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341120 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY jnk FIELD OFFICE PERMIT NO. 3 4112D PERMIT NO. 3411 20 _ r� COUNTY OF RIVERSIDE Community - D'ST ,r CONSTRUCTION ESTIMATE 'NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES 1ST FL. SQ. FT.. ® $ 2ND FL.. SQ. FT. @ . • POR. SQ. FT. Ca3— GAR. SQ. FT. @ CAR P. SQ. FT. : @ WALL SQ. FT. 8 SQ. FT.. ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET Micro Film Fee YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used os property tax voluotion SWIM POOL, PVT Use No. - FLOOR DRAIN Ck.by Nech. Fee Dal $ I MECHANICAL FEES SWIM POOL, COMM I Lot Size �. WATER SOFTENER Legal Description -y �%/ �� '®. „:��GaF F VENT,SYSTEM . ❑ FAN ❑.EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) ZoneGrp %�� APPLIANCE ❑ DRYER Unit - GARBAGE DISPOSAL tlumbing Fee Dal $Bond FURNACE. ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Amt. 7 $1,5 F.IonNo LAUNDRY TRAY Final Doteip. /7' / AIR HANDLING UNIT CFM IDLE METER Insp. Fee $ KITCHEN SINK $ - ABSORPTION.SYSTEM 0 B.T.U. TEMP USE PERMIT SVC dileage Fee $ WATER CLOSET leinsp. Fee $ COMPRESSOR O HP POLE, TEMP%PERM Tel. - LAVATORY oral Fees HEATINGSYSTEM - ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Address •.•�. ,7. 6 SHOWER Zip M.O. ❑ N.C. ❑ Cash ❑ Check BOILER 0 B.T.U. SQ. FT. 8 ¢ BATH TUB Tel. License N SQ. FT. Ga ¢ Iewoge System T LL ewer District arm 284208 (Rev. 4771 as WATER HEATER Address City Zip Workers' Comp. yes ❑, .no. ❑ SQ. FT. RESID 9 1'/¢ SEWAGE DISPOSAL SQ. FT. GAR Cw. 1/.¢ HOUSE SEWER GAS PIPING. PERMIT FEE PERMIT FEE PERMIT FEE DBL. I TOTAL FEES MOB. HM. FEE J MICRO FEE MECH. FEE FL. CK: FEE I CONST. FEE, ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 4112D Supp. Permit 3,, Job Address - - Spate Zip - - Owner -� �� Community - ` Valuation Dote Dist. Off. F.C. NH Permit Fee- $ Micro Film Fee Cop $ Use of Permit�• 1 X14:�.�- '�I�I,�. �.�-^ /-� Parcel No. _ 3 Use No. - Ck.by Nech. Fee Dal $ tl. Ck. Fee $ Set acks I Lot Size �. :onstructionFee Dbl $ - Legal Description -y �%/ �� '®. „:��GaF F S S.,--' :Iectricol Fee Dbl $ ZoneGrp %�� Type Unit - ;Ml Fee $ tlumbing Fee Dal $Bond Amt. 7 $1,5 F.IonNo Ran Checker Final Doteip. /7' / Insp. Fee $ )emol. Fee - $ - Const. Lender branch "I certify that in the performance of the work for 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 loon of California.' , Address City Zip _ y Owner Signature - L f Bvtlder Signature :egisrr. Fee $ - dileage Fee $ Nitness Fee $ leinsp. Fee $ Owner/Age Tel. - Zip oral Fees $ Address •.•�. ,7. 6 City �, Z__ +t Zip M.O. ❑ N.C. ❑ Cash ❑ Check teceived by Contractor " - Tel. License N Tees required Iewoge System T LL ewer District arm 284208 (Rev. 4771 as P Y Address City Zip Workers' Comp. yes ❑, .no. ❑ THIS PERMIT SHALL BECOME -/OID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: 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 bVITH THE LAWS OF RIV6CSIDECOINTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE 14DIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE - SO IN ACCORDANCE WITH SECTIDN 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA• -