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351168 (RPL)BUILDING PERMIT t DEPARTMENT OF BUILDING & SAFETY Allk FIELD OFFICE PERM IT NO. 351168 PERMIT NO. 1351168 1.� COUNTY OF RIVERSIDE Zip _, Owner DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Dote %/ .1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL �d11 ESTIMATED CONSTRUCTION FT. ® $ UNITS SQ. FT. 8 YARD SPKLR SYSTEM Micro Film Fee SQ. FT. . @ MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS FT. 8 ` L _�•yy/ - SQ. FT. (� DRAINAGE PIPING I Use No. SQ. FT. @ DRINKING FOUNTAIN Mech. Fee Dbl $ SQ. FT. URINAL Backs VALUATION $ WATER PIPING a NOTE: Not to be used as property tax voluation SWIM POOL, PVT 3Zone 13A- L �� FLOOR DRAIN S�O MECHANICAL FEES SWIM POOL, COMM Electrical Fee Dbl $ 13 WATER SOFTENER Grp VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) SMI Fee $ APPLIANCE ❑ DRYER Dbl $'V GARBAGE DISPOSAL Plan No. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Plan Checker n Lf Final Date LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER �Demol. Fee KITCHEN SINK ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC IRegistr. Fee $ WATER CLOSET Witness Fee $ COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Zip SHOWER Total Fees BOILER � B.T.U. SQ. FT. @ ¢ Address / BATH TUB City SQ. FT. 6 ¢ M.O. ❑ N.C. ❑ Cosh ❑ Check WATER HEATER SQ. FT. RESID 6 1 /.a Tel. SEWAGE DISPOSAL :Trees required SQ. FT. GAR 6 V. HOUSE SEWER Address ,�% 74-2 3 %1Ca 2 Z �% City Zip Workers' yes GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. 1- TOTAL FEES 1.14, 3 MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE /lam �= . CONST. FEE .tea tv- ELECT. FEE /3 !�! SMI FEE, - 3s FEE PLUMB. FEE Sd=' PERM IT NO. 351168 Supp. Permit Job Address - Space Zip _, Owner Community /C% 4r! t Valuation $ �� o� Dote %/ Dist. / % Off. ,,,,,L F.G. ; Z MH Permit Fee $ Micro Film Fee Cop $ Use of Permit /f� //v ` L _�•yy/ Parcel No. ?,ap 7Set I Use No. k.by Mech. Fee Dbl $ PI. Ck. Fee $ Backs Lot Size �r a Construction Fee Dbl $ 3a Legal Description -/-,07- /� 3Zone 13A- L �� F S�O R /31 Electrical Fee Dbl $ 13 Grp Type Unit SMI Fee $ Plumbing Fee Dbl $'V Bond Amt. $ Plan No. Plan Checker n Lf Final Date Inspector 'Sp.Insp. Fee $ �Demol. Fee $ Const. Lender Address Branch "I cert! at in the performopce of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com• pensation laws of California." City Zip Owner Signature . Builder Signature IRegistr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address / City Zip M.O. ❑ N.C. ❑ Cosh ❑ Check :Received by Contractor `G" �� Tel. License # 3 L :Trees required !Sewage System Address ,�% 74-2 3 %1Ca 2 Z �% City Zip Workers' yes Comp. no C] T LL P !Sewer District r 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 SHA SO_ 015E PE IT TO BECOME VOID. r , I HEREBY AGREE T NN ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUN Y 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.