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349055 (SATT)BUILDING PERMIT ar DEPARTMENT OF BUILDING & SAFETY .,dgllk FIELD OFFICE PERMIT NO. 349055 RMIT NO. 1349055] '� COUNTY OF RIVERSIDE` Owner P Community 1 /r`/y �/ii/((% Valuation E� ii CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES MH Permit Fee E 1 ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION F.T,.. / r $ Use of Permit (/Y/�f UNITS � Use No. Ck.by Mech. Fee DblZIA PI. Ck. Fee E YARD SPKLR SYSTEM SQ. FT.,-. @ Lot Size 5�Z2' l x /e C> SQ. FT. .@ /.�. MOBILEHOME SVC. BAR SINK Legal Description /� ,7/Zone /•ti— �• FT. POWER OUTLET ROOF DRAINS SO. FT. (a} DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN Grp ' SQ. FT. @ URINAL Unit/ VALUATION $ WATER PIPING SMI Fee E NOTE: Not to be used as property tax valuation Obl E SWIM POOL, PVT Plan No. ? / Plan Checker er FLOOR DRAIN Ins`/pe—�dor ` ' MECHANICAL FEES Demo). Fee SWIM POOL, COMM Const. Lender . Branch -'I certify that in the performcoce of the work for which this permit is issued I shag - not employ any person in cny manner so as to become subject to the workmen's com. penscrion lows of California." Address City Zip ' _ Owner Signature Builder Signature IRegisir. Fee E WATER SOFTENER Witness Fee E Reinsp. Fee VENT SYSTEM FAN ❑ EVAP. COOL K HOOD �_� SIGN Total Fees WASHER (AUTO) (DISH) Address City Zip APPLIANCE JirDRYER Received Con cto '` J GARBAGE DISPOSAL Trees required Sewage System FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Add `% , 9 /,+ A , i ✓IiI-NV ��,(/ %�y�/�'Iv Ci ! Zip �� Workers' Comp. yes ❑ no ❑ LAUNDRY TRAY AIR HANDLING UNIT IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET _ COMPRESSOR � HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM KFORCED C] GRAVITY 1 ®O AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. Go (t BATH TUB _ SQ. FT. 6 ¢ WATER HEATER SQ. FT. RESID @ I tbtr SEWAGE DISPOSAL SQ. FT. GAR 6 '/.¢ HOUSE SEWER GAS PIPING 0-01 PERMIT FEE PERMIT FEE _ / PERMIT FEE DBL. F TOTAL FEES 1100B. HM. FEE MICRO FEE MECH. F�EEj L. CK. FEE CONST. FEE I ELECT, FEE SMI F�EE/ FEE PL MB. FEE PERMIT NO. 349055 Supp. Permit Job Address ��// s �3 �� 1 Space Zip 5 Owner P Community 1 /r`/y �/ii/((% Valuation E� �DoDist. Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit (/Y/�f Parcel No. Use No. Ck.by Mech. Fee DblZIA PI. Ck. Fee E Set Backs Lot Size 5�Z2' l x /e C> Construction Fee Dbl E Legal Description /� ,7/Zone /•ti— �• Electrical Fee Dbl E Grp ' Type Y Unit/ 1 SMI Fee E Plumbing Fee Obl E Bond Amt. E Plan No. ? / Plan Checker er Final Dole Q' `z O Ins`/pe—�dor ` ' Sp. Insp. Fee E Demo). Fee E Const. Lender . Branch -'I certify that in the performcoce of the work for which this permit is issued I shag - not employ any person in cny manner so as to become subject to the workmen's com. penscrion lows of California." Address City Zip ' _ Owner Signature Builder Signature IRegisir. Fee E ;Mileage FeeE Witness Fee E Reinsp. Fee E Owner/Agent Tel. zip Total Fees E Address City Zip Cash ❑ Chec M.O. .C.Pit Received Con cto '` Tel. r 5"1— License # h Trees required Sewage System /G/ Add `% , 9 /,+ A , i ✓IiI-NV ��,(/ %�y�/�'Iv Ci ! Zip �� Workers' Comp. yes ❑ no ❑ dvv a 4WIlI Sewer Distrix K tv\ Form 284.208 1Rev. 4.77) ©s THIS PERMIT SHALL BECO E VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHAL E gH�RAIT TO BECOME VOID. I HEREBY AGREE THA L ORK CONNECTION' WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDECOUNT AND THE STATE OF CALIFORNIA. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.