AIR HANDLING UNIT CFM Address - .. IDLE METER KITCHEN SINK THIS.PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF •,ve,theci by: WORK'FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - I HEREBY AGREE THAT/0t N NVCTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6FS E 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 - " ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR' HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM Q FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. @ ¢, BATH TUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID @ I'Att SEWAGE DISPOSAL SQ. FT. GAR Cw • Y c HOUSE SEWER ` GAS PIPING ' PERMIT FEE PERMIT FEE PERMIT FEE 'TOTAL FEES . IMOB,HM. FEEF MICRO FEE MECH. FEE PL. CK: FEE I CONST. FEE ELECT. FEE SMI FEE FEE a PLUMB. FEE ............ PERMIT -NO. 3-412 0 Supp. Permit : Job Address Space Zip _ IY>z �= Owner - s --7 Community i �� Valuation $ • Date jf-^• �f, Dist.Off. /1 / F.C. ' 11H Permit Fee $ nitro Film Fee Cop $ Use of Permit- •T _ / Parcel No. - Use No.. Ck.by. ti rlech. Fee I. Ck. Fee $ Set Backs lot Size �� bnstruction Fee 0 $ X_ A41 Legal Description - ". `% ••, A + f+Ii'�0�- /'3G -3`/!S ..:J'�-•.VHT� F S �. S R !lectrical Fee /QbL. $ Zone Grey - Type Unit - .MI Fee $ 'lumbing Fee / _ $ -- Bond Amt. $ .. Plan No. Pion Checker •. 1�� Final. Date inspector _Q�r"-' /performance " ip. Insp. Fee $ lemol. Fee $ - ' Const. Lender -Branch - - ' I certify that in the 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 cam. .s pensmion lows of California." - - Address City Zip Owner Signature - 1 �t Builder Signoture :egistr. Fee $ - dileage Fee $ VVitness Fee $ - - leinsp. Fee $ 2wner/Agent ry Tel. - - Zip oral Fees $ M.O. ❑ N.C. ❑ Cash ❑ Chec Address 72 City Zip received by l Contractor - - Tel. - - License p - gees required iewage System / - �>V CO / T LL P Address - .. City - Zip + Workers' Comp. yes ❑ no ❑ THIS.PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF •,ve,theci by: WORK'FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - I HEREBY AGREE THAT/0t N NVCTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6FS E 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 - pewer District ' :arm 284.208 IRev. 4.771 ©sCALIFORNIA.