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351126 (AR)BUILDING PERMIT & DEPARTMENT OF BUILDING & SAFETY aft FIELD OFFICE PERMIT NO. 3 5112 6 PERMIT NO. 351126 COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Ga % $ �/ �07 — UNITS SQ. FT.Cia YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK SQ. FT. 8 FT. POWER OUTLET ROOF DRAINS FT. DRAINAGE PIPING FT. Ca DRINKING FOUNTAIN SQ. FT. G URINAL VALUATION $ 13 610i — WATER PIPING NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN Micro Film Fee MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) io z) APPLIANCE ❑ DRYER GARBAGE DISPOSAL Use No. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY :Meth. Fee Dbl $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Set Backs ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET Construction Fee Dbl b Qa COMPRESSOR HP POLE, TEMP/PERM LAVATORY a-4 1 9 �!/�/1� J—/ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER S BOILER C� B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER Z�/ SQ. FT. RESID Ga 11/4c 0 SEWAGE DISPOSAL Type SQ. FT. GAR Cai I/.a HOUSE SEWER GAS PIPING i Plumbing Fee PERMIT FEE PERMIT FEE OD PERMIT FEE Bond A.I. § DBL. I TOTAL F�SMOB.HWFEEJ Plan Checker MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMvi f FEE PLUMB. FEE PERMIT NO. 3 5112 6 Supp. Permit Job Address Space Zip 7 2- XZO �,�, �,�R"© � z,-� Owner AlAWAlL. 2. Community rf'S A �� "wv Valuation c ^'f O § / 3 o` Dote /% , Dist. Off. Z7 F.C. tniii;v . MH Permit Fee $ Micro Film Fee Cop b Permit of Use � Ani 9G io z) Parcel No. 73-Pf/ Use No. Ck.b Y :Meth. Fee Dbl $ i PI. Ck. Fee E 7 Set Backs Lot Size Construction Fee Dbl b Qa Legal Description /O� /' /Z /L a-4 1 9 �!/�/1� J—/ F © S Electrical Fee Dbl $ Z�/ Grp Type Unit SMI Fee $ O i Plumbing Fee Dbl $ Bond A.I. § Plan No. Plan Checker Final Date Inspect ��O 7 ' Sp. Insp. Fee E Dental. Fee b Const. Lender Address Branch "I certify that in the performoMe of the k for which this not employ any person in any manner so as t come subject pensation laws of California. ' City Zip Owner Signature Builder Signature permit is issued I shall to the workmen's com- Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent J4 lei_ Tel. Zip Total Fees _ § ,4 O Address T� City Zip M.O. ❑ N.C. ❑ Cash eck C3Received by Contra r Tel. License # Trees required Sewage System T LL P Address -I J'�� / �/ i J / S City Zip /N•✓%lj Workers' Comp. yes ❑ no ❑ THIS PERMIT SHALL BECE VOI IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHA S MIT TO BECOME VOID. I HEREBY AGREE THAT ALL WOR IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVBRSIDE 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. verified by Sewer District Form284-2081Rev.4.77) ©s