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351326 (AR)BUILDING PERMIT Ailk DEPARTMENT OF BUILDING & SAFETY jft FIELD OFFICE PERMIT NO. 3 513 261 PERMIT NO. 1351326 COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. le Q SQ. 2ND FL. SO. FOR. SQ. GAR. SQ. CAR P. SO. WALL SQ. ESTIMATED CONSTRUCTION FT. Cya — $ O� UNITS FT. @ YARD SPKLR SYSTEM FT. (a3 MOBILEHOME SVC. BAR SINK FT. Q POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING FT. Cas DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER '! Micro Film Fee VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER GARBAGE DISPOSAL Parcel No. G� - -O/ 7 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Ck.by AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK .PI. Ck. Fee y ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET Lot Size COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Construction Fee Dbl E HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER F BOILER B.T.U. SQ. FT. Ca, ¢ BATH TUB 5 SQ. FT. 6 ¢ WATER HEATER Electrical Fee Dbl E" SQ. FT. RESID Cry 1'Aa SEWAGE DISPOSAL Grp SQ. FT. GAR I$ Y. ¢ HOUSE SEWER Unit GAS PIPING SMI Fee E PERMIT FEE PERMIT FEE PERMIT FEE DBL. TiZTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 513 261 Supp. Permit Job Address Space Zip Owner Community 41 GYN Valuation Date Dist. Off. F.C. MH Permit Fee 8 r '! Micro Film Fee Cop E Use of Permit Lo4L4 G-y+iTit�/ iv f tg Parcel No. G� - -O/ 7 Use No. Ck.by Wech. Fee Dbl b .PI. Ck. Fee y Set Backs Lot Size Construction Fee Dbl E Legal Description � a7 //Z � • S J F 5 5 R Electrical Fee Dbl E" Zone / Grp Type Unit SMI Fee E 6 Plumbing Fee Dbl E Bond Amt. y Plan No. Pion Checker Final Date Inspector �Sp.Insp. Fee b kDemol. Fee E Const. Lender Branch -I certify that in the performance of the work for which this not employ any person in any manner so as to become subject Pensotion laws of California." Address City Zip Owner Signature Budder Signature permit is issued I shall to the workmen's com. Registr. Fee E Mileage Fee E Witness Fee b lRemsp. Fee E Owner/Agent Tel, Zip (Total Fees g Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Chec _J@ Received by% 14 Contractor Tel. License N Trees required Sewage System T LL P Address ^� /, /�j .�� p City f �Z Zip :73 Gf .... L-�� / /"' o"0 / �i� • IA4 �PL" J 4--;, 4_ Workers' Comp. yes C] no 0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL A�CAUSE RMIT TO BECOMEVOID. HEREBY AGREE THATola flD1�WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THELAWSOFRIVERSIDETHE 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. verified by. Sewer District C)II Form 284.2081Rev. 4.77) ©s