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GRD (351211)BUILDING PERMIT 'Ask DEPARTMENT OF BUILDING & SAFETY Mlk FIELD OFFICE PERMIT NO. 3 512 PERM IT NO. 351211- 1W COUNTY OF RIVERSIDE -- Owner 7; CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES .1ST FL. Z 2ND FL. FOR. GAR. CAR P.. WALL ESTIMATED CONSTRUCTION SQ. FT. Q At UNITS F.C. SQ. FT. YARD SPKLR SYSTEM SQ. FT. 8 MOBILEHOME SVC. BAR SINK Micro Film Fee SQ. FT. Q POWER OUTLET ROOF DRAINS Use of Permit CAIParcel G , / SQ. FT. DRAINAGE PIPING No. O/ -e SQ. FT. DRINKING FOUNTAIN Ck. by SQ. FT. URINAL PI. Ck. Fee $ - VALUATION $ , WATER PIPING Lot Size - © /OO NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN ,f1 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Z'onneGrpp . ► VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) SMI Fee E Plumbing Fee APPLIANCE ❑ DRYER Bond Amt. y - GARBAGE DISPOSAL Fin to Inspector / Y 7-11R FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Dental. Fee b AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Witness Fee E Reinsp. Fee ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Zip COMPRESSOR HP POLE, TEMP/PERM LAVATORY City Zip HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER ntractor }([/ / J O N f TQ Tel. 3 41;7— 1V BOILER B.T.U. SQ. FT. ¢ BATH TUB Sewage System Sewage Address SQ. FT. ¢ WATER HEATER Workers' Comp. yes ❑ no ❑ SQ. FT. RESID 6 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR 6 14 t HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTALFEES MOB. HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMIFE ET FEE PLUMB. FEE PERMIT NO. 3 512 Supp. Permit Job Address Space Zip 92 Owner Community ( ( ' A Vo Motion E Date Dist. Off. F.C. MH Permit Fee E Micro Film Fee Cop $ Use of Permit CAIParcel G , / No. O/ -e Use NoI / Ck. by Mech. fee Dbl E PI. Ck. Fee $ - Set Backs Lot Size - © /OO Construction Fee Dbl $ Legal Description // / ( 4111 " i 1 / ha v "' A2 ,f1 „/ o Electrical Fee Dbl E Z'onneGrpp . ► Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. y - Plan No. Plan Checker -a0v Fin to Inspector / Y 7-11R Sp. Insp. Fee E Dental. Fee b Const. Lender Branch 'I certify that in the performance oft work for which this permit is issued I sholl not employ any person in any manner sons to become subject to the workmen's com- pensation laws of California." Address City Zip Owner Signature Builder Signature Registr. Fee E Mileage Fee b Witness Fee E Reinsp. Fee b Owner/Agent Tel. Zip Total Fees y Ad City Zip M.O. ❑ N.C. ❑ Cash ❑ Che Received by ntractor }([/ / J O N f TQ Tel. 3 41;7— 1V License P Trees require Sewage System Sewage Address City / Zip Workers' Comp. yes ❑ no ❑ Sewer District THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL AL AUS RMIT TO BECOME VOID. I'HEREBY AGREE THAT AL R I < W–)h4TH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDECOUNTY A E STATE OF CALIFORNIA. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.