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347346 (SATT)BUILDING PERMIT A` DEPARTMENT- OF BUILDING & SAFETY ` FIELD OFFICE PERM IT NO. 3473 4 6 PERMIT NO. 1347346 Job Address - COUNTY OF RIVERSIDE 1 Space Zip Owner &//vj DST �r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. @ $ UNITS F.C. YARD SPKLR SYSTEM FL C4' MH Permit Fee $ MOBILEHOME SVC. BAR SINK FT. (a} Use of Permit j L !! / �+ FT. @ POWER OUTLET ROOF DRAINS Parcel No. r FT. @ DRAINAGE PIPING Mech. Fee Dbl $ DRINKING FOUNTAIN FT. (ja t acks FT. URINAL Construction Fee Dbl $ VALUATION $ WATER PIPING F 90 S=2 Z, NOTE: Not to be used as property tax voluotion SWIM POOL, PVT Zone Grp` �� /C 3 FLOOR DRAIN Unit MECHANICAL FEES SWIM POOL, COMM Bond Amt. $ WATER SOFTENER Plan Checker F vli& F?Inspector F C — VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) ( DISH) Demol. Fee $ APPLIANCE ❑ DRYER Branch I certify that in the performance of the ork for which this permit is issued I sfiall not employ any person in any manner so as to became subject to the workmen's com. pensation lows of California:" City Zip _ Owner Signature Builder Signature Reg istr. Fee $ GARBAGE DISPOSAL Witness Fee $ Reinsp. Fee FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent LAUNDRY TRAY Zip AIR HANDLING UNIT CFM IDLE METER Address KITCHEN SINK City Zip ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Tel. COMPRESSOR HP POLE, TEMP/PERM Trees required LAVATORY Address HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Workers' Comp. yes)gL no ❑ SHOWER BOILER � B.T.U. SQ. FT. (y ¢ BATH TUB SQ. FT. Cw ¢ WATER HEATER SQ. FT. RESID 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cw 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE gob. V- TOTAL FEES /Ofr MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE /o �3 CONST. FEE ! 3--e 1 ELECT. FEE '4S SMI FEE FEE PLUMB. FEE PERM IT NO. 3473 4 6 Supp. Permit Job Address - Space Zip Owner &//vj WITH THE LAWS OF RIVERSIDD THE STATE OF CALIFORNIA. For. 284-208IRev. 4.77) ©s Community '4,9 Valuation $ Date � Dist. // Off. F.C. MH Permit Fee $ Micro Film Fee Co $ Cop Use of Permit j L !! / �+ Parcel No. r Use No. Ck.b v Mech. Fee Dbl $ PI. Ck. Fee $ t acks Lot Size Construction Fee Dbl $ Legal Description �s�/ f� + �'ZrI�E'J��--�/9�j r7 F 90 S=2 Z, kR Electrical Fee Dbl b Zone Grp` �� /C 3 Type Unit SMI Fee $ Plumbing Fee DbI $ g) Bond Amt. $ Plan No. 31 1�a Plan Checker F vli& F?Inspector F C — Sp. Insp. Fee $ Demol. Fee $ Const. Lender Address Branch I certify that in the performance of the ork for which this permit is issued I sfiall not employ any person in any manner so as to became subject to the workmen's com. pensation lows of California:" City Zip _ Owner Signature Builder Signature Reg istr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ D Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Che Received by Contractor Tel. License # Trees required Sewage System Address City Zip Workers' Comp. yes)gL no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF vvdied by: Sewer District WORK FOR 120 DAYS SHALL ERMIT TO BECOMEVOID. �CAU I HEREBY AGREE THATAECA M WITH THIS',PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDD THE STATE OF CALIFORNIA. For. 284-208IRev. 4.77) ©s I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SEC—ION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.