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350637 (SFD)BUILDING PERMIT Aft DEPARTMENT OF BUILDING & SAFETY Awk FIELD OFFICE PERMIT NO.Supp. 3 5 0 6 3 7 PERMIT NO. Job Address Space Zip 77 - 7��«-sem 1 COUNTY OF RIVERSIDE Community Valuation Date y 7 dt� DST 350637 Micro Film Fee Cop E Use of Permit te / Parcel No. ��!'/J'•Y"jZ Z — Use No. j Ck`by / V Mech. Fee Dbl b��J CONSTRUCTION ESTIMATE Set Backs Lot Size S NO. ELECTRICAL FEES Legal Description 40711 �/� L YL,-94:7� NO. PLUMBING FEES Zone / 4& $ a4T X07 UNITS SMI Fee E / Plumbing Fee 1ST FL. ✓ SQ. FT, Bond Amt. y Plan �No, ` ` Plan Checker Final to 2ND FL. SQ. FT. Sp. Insp. Fee b Dental. Fee YARD SPKLR SYSTEM FOR. � SQ. FT. ZP,�_ MOBILEHOME SVC. Witness Fee E BAR SINK b Ga 4'D3 POWER OUTLET T I. Zip ROOF DRAINS Total Feesy GAR. SQ. FT. /a��J/ Address a]�C�1/yl )13 . /\ V iCl 1 � � j f 1 ✓ � {� � Zip l 'y (�"� �S/'+� M.O. C]N.C. ❑ Cash C]ee�F C] Received by CAR P. SQ. FT. @ Contractor Tel. DRAINAGE PIPING Trees required WALL SQ. FT. ® Z, i(�� LL P Address City Zip DRINKING FOUNTAIN THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF verified by WORK FOR 120 DAYS SHLS SE P�ECOME VOID. I HEREBY AGREE TH RK N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNT 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 CALIFORNIA. SQ. FT. Ga URINAL ESTIMATED CONSTRUCTION VALUATION WATER PIPING p% 0 NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYS ❑ FAN C]EVAP. COOL HOOD % SIGN -f WASHER IAUjbi (DISH) �r APPLIANCE X0 DRYER t GARBAGE DISPOSAL P? FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK o ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Al -a COMPRESSOR3 7 HP w POLE, TEMP/PERM LAVATORY HEATINGSYSTEM X0 FORCED ❑ GRAVITY p (ra AMPERES SERV ENT ', SHOWER BOILER � B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. Co, it WATER HEATER C. -.P,4 BJ SQ. FT. RESID @ 1 t/.¢ §EWAGE DISPOSAL jq SQ. FT. GAR @ '/.c 3 % OUSE SEWER GAS PIPING ca APP PERMIT FEE tj PERMIT FEE PERMIT FEE DBL. I TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEECONST. FEE ELECT�E SMI FEE FEE PLUMB. FEE PERMIT NO.Supp. 3 5 0 6 3 7 Permit Job Address Space Zip 77 - 7��«-sem 1 Owner Community Valuation Date y 7 dt� Dist. Off. F.C. MH Permit Fee Micro Film Fee Cop E Use of Permit te / Parcel No. ��!'/J'•Y"jZ Z — Use No. j Ck`by / V Mech. Fee Dbl b��J PI. Ck. Fee 3 Set Backs Lot Size S Construction Fee Dbl E p! f `D Legal Description 40711 �/� L YL,-94:7� Electrical fee Dbl $ � Zone Grp �T�yp�e� Unit SMI Fee E / Plumbing Fee Dbl $ Bond Amt. y Plan �No, ` ` Plan Checker Final to sp ctor Sp. Insp. Fee b Dental. Fee E Const. Lender Branch I certify that to the performance of the Wrk for which this permit is issued I shall not employ any person in any manner sobecome subject to the workmen's com• pensation laws of California." 296 Address fJf ^, Zip Owner Signature G Builder Signature Reg istr. Fee E Mileage Fee b Witness Fee E Reinsp. Fee b Owner/ ent / . i% . T I. Zip Total Feesy /a��J/ Address a]�C�1/yl )13 . /\ V iCl 1 � � j f 1 ✓ � {� � Zip l 'y (�"� �S/'+� M.O. C]N.C. ❑ Cash C]ee�F C] Received by Contractor Tel. License q Trees required Sewage System T Z, i(�� LL P Address City Zip i WorkerComp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF verified by WORK FOR 120 DAYS SHLS SE P�ECOME VOID. I HEREBY AGREE TH RK N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNT 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 CALIFORNIA. Sewer District \\ 1 Form 284.208 (Rev. 4.771 ©s