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351296 (ELEC)
BUILDING PERMIT jft DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO. 3 512 9 PERMIT NO. 351296 Job Address � � s COUNTY OF RIVERSIDE � � Space Zip �LZs- DST /r CONSTRUCTION-ESYIMATE� ' ' NO. ELECTRICAL FEES Valuation $ NO. PLUMBING FEES Date Dist. / I —1 ?. -> /, 1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q UNITS MH Permit Fee $ Micro Film Fee SQ. FT. @ YARD SPKLR SYSTEM Use of Permit i 15 C-` c T SQ.. FT. @ MOBILEHOME SVC. BAR SINK Parcel No. 133-017 FT. Q POWER OUTLET ROOF DRAINS 5 SQ. FT. DRAINAGE PIPING PI. Ck. Fee $ SQ. FT. . Q DRINKING FOUNTAIN Lot Size SQ. FT. @ URINAL Legal Description / �L,�- v}� 7 V / 7" VALUATION Is WATER PIPING OQ NOTE: Not to be used as property tox valuation SWIM POOL, PVT S-7 FLOOR DRAIN R Electrical Fee Dbl $ MECHANICAL FEES SWIM POOL, COMM Type WATER SOFTENER I SMI Fee $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Bond Amt. $/—+��,� WASHER (AUTO) (DISH) Plan CheckerIn� APPLIANCE ❑ DRYER dor GARBAGE DISPOSAL Dental. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED , Branch 'I certifychat in the performopce of /" ork for which this permit is issued 1 shall not employ any person in any manner sa to become subject to the workmen's com- pensation laws of California." City Zip Owner Signature Builder Signature LAUNDRY TRAY Mileage Fee $ Witness Fee $ AIR HANDLING UNIT CFM IDLE METER O er/A t KITCHEN SINK ! Tel. Zip ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM Received byC LAVATORY tra o HEATING SYSTEM ❑ FORCED ❑ GRAVITY. AMPERES SERV ENT License q - SHOWER �Sewage System - BOILER B.T.U. SQ. FT. raja ¢ BATH TUB Worker 'Co yes no ❑ SQ: FT. Ga ¢ WATER HEATER 040 SQ. FT. RESID Ga 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ga s/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE U PERMIT FEE DBL. TOTAL FEES ]MOS. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 512 9 Supp. Permit Job Address � � s Ale � � Space Zip �LZs- Owne P UCE �d - Community `,1U-/0-- L /4 Q U / /v 0 Valuation $ Date Dist. / I —1 ?. -> /, Off. r F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit i 15 C-` c T • / C �••� �� 0,7 S #,0A [�,.�f Parcel No. 133-017 Use No. ACk.by 5 Mech. Fee Dbl $ . PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description / �L,�- v}� 7 V / 7" py ^� Q 4 & 5 L ,54 `i�. 1� F S-7 S ->"v R Electrical Fee Dbl $ Zone k 1 Grp l Type Unit I SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $/—+��,� Pion No. Plan CheckerIn� dor Sp. Insp. Fee $ Dental. Fee $ Const. Lender . Address - , Branch 'I certifychat in the performopce of /" ork for which this permit is issued 1 shall not employ any person in any manner sa to become subject to the workmen's com- pensation laws of California." City Zip Owner Signature Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ 'Reinsp. Fee $ O er/A t ! Tel. Zip !Tocol Fees Zip t M.O. ❑ N.C. Cosh ❑ Chec Received byC tra o Tel. License q - iTrees required �Sewage System - Address City Zip Worker 'Co yes no ❑ ,Sewer District Form 284.208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF v ified by: WORK FOR 129 DAYS SHALL f1J &�_CAUS PERMIT TO BECOME VOID. I HEREBY AGREE THAT(/Ajl�Gj( Nfdf�Pl�PiWi�H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDE COUNTY 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.