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349098 (SATT)
k",v 'BUILDING PERMIT ar DEPARTMENT OF BUILDING & SAFETY igilk FIELD OFFICE t - PERMITNO. 34909d 'ERM IT NO. 3 49098 ; ,; COUNTY OF RIVERSIDE - '. - DST CONSTRUCTION ESTIMATE ri'4?,�" Valuation '.. �/7� — NO. ELECTRICAL FEES Dist. NO. PLUMBING FEES F.C. 1ST FL. _../C:PC;L3 SQ., 2ND FL. - POR. 3 GAR. SQ. CARP. SQ. -. WALL SQ. ESTIMATED CONSTRUCTION FT. , @,a $ -dao 3 UNITS Cop $ Use of Permit��yy _ .iii. �/- W.'FT. YARD SPKLR SYSTEM Parcel No. q- ar /74�f SQ. FT. @ MOBILEHOME SVC. BAR SINK Ck.by FT. @ G lj POWER OUTLET ROOF DRAiNS IPI. Ck. Fee $ FT. ® DRAINAGE PIPING Lot Size 440 FT., ® DRINKING FOUNTAIN Construction Fee • Dbl $ I /� SQ. FT. -@ URINAL ��' J, a y V�•�/'+�/ G 4000 VALUATION $ WATER PIPING S J NOTE: Not to be used as property tax valuation SWIM POOL, PVT Zone / FLOOR DRAIN Type Unit MECHANICAL FEES SMI Fee $ 6 SWIM POOL, COMM Dbl $ WATER SOFTENER Plan, No. Q �� % - Pion Checker • v <.:r��`�7 VENT SYSTEM JdFAN ❑ EVAP. COOL & HOOD Inspector [ a n ... SIGN �Sp. Insp. Fee ; WASHER (AUTO) ( H) $ - Const. Lender ,� Address - APPLIANCE DRYER I shalt com- IRegistr. Fee $ Mileage Fee $. GARBAGE DISPOSAL 'Reinsp. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED " Tel. - zip LAUNDRY TRAY Total Fees $ Qy & AIR HANDLING UNIT CFM IDLE METER Zip KITCHEN SINK Received by ABSORPTION SYSTEM 0 B.T.U. el. - License # �G .2" TEMP USE PERMIT SVC 'Trees required WATER CLOSET Address , %7 COMPRESSOR -�olt %/ � HP 7 J'fj POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. Go ¢ 'BATHTUB SQ. FT. WATER HEATER Q. FT. RESID @ I Aa 2el SEWAGE DISPOSAL SQ. FT. GAR @ s/.¢ - HOUSE SEWER GAS PIPING PERMIT FEE a.D PERMIT FEE PERMIT FEE DBL.TOTAL FEES IMOB. HM. FEE MICRO FEE MECH. FEE PL. CK..FEE., CONST. FEE. ELECT. FEE SMI FEE .. FEE PLLTUB.FEE PERMITNO. 34909d Supp. Permit Job Address Space Zip Owner - Community ��"•P';� /09 ri'4?,�" Valuation '.. �/7� — Dote �00? Dist. Off.• F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit��yy _ .iii. �/- Parcel No. q- ar /74�f Use No. Ck.by .Meth. Fee Dbl $ ? a,JLlo IPI. Ck. Fee $ Set Backs Lot Size 440 - Construction Fee • Dbl $ I /� Legal Description A15r"O 7- /JL .3i/ / /.7 ��' J, a y V�•�/'+�/ G 4000 F �.O S J S� Electrical Fee DbI $ Zone / Grp 11?3 Type Unit - SMI Fee $ 6 Plumbing Fee Dbl $ Bond Amt. $ Plan, No. Q �� % - Pion Checker • v <.:r��`�7 Final Date ��� ,J �C Inspector [ a n ... �Sp. Insp. Fee ; jDemol. Fee i - $ - Const. Lender ,� Address - Branch .. "I certify that in the performance of the work or which this permit is issued not employ any person in any manner so as to become subject to the workmen's pensation laws of California." City Zip Owner Signature Builder Signature I shalt com- IRegistr. Fee $ Mileage Fee $. !Witness Fee $ . 'Reinsp. Fee $ Owner/Agent " Tel. - zip Total Fees $ Qy & Address City Zip M.O. ❑ N.C..❑ Cash ❑ Check IQ. Received by Contra /t/ic� i IT •% v�,t1` �•d!'✓.S% el. - License # �G .2" 'Trees required Sewage System • ,.. �,�P Address , %7 City Zip Workers' Comp. �/3fO/ Yes no ❑ T lL P District Form 284.208 [Rev. 4.771 ©S THIS. PE IT' SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: wo FO 20 DAYS SHALL ALS�jAUSE ERMIT TO BECOME VOID. ' j'I H EBY AGREE THAT ALl�R�f�'I/RN�f1'CT{OTQ'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH T f LAWS OF RIVSRSIDECOUNTY APaD THE STATE 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 CALIFORNIA.