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351074 (SFD)BUILDING PERMIT ,,` DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO. 351074 I, PERMIT NO. 3ITI Job Address Space Zip 77- !sD �isFs Gc= f�it1A�-60 r -3 COUNTY OF RIVERSIDE Community ^t0 dK ��� Valuation $ �� S �' , 4V Date y ;/J //.f CONSTR CTION ESTIM TE Off. 1 NO. ELECTRICAL FEES NO. PLUMBING FEES MH Permit Fee $ 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. 7 3, UNITS Parcel No. ../� 773 -ex// c�47'3 i9. Use No. Ck.by Mech. Fee Dbl $ �' i YARD SPKLR SYSTEM SQ. FT. Ga Set Backs SQ. FT. @..� " .e MOBILEHOME SVC. BAR SINK (',Construction Fee Dbl $ 13 �� CW POWER OUTLET ROOF DRAINS FT. S. +^ F a O SQ. FT. DRAINAGE PIPING S /� DRINKING FOUNTAIN SQ. FT. Cay Electrical Fee Dbl $ URINAL SQ. FT. Grp � VALUATION $ /' 0WATER PIPING OD NOTE: Not to be used as property tox voluotion t SMI Fe � $ SWIM POOL, PVT Dbl $ $ FLOOR DRAIN Bond Amt. $ PIo�nn /fNo. 7 � G 7 MECHANICAL FUS Final Da Date Inspector 3eq SWIM POOL, COMM WATER SOFTENER $ VENT SYSTEM FAN ❑ EVAP. COOL HOOD —.+ SIGN I� Witness Fee $ WASHER IAUTOyI'DISHI $ APPLIANCE KDRYER j 'Total Fees GARBAGE DISPOSAL a Address / FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED M.O. ❑ N.C. ❑ Cash ❑ Ch Received by LAUNDRY TRAY Contr ctor // /Y,/�� ���/y G Lr%,/v/�L;J(%% Tel. J.4, AIR HANDLING UNIT CFM (Trees required IDLE METER P KITCHEN SINK O'er Workers' Comp. yes ❑ no ❑ ABSORPTION SYSTEM � B.T.U. �I Sewer District I; Form 284.2081Rey. 4.77) ©s TEMP USE PERMIT SVC aZ WATER CLOSET ov COMPRESSOR HP POLE, TEMP/PERM p� LAVATORY 025 HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT 7 op SHOWER � av BOILER � B.T.U. SQ. FT. iy IT BATH TUB SQ. FT. Ca, ¢ / WATER HEATER a7 ov /j/J 4/SQ. FT. RESID @ 1'/.¢ /� SEWAGE DISPOSAL 4:� ,06 SQ. FT. GAR @ Y4 �! HOUSE SEWER GAS PIPING ft -7 6G PERMIT FEE PERMIT FEE d PERMIT FEE 3 ' DBL. TOTAL FEES AAMOB. d 3o HM. FEE MICP,O FEE MECH. FEE C33 S° PL. CK. FEEr;3 ST. FEE 3 va ELECT. F 3a SMI FEE a s FEE PLUMB. FEE ,3y I" PERMIT NO. 351074 I, Supp. Permit Job Address Space Zip 77- !sD �isFs Gc= f�it1A�-60 r -3 Owner Community ^t0 dK ��� Valuation $ �� S �' , 4V Date y ;/J //.f Dist. �/ Off. 1 F.C. dQ MH Permit Fee $ Micro Film Fee Cop $ Use ofPermit ` ",y �L �i 1► / " 71— �a� r✓ ' �i�/L/Q�il� Parcel No. ../� 773 -ex// c�47'3 i9. Use No. Ck.by Mech. Fee Dbl $ �' i PI. Ck. Fee $ Set Backs Lot Siz;ii, (',Construction Fee Dbl $ 13 �� Legal Description / � __ �/ /3� ��� F a O S S /� R�7 Electrical Fee Dbl $ Zone Grp Type Unit t SMI Fe � $ lumbing Fee LSP. Insp. Fee Dbl $ $ 0a Bond Amt. $ PIo�nn /fNo. 7 � G 7 Plan Checker /SLZ��Lj-22 is Final Da Date Inspector 3eq t Demol. Fee $ Const. Lerder Branch I certify that in the performonce of the work f hich this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com- pensation lows of California." Address City Zip Owner Signature Builder Signature iRegistr. Fee $ Mileage Fee$ I� Witness Fee $ 1; Re Insp. Fee $ Owner/Agent Tel. Zip 'Total Fees $ Address / City Zip M.O. ❑ N.C. ❑ Cash ❑ Ch Received by Contr ctor // /Y,/�� ���/y G Lr%,/v/�L;J(%% Tel. J.4, License N (Trees required Sewage System IT LL P Address City Zip /A160/d Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF yerdhed by WORK FOR 120 DAYS 28 ? S RMIT TO BECOME VOID. I HEREBY AGREE ALL W K IN C N ECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE CO NTY 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. �I Sewer District I; Form 284.2081Rey. 4.77) ©s