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341061 (SFD)BUILDING PERMIT jft DEPARTMENT OF BUILDING & SAFETY ift FIELD OFFICE I PERMITNO. 341061 PE4106��. RMIT NO. 3 Job Address Space COUNTY OF RIVERSIDE Owner DST CONSTRUCTION ESTIMATE Date 1&• NO. ELECTRICAL FEES Off. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION FT. 8 &t$ UNITS Micro Film Fee Cop E Use of Permit Parcel No. Use No. Ck.by J � Set B %/ �p/acks Lot Size Legal Description F S S/ R /gyp /� Zane Grp Type Unit �� i « y� /C FT., @ YARD SPKLR SYSTEM FT. 8— G'G sG MOBILEHOME SVC. BAR SINK FT. Q -JV �-�, POWER OUTLET ROOF DRAINS FT. DRAINAGE PIPING FT. ® DRINKING FOUNTAIN FT. @ URINAL VALUATION$ I C WATER PIPING NOTE: Not to be used as property tax valuation IRegistr. Fee b SWIM POOL, PVT Witness Fee b FLOOR DRAIN Owner/Agent j s t MECHANICAL FEES SWIM POOL, COMM Address WATER SOFTENER Received by / VENT SYSTEM AN ❑ EVAP. COOL HOOD Tel. SIGN reel required , WASHER IAUTOI ISHI Address APPLIANCE QDRYER Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH THE LAWS OF RIVWSIDE COUNTY AND THE STATE OF CALIFORNIA. t 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. wer DWORK 284.2081Rev. 4.771 ©s GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY -TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC 01 WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT. @ ¢ BATH TUB SQ. FT. Qa ¢ WATER HEATER Q. FT. RESID @ 1'/.¢ SEWAGE DISPOSAL Q. FT. GAR 6 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE J=EES �� MOB. HM. FEEJ �'MTCROr�'cE ME .FEE as PL. CK. FEE CONST. FEE . ELE 3£r 1 SMI FEE a FEE PLIyM(3. Wf 37~ I PERMITNO. 341061 Supp. Permit Job Address Space Zip Owner Community A HOS w Valuation y v.�J Date 1&• Dist. �� Off. F.C. MH Permit Fee $ Micro Film Fee Cop E Use of Permit Parcel No. Use No. Ck.by J � Set B %/ �p/acks Lot Size Legal Description F S S/ R /gyp /� Zane Grp Type Unit �� i « y� /C Mech. Fee Dbl b Pl. Ck. Fee $ Construction Fee Dbl E Electrical Fee DbI b SMI Fee E Plumbing Fee Dbl E Bond Amt. y2,1 Plan No. Plan Checker Final Dote Inspect t5p. Insp. Fee b IDemol. Fee $ Const. Lender . Branch I certify that in the performance of thgfwork for which this permit is issued I shot[ not employ any person in any manner so as to become subject M the workmen's co., pensahon laws of California. Address City Zip Owner Signature 1 Builder Signature IRegistr. Fee b ileage Fee E Witness Fee b einsp. Fee E Owner/Agent j s t Tel. Zip z otol Fees $ M.O. ❑ N.C. ❑ Cash ❑ Check— Address City Zip Received by / Contractor Tel. License N reel required , wage System �J '3S f1Ao� G X�U _ `JK L 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 FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH THE LAWS OF RIVWSIDE COUNTY AND THE STATE OF CALIFORNIA. t 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. wer DWORK 284.2081Rev. 4.771 ©s