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347149 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ` FIELD OFFICE PERMITNO. - 3471 4 9 PERMIT NO. 347149 � COUNTY OF RIVERSIDE Community Valuation �yT ,�%/7l EZ)7 Date �; CONSTRUCTION ESTIMATE F.C. NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ, WALL SQ. ESTIMATED CONSTRUCTION FT. ` $ g UNITS Parcel No. Y- Z.� ._ r✓ o TUse No. ( Ck.by 'C Mech. Fee Dbl E YARD SPKLR SYSTEM FT. Ga Set Backs FT. 8 MOBILEHOME SVC. BAR SINK FC> FT. @ 4, I' POWER OUTLET ROOF DRAINS S FL CW DRAINAGE PIPING Fee Dbl E I�SMI Fee E FT. Q w DRINKING FOUNTAIN Grp �3 SQ. FT. URINAL Unit VALUATION $ WATER PIPING 'Plumbing Fee NOTE: Not to be used as property tax valuation Bond Amt. E SWIM POOL, PVT Plan Checker FLOOR DRAIN Inspector MECHANICAL FEES DemoL Fee SWIM POOL, COMM Const. Lender Branch 'I certify that in the performance of the work for which this permit is issued I shoU not employ any person in any manner so as to become subject to the workmen's com- pensotion laws of California." Address- C/ityf Zip Owner Signature L / 7 Builder Signature WATER SOFTENER Mileage Fee E Witness Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL W HOOD E SIGN Tel. Zip WASHER (AUTO) (DISH) Total Fees E O APPLIANCE JZ DRYER City Zip - • M.O. ❑ N.C. ❑ Cash ❑ Chyk 5Z Received by Trees required GARBAGE DISPOSAL Contractor Tel. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED - Sewage Syst�esmsy.� T ./ LL P Address LAUNDRY TRAY Workers' Comp. Yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verrfted by: WORK FOR 120 DAYS SHASO AJE PERMIT TO BECOME VOID. 1 HEREBY AGREE TH—COMGECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERTHE 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. AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Agf COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. (a ¢ BATH TUB SQ. FT. G ¢ WATER HEATER Q. FT. RESID (y I'/.c SEWAGE DISPOSAL SQ. FT. GAR Ca, '/.¢ JE HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES aos� MOB. HM. FEE MICRO FEE ME H. FEE 17C PL. CK, FEE CONST. FEE ELECT. FEE a a' SMI FEE �-_L__ FEE PLUMB. FEE PERMITNO. - 3471 4 9 Supp. Permit Job Address f�q^ /0 > C/S��"/FOLexr7Z Space Zip I 7 Owner Community Valuation �yT ,�%/7l EZ)7 Date Dist. // Off. I _Z— F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit ,rte. `ray"/ter Descriptily'7 LBS115 Parcel No. Y- Z.� ._ r✓ o TUse No. ( Ck.by 'C Mech. Fee Dbl E 14 PI. Ck. Fee Construction Fee Dbl E AROleLegal Set Backs Lot Size FC> S ., S Fee Dbl E I�SMI Fee E ZoElectrical ne" Grp �3 Type Unit 'Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Fi al Datte�/� Inspector Sp. Insp. Fee E DemoL Fee E Const. Lender Branch 'I certify that in the performance of the work for which this permit is issued I shoU not employ any person in any manner so as to become subject to the workmen's com- pensotion laws of California." Address- C/ityf Zip Owner Signature L / 7 Builder Signature Regisir. Fee E Mileage Fee E Witness Fee E I Reinsp. Fee E Owne Tel. Zip Total Fees E O Add/e G City Zip - • M.O. ❑ N.C. ❑ Cash ❑ Chyk 5Z Received by Trees required Contractor Tel. License N - Sewage Syst�esmsy.� T ./ LL P Address City Zip Workers' Comp. Yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verrfted by: WORK FOR 120 DAYS SHASO AJE PERMIT TO BECOME VOID. 1 HEREBY AGREE TH—COMGECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERTHE 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 284.208 (Rev. 4.771 ©s