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351561 (GRD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Adk FIELD OFFICE PERMITNO. I 351561 PERMIT NO. 35156 1 COUNTY OF RIVERSIDE, DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1STFL. A575 -SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. $ t29 UNITS YARD SPKLR SYSTEM SQ. FT. SQ. FT. Cal 00 �.. MOBILEHOME SVC. BAR SINK FT. Cja -13V POWER OUTLET ROOF DRAINS SQ. FT. ® DRAINAGE PIPING SQ. Ca, DRINKING FOUNTAIN !FT. SQ. FT. 8 URINAL VALUATION $ e2ffZ cw WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER I `Micro Film Fee VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Use of Permit ,V e � �� "" � � APPLIANCE ❑ DRYER GARBAGE DISPOSAL Parcel No. Use No. Ck.by .77""4-2711-4020 ir ,/ 27� O FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY PI. Ck. Fee E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Lot Size i QX/DO ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET Legal Description % �/J]. /�jj �+ /1 ♦ Nl./`�V ` —1 COMPRESSOR HP POLE, TEMP/PERM LAVATORY S-� 8 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Zo eGrp BOILER � B.T.U. SQ. FT. C� (I BATHTUB T SQ. FT. Ca, a WATER HEATER SQ. FT. RESID iy 1'Air SEWAGE DISPOSAL Plumbing Fee SQ. FT. GAR Ca, '/.a HOUSE SEWER Bond Amt. E PlanNo. •'�� GAS PIPING FinalDoteexnspector, S' PERMIT FEE PERMIT FEE PERMIT FEE l Denial. Fee E DBL. TOTAL FEES 11 HM, FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMITNO. I 351561 Supp. Permit Job Address Space Zip 9 Owner Co unity �J //` �J i �/i J w �/• `) / q Valuation E Dote a / 7 9 Dist. �� F.C. � MH Permit Fee E I `Micro Film Fee Cop E Use of Permit ,V e � �� "" � � Parcel No. Use No. Ck.by .77""4-2711-4020 ir ,/ 27� O Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size i QX/DO Fee Dbl E Legal Description % �/J]. /�jj �+ /1 ♦ Nl./`�V ` —1 /7L} -5-, F�G/ S S-� 8 �Construction Electrical Fee Dbl E Zo eGrp 3 T Unit 'SMI Fee E Plumbing Fee Dbl E Bond Amt. E PlanNo. •'�� Plan Checker FinalDoteexnspector, S' i� f Sp. Insp. Fee E l Denial. Fee E E Const. Lender Branch i certify that to the performorice of the work for khich this permit is issued I shall not employ any penon 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 Totol Fees E Address City Zip M.O. ❑ .C. ❑ Cosh ❑ Che Received bye/ Cant ctor OG��/� Tel. License p !Trees required Sewage System Address,�/��//—' t CityZip �/A) �/T Workers'Comp. yes ❑ no ❑ District Form 284.208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF -WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verfied by: WORK FOR 120 DAYS SHALL ;0 CALAE TTO ME VOID. I HEREBY AGREE THA C WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNT AND THE 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. 1