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335017 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY j PERMITNo. COUNTY OF RIVERSIDE 335017 . CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. ® j 'r It 2ND FL. SQ. FT. FOR. SQ. FT. �7 WASHER (AUTO) 1165-Nl s GAR. ail SQ. FT. @ CAR P. SQ. FT. Cai WALL SQ. FT. % SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FFFS NO. ELECTRICAL FEES G UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM A FAN ❑ EVAP. COOL HOOD S L+6 Space Zip SIGN wner IF, �, � WASHER (AUTO) 1165-Nl 019 APPLIANCE DRYER �']Dist. 7 . -h- /� ,J �O�`yff++�'F.C. '� 100 ' % GARBAGE DISPOSAL �a FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Use of Permit [/ /// ^� (//� �' `q� `- • ` Parcel No. ] �} `� 7 � 3 '� � r> / '0a/ Use No. CA.by '�S Mech. fee Dbl E , � �wry LAUNDRY TRAY Set 8acks AIR HANDLING UNIT CFM Construction Fee Dbl E LegalDescription(/i 1�1 /� R 1.1 /j" !� ` 1f C, -� fp IDLE METER S R � KITCHEN SINK Zone J ABSORPTION SYSTEM B.T.U. Tye Unit TEMP USE PERMIT SVC Plumbing Fee Dbl E a WATER CLOSET Plan No. 3-5W COMPRESSOR 3 HP 7 J7& POLE, TEMP/PERM Demol. Fee E LAVATORY Registr. Fee E HEATING SYSTEM FORCED ❑ GRAVITY / CU I&V AMPERES SERV ENT SHOWER a 0 BOILER � B.T.U. M.O. ❑ N.C. ❑ Cash ❑ Check] Received by (,r % Ael f ,arContractor SQ. FT. 6 ¢ Tel. 30'7-* 771 ` BATH TUB Sewage System Ad ess city Zip Workers' Comp. Ye?, ❑ no ❑ SQ. FT. 6 a WATER HEATER a r SQ. FT. RESID C 1'Aa J r SEWAGE DISPOSAL /✓✓� SQ. FT. GAR. Cai V ¢ 3 3 HOUSE SEWER GAS PIPING PERMIT FEE �� PERMIT FEE �� PERMIT FEE DBL. TOTAL FEES aG MOB. HM. FEE MICRO FEE MECH. FE as s. PL. CK. FEE -- CONST. FEE tt�r"�' ELECT. FEE :1& SMIFE FEE PLUMB.,FEE PERMIT NO. 335017 Supp. Permit Job Address £ .�1710 z Space Zip a��3j0JV-1// wner IF, �, Community / ,J' I J'� /` c( %T 7 L(, Fv jDate ('� C� �']Dist. 7 . -h- /� ,J �O�`yff++�'F.C. '� 100 ' MH Permit fee E Micro Film Fee Cop E Use of Permit [/ /// ^� (//� �' `q� `- • ` Parcel No. ] �} `� 7 � 3 '� � r> / '0a/ Use No. CA.by '�S Mech. fee Dbl E , � �wry PI. Ck. Fee b Set 8acks Lot Size 5 u X �� Construction Fee Dbl E LegalDescription(/i 1�1 /� R 1.1 /j" !� ` 1f C, -� fp 1,5- S R � Electrical Fee Dbl E Zone J /Gr�p /� • _ 3 Tye Unit SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ Plan No. 3-5W PI Checker P P r 'vs Final Date In, r Sp. Insp. Fee E Demol. Fee E Const. Lender Branch I certify that m the performance 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. pensaaon laws of California Address City Zip Owner Signature Budder Signoture Registr. Fee E Mileage Fee y Witness Fee E Reinsp. Fee b Owner/Agent Tel. Zip Total Fees y ';;4 d,E a Addr s City Zip M.O. ❑ N.C. ❑ Cash ❑ Check] Received by (,r % Ael f ,arContractor { l�� r p Tel. 30'7-* 771 License P Trees required r Sewage System Ad ess city Zip Workers' Comp. Ye?, ❑ no ❑ T/r7 vv LL PW A I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF---d.ed by Sewer District 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 WITH THE LAWS OF RIV64SIDE COUNTY AND 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 Form 284-2081 Rev. 4.771 ©s CALIFORNIA.