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351564 (SATT)BUILDING PERMIT" ^ DEPARTMENT OF BUILDING & SAFETY ,Alk FIELD OFFICE;* ' •PERMITNO. .35156.E .-- 'COUNTY'OF.RIVERSIDE r Space COfvSTRUCTION ESTIMATE ANO. ELECTRICAL FEES . - NO. PLUMBING FEES IST FL_� SQ. 2ND FL. POR. GAR. SQ. _ CAR P.. SQ. WALL ESTIMATED CONSTRUCTION FT.. � •► $� Qi UNITS YARD SPKLR SYSTEM SQ. FT.. SQ. FT] @ 0� O`! i 9:!q MOBILEHOME SVC.' BAR SINK ,5'D rJ1% POWER OUTLET - ROOF DRAINS FT. —�— (a} F.T. DRAINAGE PIPING DRINKING FOUNTAIN SQ. FT. , URINAL SQ. FT. IsaZ4�me, •. VALUATION v 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) Use of Permit rfJ/' rlj� '•( . �6L// / e. '� Y APPLIANCE ❑ DRYER GARBAGE DISPOSAL Parcel No. a �// Q 1 `01 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Ck.by AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK PL Ck. Fee D - ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Lm Size g �OX/D D COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY Legal Description - /' //t�7�//%ts4 C%J/ /� �� C/ & 1J 7 V�s! H( J/ `1 HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER S BOILER B.T.U. SQ. FT. p ¢ BATH TUB R.2 SQ. FT. 6 a WATER HEATER 2a .Grp SQ. FT. RESID p 1'Ga SEWAGE DISPOSAL Type SQ. FT. GAR 6 1/.a HOUSE SEWER - SMI Fee $ 1 GAS PIPING Dal $ PERMIT FEE PERMIT FEE PERMIT FEE Plan Checker DBL. 70T8.L.FEEG� MOB. HM. FEE MICRO FEE ,MECH. FEE PUCK. FEE ASP, 4vo I CONST. FEE ELECT.. FEE SMI FEE FEE PLUMB. FEE PERMITNO. 3 . 515 6 Supp. Permit Job Address ' - Space Zip Owner CommmuQnity /�•//��/i/-¢/� Valuation $ Date Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop -$ Use of Permit rfJ/' rlj� '•( . �6L// / e. '� Y Parcel No. a �// Q 1 `01 Use No. Ck.by Mech. Fee Dbl $ PL Ck. Fee D - Set Backs. Lm Size g �OX/D D Construction Fee Obl $ Legal Description - /' //t�7�//%ts4 C%J/ /� �� C/ & 1J 7 V�s! H( J/ `1 F ,! S S R.2 Electrical Fee 'DbI $ 2a .Grp a Type Unit SMI Fee $ Plumbing Fee Dal $ Bond Amt. $ Plana NN T7 Plan Checker in t �� //. �� Inspector g �_� ��C /V1lJ - Sp. Insp. Fee 8 Demol. Fee $ Const. Lender Branch - - .-A certify that in the performance of the work for Zh this permit is issued I.shal6 - not employ any person in any manner so as to. beco subject to the workmen's com- pensation laws of California.*' , Address City Zip Owner Signature •• - - _ - - Builder Signature _ Regisrr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. - Zip notal Fees - $ Address - City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by ' - Contra or G _ �� Tel. � Q,,. / / ( License p ,.r _ Frees, required Sewage System - .,,•r Address /j City •- Zip �� /✓! Workers''Comp. Yes ❑ no ❑ T. LL' 1P . . { Form 284.208 (Rev. 4-77) ©s . THIS PERMIT SHALL. BECOME VOIDIF WORMS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:. WORK FOR 120 DAYS SHAL�j O Aj*E PERMIT TO BECOME VOID. \ 1 HEREBY AGREE THAYYtCC RKQI� WITH THIS PERMIT WALL BE.-DOAIE IN ACCORDANCE ` WITH THE LAWS OF RIVERSIDE COUNT ANO THE STATE OF CALIFORNIA.' - I HEREBY CERTIFY THAT THE. INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO 1N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.