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351121 (ELEC)BUILDING PERMIT PERMIT NO. 351121 CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. CW 2ND FL. SQ. FT. Ca, POR. SQ. FT. GAR. SQ. FT. CAR P. SQ. FT. WALL SQ. FT. (ja SQ. FT. C1 ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used os property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN // PERMITNO. ` 3 51121 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)1 DISH) Dist. APPLIANCE ❑ DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED MH Permit Fee $ LAUNDRY TRAY Cop E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Use No. Ck.by ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Lot Size COMPRESSOR HP POLE, TEMP/PERM LAVATORY 5 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Zo�n%e �G BOILER � B.T.U. SQ. FT. fja ¢ BATH TUB 'SMI Fee E SQ. FT. rr ¢ WATER HEATER Bond Amt. g SQ. FT. RESID Ga 1 t/.¢ SEWAGE DISPOSAL C�ripj Dj y) Ins . — ctor SQ. FT. GAR G Y.a HOUSE SEWER Demol. Fee E Const. Lender Branch I certify that in the performance of tF ork for which this permit is issued I shall not employ any person in any manner sV to become subject to the workmen's com- pensation laws of California.” Address City Zip Owner Signature z Builder Signature GAS PIPING Mileage Fee E PERMIT FEE Reinsp. Fee PERMIT FEE PERMIT FEE Owner/Agent t -5 DBL. TOTAL FE S // 4� MOB. HM, FEE MICRO FEE MECH. FEE PL. CK. FEE ELECT. FEE CONST. FEE // CD SMI FEE FEE PLUMB. FEE PERMITNO. ` 3 51121 SupP. Permit 3Sf? �'� Job Address Space Zip 77- zf�10 i z �'3 �� o�„�,� Owner .S /!rT- Community Valuation b Date //a/�y Dist. Off. 7 - MH Permit Fee $ t Micro Film Fee Cop E Use of Permit ,LLLG O Parcel No. Use No. Ck.by Mech. Fee Dbl E PI. Ck. Fee y Set Backs Lot Size Construction Fee Dbl $ Legal Description / / �a �L �S��V%% yr ...JJJ "'•K ,d F 5 S R Electrical Fee Dbl E Zo�n%e �G Grp Type Unit 'SMI Fee E Plumbing Fee Dbl E Bond Amt. g Plan No. Plan Checker C�ripj Dj y) Ins . — ctor Sp. Insp. Fee E Demol. Fee E Const. Lender Branch I certify that in the performance of tF ork for which this permit is issued I shall not employ any person in any manner sV to become subject to the workmen's com- pensation laws of California.” Address City Zip Owner Signature z Builder Signature Registr. Fee E Mileage Fee E Witness Fee $ Reinsp. Fee E Owner/Agent t -5 Tel. Zip -� Total Fees E 77 Address Zip M.O. ❑ N.C. ❑ Cash ❑ Chec - Received by Contractor Tel. License N Trees required Sewage System T LL P Address City Zip Workeri Comp. yes ❑ no ❑ THIS PERMIT SHAL4 BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by - WORK FOR 120 DA CIT TO BECOME VOID. I HEREBY AG A ALL O IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH THE LAWS OF RIVERSIDE OUNTY AND THE 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 sh Form 284.208 1Rev. 477) ©s