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313366 (SFD)
BUILDING PERMIT '' DEPARTMENT OF BUILDING S SAFETY.,ji'ice' FIELD OFFICE PERMIT NO. 3133 fi6• PERMIT.NO. 3•1 3'3'� c •�.., ' COUNTY OF -RIVERSIDE ;�- -• , DST' / CONSTRUCTION +ESTIMATE - - � . NO.,� ELECTRICAL FEES - : NO, PLUMBING FEES_ FC Qy� t 1ST FL: ,. 0` SQ. "2ND FL.• - Y SQ. GAR. SO. CAR P.. • WALL ,' . r ES TIMATE IN,VALUA FT.,V_ UNITS' Micro.Film Fee Cop ,$ _. • Use of Permit - •, - - _ . /' � • � vvv SQ. FT: 8. - YARD SPKLR SYSTEM ' �� Q0• MOBILEHOMESVC. BAR SINK FT. PI. Ck. Fe'e' $ ' (j p POWER OUTLET i -, ROOF DRAINS FT. .r 4% Size t - �fO© �+ •Y SQ. FT, DRAINAGE PIPING Legal Description' • ^ ` +; // - I^d �r /"► r SQ. FT., +' �' - DRINKING FOUNTAIN F SQ. FT. •C'3 URINAL . S/ (t� TION $ dG7 WATER PIPING Zone - NOTE: Not to be used as property tax valuation Type - SWIM POOL, PVT ' FLOOR DRAIN ` Plumbing. Fee Dbl $ Bond Amt • $1C�� MECHANICAL FEES ISWIM POOL, COMM Final Date WATER SOFTENER - ' ,VENTSYSTEMFAN C3EVAP. COOL ' HOOD G:49 SIGN". Conit. Lender - Branch - .- - . 'I certify that in the performance of work for which lhrs.pecmit is Tissued I shall' 4• .._ .' not employ any person to any manners to bemme subject to the workmen s com- _ d • • pensation laws of Califormo.'• .- Address- - - -, •- City Zip . -. •'� •- Owner Signature - _'• - Builder Signature - WASHER (AUTO)Jhhebbll Mileage Fee $ Witness :Fee $ APPLIANCE s RYER O Owner/Agent., - - Tel.; - GARBAGE DISPOSAL O ' FURNACE. .❑•UNIT= ❑ WALL ❑ FLOOR ❑ SUSPENDED' Address - City Zip' LAUNDRY TRAY Received by - ` AIR, HANDLING UNIT r CFM - Tel.. • - IDLE METER License # KITCHEN SINK Sewage System 9 Y �vLL •` ABSORPTION SYSTEM B.T.0 i Workers' Comp. TEMP.USE PERMIT SVC OF enfied by:' r WATER CLOSET 0' COMPRESSOR 0 HP 9 POLE, TEMP/PERM LAVATORY ' .HEATING SYSTEM FORCED GRAVITY ❑ GAO' O AMPERES SERV ENT �. SHOWER p BOILER B.T.U. SQ. FT.. p • .¢ ` BATH TUB . dA� a ,w SQ. FT. @ ¢ * WATER HEATER O .. SQ. FT. RESID @ 1'G¢ SEWAGE DISPOSAL - 10 SQ. FT. GAR' Gar ,'/.¢ HOUSE SEWER. ` GAS PIPING PERMIT FEE - c94 " PERMIT FEE oD PERMIT FEE • - O DBL.- , TOTALFEES.� MOB. HM: -FEE MICRO. FEE '. MECH. FE 15L. CK. FEE -CONST.FEE'` •ELECT.FEE• SMI FEE' ". FEE ''PLUMMB.FEE PERMIT NO. 3133 fi6• Pert•t {. Job Address �' Y ' � . _- Space, Zip ,�,� ._ •. '� Owner , •'-• s ,s Coranty• � ut -10 +01 - - � . Votuation ,.,4' $ s7'S. � . / ��! Date _ / ,,. �_ Dist. Off. 1 FC Qy� MH Permit Fee s •- $ Micro.Film Fee Cop ,$ _. • Use of Permit - •, - - _ . /' � • � vvv parcel No. •/✓ Use No. - Ck:by •Lot Mech. Fee Dbl $ PI. Ck. Fe'e' $ ' Set Backs Size t - �fO© �+ •Y Cpnstruciian Fee Dbl $ Q Legal Description' • ^ ` +; // - I^d �r /"► r + t }�/ /- �•Jy-" •`/' f/ ��/e•.a/�' �7 F S/ (t� Electricol Fee• Dbl $ • ./ Zone - Grp • Type - Unit SMI Fee . - F. $ Plumbing. Fee Dbl $ Bond Amt • $1C�� Plan No., y Plan Necker /"� - - /iGi:,�/. Final Date Inspe r,. - - Z. r Sp. Insp. Fee. $ .. Demal. Fee $ -• Conit. Lender - Branch - .- - . 'I certify that in the performance of work for which lhrs.pecmit is Tissued I shall' 4• .._ .' not employ any person to any manners to bemme subject to the workmen s com- _ d • • pensation laws of Califormo.'• .- Address- - - -, •- City Zip . -. •'� •- Owner Signature - _'• - Builder Signature - Registr. Fee - $ ' Mileage Fee $ Witness :Fee $ Reinsp. Fee $ Owner/Agent., - - Tel.; - Zip Total Fees $ Address - City Zip' " M.O. ❑ N.C. ❑ Cash ❑ Check Received by - Contractor /© - Tel.. • - License # Trees required - Sewage System 9 Y �vLL -:+ ' - P �} Address •• • . ` ` �, City � Zip' i Workers' Comp. THIS PERMIT SHALL BECOME VOID IF WORK I$ NOT COMMENCED WITHIN 120 DAYS. CESSATION v WORK'FOR .120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. y OF enfied by:' r Sewer District ((Yr ;`I. HEREBY AGREE,THAT ALL WORK',IN;CONNECTION.WITH THIS PERMIT WILL BE DONE IN ACCORDANCE _ WITH THE LAWS OF RIVERSIDE COUNTY AND' THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT�THE INDIVIDUAL WHO PREPAREDTHE PLANS AND SPECIFICATIONS HAS DONE >) • >e t SO IN ACCORDANCE WITH SECTION 5544 OF -:THE BUSINESS AND PROFESSIONS CODE OF'THE STATE OF Form 284.208 (Rev. 4.771 ©s y CALIFORNIA. - I '