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351204 (SOTB)BUILDING PERMIT Adk- DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO. 3512041 PERMIT No. 351204 Job Address 77 -,?,5-0, '09ve. COUNTY OF RIVERSIDE Owner I'V1,01e, : Community /41�i� A DST CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. O/ NO. PLUMBING FEES 1ST FL.- SQ. 2ND FL. FOR. SQ. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Oa $ $ 3e,Use UNITS Parcel No. I Use No. 1 Ck.b �� 00 SQ. FT. • @ GD YARD SPKLR SYSTEM Set BacksLot F� 2 R FT. @ MOBILEHOME SVC. BAR SINK Construction Fee Dbl $ a POWER OUTLET ROOF DRAINS FT. (a} SQ: FT. @ DRAINAGE PIPING Zone �. DRINKING FOUNTAIN SQ., FT. (a} Type `-J�.+ SQ. FT. URINAL VALUATION $ OU WATER PIPING _ NOTE: Not to be used as property tax valuation Bond Amt. 8 SWIM POOL, PVT Plan Checker FLOOR DRAIN Oa 'MECHANICAL FEES Sp.lnsp: Fee $ SWIM POOL, COMM $ WATER SOFTENER "I certify that in the performance of the yqrk not employ any person in any manner so as pensation laws of California." Zip Owner Signature Builder Signature for which this permit is issued I sholl come subject to the workmen's cam VENT SYSTEM 7XFAN O EVAP. COOL HOOD 40 ofl SIGN Reinsp. Fee WASHER (AUTO) (DISH) oiv Ofl APPLIANCE DRYERO, © Total Fees GARBAGE DISPOSAL Address S FURNACE ❑ UNIT 0 WALL 0 FLOOR 0 SUSPENDED Zip M.O.C. Cash C] Chec Received by LAUNDRY TRAY Contr/a/meq//o1r {. �/'� Q ��✓ S �I AIR HANDLING UNIT CFM IDLE METER Trees required KITCHEN SINK � -. - �•1 ... n ddres8O� ABSORPTION SYSTEM B.T.U. City ,�'�/.�1-• //� �Iv r %� TEMP USE PERMIT SVC Workers'Comp. yes no 0 WATER CLOSET ti0 COMPRESSOP.g— — HP POLE, TEMP/PERM LAVATORY Q7 HEATING SYSTEM FORCED Q GRAVITY / diD Q AMPERES SERV ENT 7�D SHOWER BOILER 0 B.T.U. SQ. FT. @ ¢ BATH TUB 095, _ SQ. FT. / ¢ WATER HEATER p�7 ;�Q. FT. RESID p 1'/.¢ 14 SEWAGE DISPOSAL / �.... SQ. FT. GAR Ga '/.¢ HOUSE SEWER GAS PIPING All PERMIT FEE 3, PERMIT FEE PERMIT FEE .� DBL. FTOTAL�F iE �ai3. HM. FEE C S•d6/ CDMll. F p K�� CONST X;11.E � ' E,E� '0 EES/ FEE P�t�1 .FFF_ (1� C7�� PERMIT NO. 3512041 Supp. Permit Job Address 77 -,?,5-0, '09ve. Space I Zip 92.5 Owner I'V1,01e, : Community /41�i� A Va uotitiionLnJ' /` b �) / //O� � Dote / / / Dist. Off. 2 F.C. O/ MH Permit Fee $ Micro Film Fee Al Co $ 3e,Use of Permit %�� `'00eleS Parcel No. I Use No. 1 Ck.b �� Mech. Fee Obl 8 D PI. Ck. Fee 8 Set BacksLot F� 2 R Si�zJ/e/✓� /wC./ X/OO Construction Fee Dbl $ a Legal Description Q �.j l / F+�� /�` /�.Z V�� •V"V Electrical Fee Dbl $ Zone �. Grp (J a Type `-J�.+ Unit SMI Fee $ Plumbing Fee Dbl $ Bond Amt. 8 Plan No. Plan Checker Final Date Insp or Sp.lnsp: Fee $ Dental. Fee $ Const. Lender Branch _ - Address Cityy/ "I certify that in the performance of the yqrk not employ any person in any manner so as pensation laws of California." Zip Owner Signature Builder Signature for which this permit is issued I sholl come subject to the workmen's cam Registr. Fee $ Mileage Fee $ Witness Fee 1E Reinsp. Fee $ Owner/Agent. Tel. Zip Total Fees $ Address S City Zip M.O.C. Cash C] Chec Received by Contr/a/meq//o1r {. �/'� Q ��✓ S �I Tel. S6,,,_ � O O. License p i Trees required Sewage Sstem/ .�.-. ra � -. - �•1 ... n ddres8O� City ,�'�/.�1-• //� �Iv r %� Zip Workers'Comp. yes no 0 T i/ ,51 Sewer District THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHA SOC SE PEQp91T TO BECOME VOID. I HEREBY AGREE THA CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH -THE LAWS OF RIVERSIDE COUNT AND THE STATE OF CALIFORNIA. ti 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.