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333000 (MFD5)51025 Avenida Martinez 333000 BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY J& FIELD OFFICE PERMIT NO. 33300 fl PERMITNO. 333000 Job Address S ce Zip = A/Lr r COUNTY OF RIVERSIDE Owner S!'MM 7GfiG-C Jf/, Community ^ CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. C! y NO. PLUMBING FEES MH Permit Fee $ 1ST FL. SQ. 2ND FL. [ ^ POR. j% piJ GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT, Q $ /%O ' UNITS Mech. Fee Dbl $ 3 d PI. Ck. Fee $ Set Backs SQ. FT. 8 YARD SPKLR SYSTEM Construction Fee Dbl $ p u Db MOBILEHOME SVC. BAR SINK SQ. FT. C3a ! Lc°(a " F POWER OUTLET ROOF DRAINS FT. (a3 Zr' kev IT, ® DRAINAGE PIPING Electrical Fee Dbl E j FT. Coi' DRINKING FOUNTAIN Grp A?/ SQ. FT. URINAL Unit VALUATION $ S ( (i , WATER PIPING pD NOTE: Not to be used as property tax voluotion Bond Amt. $ SWIM POOL, PVT Pion Checker FLOOR DRAIN MECHANICAL FEES Demol. Fee $ SWIM POOL, COMM Registr. Fee $ WATER SOFTENER Witness Fee $ Reinsp. Fee $ VENT SYSTE .NFAN ❑ EVAP. COOL 9 HOOD Tel. Zip SIGN Total Fees $ i t /,3 7 WASHER tlQtlTCI (DISH) city Zip ZIP M.O. ❑ N.C. ❑ Cash ❑ C APPLIANCE ❑ DRYER Contractor sk Tel. ' License p SJ GARBAGE DISPOSAL G p p Address FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Workers' Comp. yes ❑ no ❑ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET 32 fir} COMPRESSOR HP 6 POLE, TEMP/PERM a LAVATORY dO HEATING SYSTEM ( FORCED ❑ GRAVITY d0 &— AMPERES SERV ENT -4140 4v SHOWER BOILER B.T.U. SQ. FT. Qa ¢ /AZ BATH TUB ZZ -toy SQ. FT. Off, .7.` - WATER HEATER I`D Q. FT. RESID Qa 1 Ait !Da J; / SEWAGE DISPOSAL d SQ. FT. GAR @ z/.¢ HOUSE SEWER GAS PIjFEE PERMIT FEE 3 0a PERMIT FEE PERMIT 3 DBL. TOTAL FEES MOB. HM. FEE MIC FE , , v MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE Z7 FEE PLUMB. FEE PERMIT NO. 33300 fl Supp. Permit Job Address S ce Zip = A/Lr r Owner S!'MM 7GfiG-C Jf/, Community ^ Valuation $ r/lAG O Date 'S` Dist. Off. I F.C. C! y MH Permit Fee $ Micro Film Fee 1' Cop $ Use of Permit ,( 1i /✓ %— /' f •3i I 7— r ytir G Parcel No. Use N Ck.by %7 —' ' %1" 07 — " Mech. Fee Dbl $ 3 d PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ p Legal Description I ,y /'3 . // / Oe l 4 / ( L ` 4 T r F S /47 S R Electrical Fee Dbl E j Zone Grp A?/ Type' Unit SMI Fee $ / / Plumbing Fee Dbl $ Bond Amt. $ Plan No. _<I—p Pion Checker Final Date Inspector I `I —"\(=L Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch 'I ctdy that in the erperformance of the work for which this pe—i is issued I shall not employ any person to any manner so as to become subject to the workmen's com. pensotion laws of California." Address City Zip Owner Signature Builder Signature " Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agen`t ` Tel. Zip Total Fees $ i t /,3 7 Address 1/'v y city Zip ZIP M.O. ❑ N.C. ❑ Cash ❑ C Received by Contractor sk Tel. ' License p Trees required Sewage stem / g a Address : City Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF venhed by Sewer District v'O K FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. JHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVEigSIDE COUNTY 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 Form 284.208 1Rev. 4.77) ©s CALIFORNIA.