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348937 (SFD)BUILDING PERMIT glik DEPARTMENT OF BUILDING & SAFETY ,glk FIELD OFFICE 1 PERMIT NO. I t 34893?- I PERM IT NO. 34893? 1W COUNTY OF RIVERSIDE Owner Community ,Lt �i�1�3/�/ FTST CONSTRUCTION ESTIMATE Off. NO. ELECTRICAL FEES NO. PLUMBING FEES t Micro Film Fee 1 ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q A� ! $ a# UNITS Parcel No. ��j ���--Q2'Z,�• Use No. Ck.bby d SQ. FT.r0 YARD SPKLR SYSTEM ,PI. Ck. Fee E SQ. FT. d �% Pa MOBILEHOME SVC. BAR SINK Lot Size / FT. C� ��� POWER OUTLET ROOF DRAINS Legal Dezcrip nyyO C �fs��AT � v � r C !GY^'.� SQ. FT. Ga DRAINAGE PIPING S.'�' DRINKING FOUNTAIN SQ. FT., Cis SQ. FT. @ URINAL Zone VALUATION $ --7 7�C WATER PIPING Y762 Type NOTE: Not to be used as property tax ealuotion / SWIM POOL, PVT :SMI Fee ' Plumbing Fee FLOOR DRAIN MECHANICAL FEES i Sp. Insp. Fee E SWIM POOL, COMM 'Registr. Fee E .Mileage Fee E WATER SOFTENER .Reinsp. Fee VENT SYSTE%Pa FAN ❑ EVAR COOL A HOOD SIGN Tel. Zip WASHER IAUTQ04DISHI Total Fees APPLIANCE DRYER j) Address r City Zip GARBAGE DISPOSAL Received by FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Contractor �� /Z/ I7,4L�- ��LAf77(,� Tel. License •�T� -•�/ # 1// LAUNDRY TRAY Sewage System /.0-" T AIR HANDLING UNIT CFM // G� X 'f'�! P IDLE METER City o/�, ,,�J *�+,�) ry Zip ! �T e/`"/ rll�,�S - '7 Workers' Comp. yes ,® no ❑ KITCHEN SINK verified by: ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR � HP POLE, TEMP/PERM a LAVATORY HEATING SYSTEM JR FORCED ❑ GRAVITY AMPERES SERV ENT 7 SHOWER BOILER [ B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. 6 ¢ WATER HEATER /.33 SQ. FT. RESID 6 1'/.¢ SEWAGE DISPOSAL ,$4�,RSQ. FT. GAR Ce, 3/.¢ 3 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 3 DBL.TOTAL FEES a/fib MOB. HN. FEE MICRO FEE MECH. FEE �� PL. CK. FEE CONST, FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 1 PERMIT NO. I t 34893?- I Supp. Permit lob Address 17 O Space Zip Owner Community ,Lt �i�1�3/�/ Valuation ^� E 7 70e `� Date �� CPA .7 Dist. / Off. F.G. MH Permit Fee E t Micro Film Fee Cop E Use off Permit / ],��ly. �o 1!7 �� GP/'�jC�l/L f Parcel No. ��j ���--Q2'Z,�• Use No. Ck.bby d ,Meth. Fee Dbl 8 ,PI. Ck. Fee E Set Backs Lot Size / :Construction Fee Dbl E Legal Dezcrip nyyO C �fs��AT � v � r C !GY^'.� �� S.'�' S-s— i Electrical Fee Dbl E 30 43 Zone Grp Type Unit :SMI Fee ' Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final Dote Inspector E 3Fs3a Const. Lender Branch 'I certify that in the performance of the work 0which this permit is issued I show not employ any person to any manner so as to became subject to the workmen's corn• pensotion lows of Cdifornio. Address City Zip Owner Signature Builder Signature i Sp. Insp. Fee E Demol. Fee E 'Registr. Fee E .Mileage Fee E Witness Fee E .Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E ��li 7 Address r City Zip M.O. ❑ N.C. ❑ Cash ❑ hecOg Received by Contractor �� /Z/ I7,4L�- ��LAf77(,� Tel. License •�T� -•�/ # 1// Trees required Sewage System /.0-" T LL // G� X 'f'�! P Address �,PZ City o/�, ,,�J *�+,�) ry Zip ! �T e/`"/ rll�,�S - '7 Workers' Comp. yes ,® no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL AL15 1 ;?-BECOME VOID. HEREBY AGREE THAT ALL VOK( INC NEECCTIIO(Nr�WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVFd2SIDE COUNTY AND 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. verified by: Sewer District A `fI jk Form 284-2081Rev. 4.771 ©s