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349306 (SFD)
BUILDING PERMIT Adlk DEPARTMENT OF BUILDING & SAFETY jMk FIELD OFFICE k PERMIT NO, 34930 PERMIT NO. 349300 Job Address Space Zip COUNTY OF RIVERSIDE Community f.un4 45;/} ,w i l� Valuation ,sem E m�� ��� �` osT /f CONSTRUCTION ESTIMATE Off. ?+ NO. ELECTRICAL FEES NO, PLUMBING FEES I MH Permit Fee E 1ST FL. 47 & SQ. 2ND FL. FOR. GAR. Dy SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. �a �v $ o� at' UNITS Use of Permit S/ L/` ` Parcel No. ^ Use No. y SQ. FT. YARD SPKLR SYSTEM Mech. Fee Dbl E �O'�li O� SQ. FT. MOBIL'EHOME SVC. BAR SINK � Set Backs FT. Qa /o'er �1vU27 I� POWER OUTLET ROOF DRAINS Construction Fee Dbl E FT. @ DRAINAGE PIPING F' G' FT. Ga DRINKING FOUNTAIN kg— SQ. FT. Ga URINAL i Electrical Fee Dbl E �� VALUATION $ .�7 WATER PIPING Grp NOTE: Not to be used as property tox voluotion Unit SWIM POOL, PVT %SMI Fee E/�- FLOOR DRAIN D61 E MECHANICAL FEES Pion``N,,o. T��%� SWIM POOL, COMM Final Dote WATER SOFTENER SP. Insp. Fee E VENT SYSTEM X FAN ❑ EVAP. COOL 0 HOOD U SIGN 'I c ify that in the performance of the work which this permit a issued I shoR oy any person in any manner so os to become sublect to the workmen's com. Const. Len pr BranchffMAV t /� ensation lows of California." Addres City Zi Owner Signature Builder Signature C 7 WASHER IAUTOYDISHI Mileage Fee E Witness Fee E APPLIANCE DRYER rrj. O�,, 9{r/Agent r GARBAGE DISPOSAL Total Fees FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED .7/a j, Address / (� City / Zip /�� ,vr, LAUNDRY TRAY Received by AIR HANDLING UNIT CFM Contractor IDLE METER License P KITCHEN SINK Sewage System Ai+.,rr� , "' T _ .. LL ABSORPTION SYSTEM � B.T.U. Address TEMP USE PERMIT SVC Workers' Comp. Yes ❑ no ❑ d% WATER CLOSET Sewer District Form 284.208 (Rev. 477) ©s COMPRESSOR 0 HP d V POLE, TEMP/PERM LAVATORY HEATING SYSTEM (FORCED ❑ GRAVITY Op AMPERES SERV ENT / SHOWER BOILER B.T.U. SQ. FT. Ca, ¢ / BATH TUB SQ. FT. Go ¢ WATER HEATER ool.'2y-,,�SQ. FT. RESID Ge 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ce, '/.¢ `� HOUSE SEWER GAS PIPING PERMIT FEE rp PERMIT FEE PERMIT FEE 3 DBL. I TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE 01 PL. CK. FEE .60 CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE k PERMIT NO, 34930 Supp. Permit Job Address Space Zip Owner Community f.un4 45;/} ,w i l� Valuation ,sem E m�� ��� �` Dote �Z� j �" Dist. // Off. ?+ F.C. aw I MH Permit Fee E III Micro Film Fee - Cop E Use of Permit S/ L/` ` Parcel No. ^ Use No. y Ck.by 0 Mech. Fee Dbl E �O'�li PI. Ck. Fee E Set Backs Lot Size / Construction Fee Dbl E Legal Description /// /�L �wt `� F' G' S kg— �41 i Electrical Fee Dbl E �� Zone Grp Type Unit %SMI Fee E/�- Plumbing Fee D61 E Bond Amt. 8 Pion``N,,o. T��%� Plan Checker Final Dote Inspector p� SP. Insp. Fee E I Demol. Fee E 'I c ify that in the performance of the work which this permit a issued I shoR oy any person in any manner so os to become sublect to the workmen's com. Const. Len pr BranchffMAV t /� ensation lows of California." Addres City Zi Owner Signature Builder Signature I Regisrr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E O�,, 9{r/Agent r Tel. Zip Total Fees E .7/a j, Address / (� City / Zip /�� ,vr, M.O. ❑ N.C. ❑ Cosh ❑ Che Received by Contractor Tel. License P Trees required Sewage System Ai+.,rr� , "' T _ .. LL / / Com' 'Y 1 U . P Address City Zip Workers' Comp. Yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by WORK FOR 120 DAYS SHAWLTO BECOME VOID. I HEREBY AGREE THA WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH THE LAWS OF RIVERSIDE COD THE STATE OF CALIFORNIA. 1 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. Sewer District Form 284.208 (Rev. 477) ©s