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347049 (CP)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ANk FIELD OFFICE 493 LiNo RM IT NO. I� COUNTY OF RIVER51DE Owner /lis�i7/�/U S je.. Community r /�j �/} t�i�//J%f? Valuation S y�efi Date t� �v�' p 1347049 Off.. F.C. �a0 �� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Use of Permit / L Legal Description /'� �j�/ „� 7 NO. PLUMBING FEES Use No. Ck.by 1ST FL. SQ. FT. @ $ UNITS Set Backs Lot Size F/ 2ND FL. SQ. FT. Ca S YARD SPKLR SYSTEM Zone FOR. SQ. FT. 8 MOBILEHOME SVC. Unit BAR SINK ;Plumbing Fee Dbl E POWER OUTLET Bond Amt. E ROOF DRAINS Pion Checker GAR. SQ. FT. Inspe 'Sp. Imp. Fee E Demo]. Fee Fee CAR P. SQ. FT. @ Const. Lender Branch 'I certify that in the perform of the work for which this permit n issued I shall not employ any person in any manner so as to become subject to the workmen's com. pensation laws of California.' Address City Zip Owner Signature Builder Signature DRAINAGE PIPING Mileage Fee E WALLSQ. FT. Car -Reinsp. Fee E DRINKING FOUNTAIN Owner/Agent `at L SQ. FT. Ga �_ Total Fees URINAL ESTIMATED CONSTRUCTION VALUATION $ City Zip M.O. ❑ N.C. ❑ Cash ❑ Ch k,2 WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Tel. FLOOR DRAIN Trees required Sewage System T LL MECHANICAL FEES SWIM POOL, COMM City ��y�.' Zip I /'�6M O'�Jy WATER SOFTENER THIS PERMIT SHALL BECOME IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL A CAUS ERMI TO BECOME VOID. I HEREBY AGREE THAT O WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV-SRSIDE COUNTY D 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. Sewer District Form 284208 [Rev. 4.77) ©s VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. Ga 4 BATH TUB SQ. FT. Cat C WATER HEATER SQ. FT. RESID 6 1 y.¢ SEWAGE DISPOSAL SQ. FT. GAR 6 Y.a HOUSE.SEWER GAS PIPING Q �y PERMIT FEE PERMIT FEE 3 PERMIT FEE OBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEEFT. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 9GfG 3 e� a,ov != 493 LiNo upp. Permit 7 Job Address Space -� L: / t7 - - Zip Zd�� Owner /lis�i7/�/U S je.. Community r /�j �/} t�i�//J%f? Valuation S y�efi Date t� �v�' p Dist. // Off.. F.C. �a0 MH Permit Fee $ CMicro Film Fee Cop E Use of Permit / L Legal Description /'� �j�/ „� 7 Parcel No. 7;7, f ---� Use No. Ck.by Mech. Fee Dbl i PI. Ck. Fee E r� Construction Fee Dbl E D Set Backs Lot Size F/ $16 S :Electricol Fee Dbl E SMI Fee E 2 Zone Grp Type Unit ;Plumbing Fee Dbl E Bond Amt. E Plan No. Pion Checker Final Dore 1 Inspe 'Sp. Imp. Fee E Demo]. Fee Fee b Const. Lender Branch 'I certify that in the perform of the work for which this permit n issued I shall not employ any person in any manner so as to become subject to the workmen's com. pensation laws of California.' Address City Zip Owner Signature Builder Signature Registr. Fee E Mileage Fee E •Witness Fee E -Reinsp. Fee E Owner/Agent Tel. Zip Total Fees S Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Ch k,2 Received by Contractor ovzv[;� Tel. License p Trees required Sewage System T LL P Address / //. _yam �D / /VOID City ��y�.' Zip I /'�6M O'�Jy Workers' Comp. y. -;e no ❑ THIS PERMIT SHALL BECOME IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL A CAUS ERMI TO BECOME VOID. I HEREBY AGREE THAT O WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV-SRSIDE COUNTY D 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. Sewer District Form 284208 [Rev. 4.77) ©s