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351210 (3&4)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY`, FIELD OFFICE.1 Aft�' ` PERM IT NO. 3 51210 PERMIT NO. 3 512 . � -' COUNTY OF RIVERSIDE Space�1,ip, '' DST CONSTRUCTION ESTIMATE Community/y� - Aq c-y.Gl�f?/y�f"+F NO. ELECTRICAL FEES NO. PLUMBING FEES -1ST FL. _ SQ. 2ND FL. POR. t , GAR., SQ. CAR P.._, WALL ESTIMATED CONSTRUCTION o? $ FT. ''Z' UNITS + . SQ. FT. (a}_ YARD SPKLR SYSTEM SQ. FT. @ ASO �' MOBILEHOME SVC. BAR SINK POWER OUTLET FT. @ " ROOF DRAINS SQ. FT Ca} - DRAINAGE PIPING SQ. FT.Q DRINKING FOUNTAIN _ . SQ. FT. Cr} URINAL VALUATION $ 'a OO - n WATER PIPING NOTE: Not to be used as property tax valuation F SWIM POOL, PVT 5 FLOOR DRAIN. ;Electrical Fee Dbl $ MECHANICAL FEES Grp SWIM POOL, COMM Unit Unit WATER SOFTENER ' SMI Fee VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD Dbl $ SIGN Bond Amt.PIonNo�. $ WASHER (AUTO) (DISH) Plan G '� -t'sZ -) APPLIANCE ❑ DRYER Inspector' ' r GARBAGE DISPOSAL $ FURNACE ❑ UNIT •❑WALL ❑ FLOOR ❑"SUSPENDED 'Const. Lender 6 Address w - - , � k - Bronc a '1 certify that int a performaince of the work for which this permit is issued I sholl employony person in any manner so as to become subject to the workmen's com. - pensotion laws of California. City Zip "- - Owner Signature - - Builder Signature Registr. Fee $ LAUNDRY TRAY Witness Fee $ AIR HANDLING UNIT CFM T $ IDLE METER Owner/Agent i; KITCHEN SINK Tel. - _ Zip - ABSORPTION SYSTEM 0 B.T.U. Total Fees TEMP USE PERMIT SVC WATER CLOSET ." COMPRESSOR HP M.O. ❑ N.C.i❑ Cash ❑ Check ❑ POLE, TEMP/PERM LAVATORY Contractor J / { ..��' {L . .J i^�/\%Sfili HEATING SYSTEM ❑• FORCED ❑ GRAVITY Tel. ? L ` ✓47- 0 Z � 7 AMPERES SERV ENT Trees required - _ SHOWER -. BOILER B.T.U. Address �1r2 �L;".. SQ. FT. @ ¢ City - - Zip //✓O/t7 BATH TUB SQ. FT.. Cas ¢ WATER HEATER .. - SQ. FT. RESID p I t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Ga 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. I -TOTAL LFFEES /i..1 MOB. HM..FEE .MICRO FEE - MECH. FEE PL CK. FEE CONST. FEE _ ELECT. FEE - SMI FEE .. 'FEEPLUMB. FEE PERM IT NO. 3 51210 Supp. Permit Job Address - - - ��- ___ .u Space�1,ip, Owner '00564 ,� _ Community/y� - Aq c-y.Gl�f?/y�f"+F Valuation $ Date '1X_;?171 Dist. �� • .Off. `/ F.C. e MH Permit Fee $ Micro Film Fee Cop $ Use of Permit L'9� v _!' ,/ U y �./eYr Pr.' Parcel No. q�s 71 .3 �L% �' G/��O Use Nq�/•� ;ck.by r ,VI -7 Mech. fee Dbl $ - J PI. Ck. Fee $ 1-!rl Set Backs Lot Size - - Construction Fee Dbl $ Legal Description - _ F I S 5 R, ;Electrical Fee Dbl $ Zone Grp Type Unit Unit SMI Fee Plumbing Fee _ Dbl $ _ - Bond Amt.PIonNo�. $ •� �S+ 3 /� '� Plan G '� -t'sZ -) Fina. Dote � Inspector' ' Sp. Insp* Fee $ ., Dental: Fee. , $ - - 'Const. Lender 6 Address w - - , � k - Bronc a '1 certify that int a performaince of the work for which this permit is issued I sholl employony person in any manner so as to become subject to the workmen's com. - pensotion laws of California. City Zip "- - Owner Signature - - Builder Signature Registr. Fee $ Mileage Fee $• { Witness Fee $ Reinsp. Fee T $ - Owner/Agent i; Tel. - _ Zip - Total Fees $Address .•. �., ." City - Zip .. • - ... M.O. ❑ N.C.i❑ Cash ❑ Check ❑ Received by Contractor J / { ..��' {L . .J i^�/\%Sfili .. Tel. ? L ` ✓47- 0 Z � 7 License N Trees required - _ Sewage System -. _ Address �1r2 �L;".. - City - - Zip //✓O/t7 Workers' Comp. yes ❑ no ❑ i• T - 'LL +P 'Sewer District Form 284.208 1 Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT. COMMENCED WITHIN 120 DAYS. -CESSATION OF verified by'. WORK FOR'120 DAYS SHALL ALSO C S - PE T•• TO BECOME -VOID. I HEREBY AGREE THAT ALL VA"ATD( ECTTOI�WITH THIS PERMIT WILL BE" DONE'IN ACCORDANCE r WITH THE LAWS OF RIVERSIDE COUSTATE OF CALIFORNIA. -'- I HEREBY CERTIFY THAT THE INDIVICUAL 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.