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350632 (SFD)BUILDING PERMIT Adft DEPARTMENT OF BUILDING & SAFETY oft FIELD OFFICE PERMIT NO. 350632 PERMIT NO. 3 Job Address Space Zip .�-9-l.17J Il 0//92 ��3 COUNTY OF RIVERSIDE Community,{!) K/ Valuation -/ �O�-�o7 y�-� Dote % T F/S CONSTRUCTION ESTIMATE F.C. loo NO. ELECTRICAL FEES Micro Film Fee NO. PLUMBING FEES Useof Permit Parcel No. Use No. k.by // ��/��FQ�/t�;`��/'�Q/ Set Backs Lo f Sizes �.Q legal Description f,7 / �4 l %� Zone Grp Type Unit ' ✓ •a-- `' 7 3 f 1ST FL. �O SQ. 2ND FL. _ SQ. POR. 40 SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. (gI $ Z Gt02 Construction Fee Dot $ a UNITS SMI Fee $ Plumbing Fee Dbl $ ,3 FT. @ YARD SPKLR SYSTEM Plan No. MOBILEHOME SVC. BAR SINK FT. — FT. �� ' POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING Demol. Fee FT. C4 DRINKING FOUNTAIN SQ. FT. Ca3 URINAL Registr. Fee $ VALUATION $ OZ� WATER PIPING U NOTE: Not to be used as property tax valuation $ SWIM POOL, PVT Tel. Zip FLOOR DRAIN $ S MECHANICAL FEES City Zip M.O. ❑ N.C. ❑ Cash ❑ SWIM POOL, COMM ' WATER SOFTENER Tel. License p `� VENT SYS A FAN C) EVAP. COOL OD HO Sewage System `dti7% T LL Sewer District Form 284.208 (Rev. 4.771 ©5 / .4 . v P SIGN City Zip Workers' Comp. yes ❑ no ❑ WASHER (AUTO) (DISH) APPLIANCE PCO DRYER GARBAGE DISPOSAL pZ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 22 ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSO j HP POLE, TEMP/PERM LAVATORY .5L HEATINGSYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT ' SHOWER BOILER O B.T.U. SQ. FT. Cos 4 BATH TUB SQ. FT. (a, ¢ / WATER HEATER SQ. FT. RESID I -Aa SEWAGE DISPOSAL SQ. FT. GAR 6 3/4C HOUSE SEWER GAS PIPING PERMIT FEE Z� PERMIT FEE PERMIT FEE DBL. TOTAL IMOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 37'1 PERMIT NO. 350632 Supp. Permit Job Address Space Zip .�-9-l.17J Il 0//92 ��3 Owner s$.JrVbT Community,{!) K/ Valuation -/ �O�-�o7 y�-� Dote % Dist. I Off. kz— F.C. loo MH Permit Fee $ Micro Film Fee Cop $ Useof Permit Parcel No. Use No. k.by // ��/��FQ�/t�;`��/'�Q/ Set Backs Lo f Sizes �.Q legal Description f,7 / �4 l %� Zone Grp Type Unit ' ✓ •a-- `' 7 3 f Mech. Fee Dbl $ Pl. Ck. Fee $ Construction Fee Dot $ a Electrical Fee Dbl $ SMI Fee $ Plumbing Fee Dbl $ ,3 Bond Amt. $ Plan No. Plan Checker In eat Sp. Insp. Fee $ Demol. Fee $ Const. lender Brooch 'I certify that in the peHormoMe o e work for which this permit is issued I sholl not employ any person in any monne as to become subject to the workmen's com. pensation laws of California." Address City Zip Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/ "$ Tel. Zip Taal Fees $ S Address 73 l City Zip M.O. ❑ N.C. ❑ Cash ❑ Received by ' Contractor Tel. License p Trees required Sewage System `dti7% T LL Sewer District Form 284.208 (Rev. 4.771 ©5 / .4 . v P Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by, WORK FOR 120 DAY LL AL CAUSEPERMIT TO BECOME VOID. I HEREBY AGRET L RK�R'C�t7NECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE+ WITH THE LAWS OF`RlV6RSIDEC UNTY 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.