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346721 (SFD)BUILDING PERMIT 4111111111, DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 3467211 PERMIT NO. 346721 W COUNTY OF RIVERSIDE Owner 1 /t��/ 5 dam/ • •�r - 7 CONSTRUCTION ESTIMATE Dist. �Q� /,( NO. ELECTRICAL FEES F.C. �Q NO. PLUMBING FEES 1ST FL. p SQ. 2ND FL. FOR. GAR. 2- SQ. CAR P. EE]SQ. WALL SQ. ESTIMATED CONSTRUCTION FT.. 8 * $ �i% �7° UNITS Use of Permit ' ' " Parcel No. .� 7 Use No. YARD SPKLR SYSTEM SQ. FT. ,.Micro I�Mech. Fee Dbl E73 SQ. FT. Ca3 MOBILEHOME SVC. BAR SINK Set Backs FT. ' p fo POWER OUTLET ROOF DRAINS F ^'lO ` FT: @ DRAINAGE PIPING S' ,J— FT.Cia DRINKING FOUNTAIN I Construction Fee Dbl SQ. FT. URINAL I Electrical Fee Dbl VALUATION $ 4O WATER PIPING Grp NOTE: Not to be used os property tox valuation Unit SWIM POOL, PVT t SMI Fee i$1 FLOOR DRAIN Dbl MECHANICAL FEES Plan No. SWIM POOL, COMM Final Date WATER SOFTENER 'Sp.Insp.Fee EE VENT SYSTEM JRFAN ❑ EVAP. COOL io HOODSIGN E Const. Lender Branch I certify that to the performapce of the work for which this permit u issued I sham not employ any person in any manner so as to become subject to the workmen's corn- pensotion lows of California.' Address City, Zip Owner Signature 4 1 Budder Signature WASHER TAUT ISH) Mileage Fee E Witness Fee E APPLIANCE DRYER E Owner/Agent` 1 GARBAGE DISPOSAL Total Fees FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED a!0 Address 73 City Zip LAUNDRY TRAY Received by Trees required AIR HANDLING UNIT �� CFM Contractor IDLE METER License # KITCHEN SINK G� R� P A Address ABSORPTION SYSTEM � B.T.U. Workers' Comp. yes ❑ no ❑ TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑GRAVITY D AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Ca, ¢ BATH TUB SQ. FT. 6 ¢ WATER HEATER Q. FT. RESID ty I %a SEWAGE DISPOSAL SQ. FT. GAR Cni '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOT S MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE 71 SMI FEE FEE PL B. FEE PERMITNO. 3467211 Supp. Permit Job Address Space�Zip _ ;.� 57o -?,o a. �� l :� Owner 1 /t��/ 5 dam/ • •�r Community �>� ��%//t//�jQ VoluationDate E 0/ �2 • � d Dist. �Q� /,( Off. F.C. �Q MH Permit Fee E Film Fee Cop E Use of Permit ' ' " Parcel No. .� 7 Use No. Ck.by ,.Micro I�Mech. Fee Dbl E73 Pl. Ck. Fee E Set Backs Lot Sizes F ^'lO ` �— S' ,J— Y� I Construction Fee Dbl Legal Description / AR oogd &W I Electrical Fee Dbl Zone Grp Type Unit t SMI Fee i$1 Plumbing Fee Dbl Bond Amt. Plan No. Plan Checker Final Date Inspe or 'Sp.Insp.Fee EE ' Demol. Fee i E Const. Lender Branch I certify that to the performapce of the work for which this permit u issued I sham not employ any person in any manner so as to become subject to the workmen's corn- pensotion lows of California.' Address City, Zip Owner Signature 4 1 Budder Signature Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent` 1 Tel. Zip Total Fees E a!0 Address 73 City Zip M.O. ❑ N.C. ❑ Cash ❑ Ch k Received by Trees required Contractor Tel. License # Sewage Systtemm lmr* T LL Sewer District Form 284-2081Rev. 4.771 ©s G� R� P A Address City Zip Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF renfied by. WORK FOR 120 DAYS SHALL PE�RM`IT T'O BECOME VOID. I HEREBY AGREE THAT &I5i TION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDA�CA D THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.