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341269 (SFD)BUILDING PERMIT AM DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO. 341269 PERMIT NO. 341269 1WCOUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL.. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ, FT. @ MOBILEHOME SVC. BAR SINK FT. 8 POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. DRINKING FOUNTAIN SQ. FT.. URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tox valuation SWIM POOL, PVT FLOOR DRAIN MH Permit Fee E MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM. ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Parcel No. APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Mech. Fee Dbl E 1PI.Micro AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Set acks ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Legal Description T7 ` �,r l io � o� � ✓ A� a HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER S j" BOILER � B.T.U. SQ. FT. Ga ¢ BATH TUB 'Electrical Fee Dbl E SQ. FT. @ it WATER HEATER Grp SQ. FT. RESID p I Vk SEWAGE DISPOSAL Unit SQ. FT. GAR G 14 i HOUSE SEWER "SMI Fee E . !Plumbing Fee Dbl E GAS PIPING Bond Amt. E PERMIT FEE PERMIT FEE PERMIT FEE Final Date 7 /y` DQ— ! 2 TOTAL FEES /. .......FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 341269 Supp. Permit -�- Job Address Space - - _ Zip Owner s,eJ Community X ff p rr✓jay► J Valuation E Dote 27/ Dist. Off. '— F.C. MH Permit Fee E Film Fee Cop E Use of Permit —T /" �'" J'✓L"uJ �LerlrC/I'/7 / Parcel No. Use No. Ck. by Mech. Fee Dbl E 1PI.Micro Ck. Fee E Set acks Lot Size �Consrruction Fee Obl E Legal Description T7 ` �,r l io � o� � ✓ A� a F S j" S 'Electrical Fee Dbl E Zone Grp Type Unit "SMI Fee E . !Plumbing Fee Dbl E Bond Amt. E Plan No. /'1 2-- Plan Checker Final Date 7 /y` Inspector j �Sp. Insp. fee E iDemol. Fee E Const. Lender Branch I certify that in the performance of the work for which this permit is issued not employ any person in any manner so as to become subject to the workmen's penscaon laws of California. Address City Zip Owner S.gnoture Budder Stgnoiwt, 1 shall com. �Registr. Fee E IMileoge Fee E Witness Fee E Reinsp. Fee E Owner/Agent ��.s ` Tel. Zip Total Fees E Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by Trees required Contractor Tel. License p Sewage System l? r� LL P X !� Address City Zip Workers' Comp. yes C] no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verd.ed by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL W/C]R1g I��WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITHTHELAWSOFRIV6CSIDECOHFrTy E 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. �-e, District \\ 1 Form 284-2081Rev. 4.77) ©s