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351375 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY PERMITNO. COUNTY OF RIVERSIDE 351375 - CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. FOR. SQ. FT. (a} GAR. SQ. FT. (a} CAR P. SQ. IT, @ WALL 7 SQ. FT. @ FURNACE, ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED SQ. FT.. VALUATION $ ESTIMATED CONSTRUCTION NOTE: Not to be used as property tax valuation NO. I 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 // I PERMIT NO.-1Supp. 3 513 7 I MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Space Zip Z,73 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER IAUTO) (DISH) APPLIANCE ❑ DRYER , GARBAGE DISPOSAL Date i� � FURNACE, ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Off. ?-- LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Use of Permit / ��`�`� /i -/L CL? �j/ Legal Description +/ ��//�� ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET IMech. PI. Ck. Fee $ COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Dbl 8 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER' Pion Checker - BOILER � B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER $ Const. Lender • Address SQ. FT. RESID p 1'/.¢ SEWAGE DISPOSAL IRegistr. Fee $ jMiieage Fee $ SQ. FT. GAR Ga '/.¢ HOUSE SEWER $ Owner/Agent / - - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE Address DBL: [_TOTT)_AL;F_,E_E�SM0B.HM.FEE1 City MICRO FEE MECH. FEE PL. CK.FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO.-1Supp. 3 513 7 I Permit - Job Address � _Gfllo A5'.1r Space Zip Z,73 Owner j ,� T 2), Community _ � �� .�.4 , Valuation $ /38'3 '� Date i� � Dist. // Off. ?-- F.C. F Permit ermit ee $ I ;Micro Film Fee Cop $ Use of Permit / ��`�`� /i -/L CL? �j/ Legal Description +/ ��//�� Parcel No. Use No. Set Backs lot Size JF S SR / e Grp Type Unit Ck.by fee Dbl $ IMech. PI. Ck. Fee $ EConstruction Fee Dbl $ !Electrical Fee Dbl $ ISMI Fee $ 'Plumbing Fee Dbl 8 Bond Amt. $ Plan No. Pion Checker - Final D'ate�` -- 1-22 Inspect ISP. Insp. Fee $ ;Demo.. Fee Demol. $ Const. Lender • Address Branch City "i certify that in the performable of the work for which this permit is issued 1$ not employ any person in any manner so as to become subject to the workmen's com- pensation lows of California." Zip Owner Signature Builder Signature IRegistr. Fee $ jMiieage Fee $ .Witness Fee $ Y einsp. Fee $ Owner/Agent / - - Tel. Zip Ifotai Fees $ Address City Zip M.O. ❑ N.C. ❑ Cosh Chec (Received by !Trees required [[Sewage Contractor Tel. - J License q System t .. Address City _ Zip Workers' Comp. yes ❑ no ❑ T LL P . District Form 284.208 (Rev. 477) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL ALS USE P MIT TO BECOME VOID. . I HEREBY AGREE THAT Al 90A.WttH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RI V5RSIDE COUNTY 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.