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351079 (RPL)BUILDING PERMIT .1ft DEPARTMENT OF BUILDING & SAFETY Alk FIELD OFFICE PERMIT NO. 3 510 7 9 PERMIT NO. 351079 COUNTY OF RIVERSIDE Space Zip 3R Owner /� / •, FIT CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date �; /7y NO. PLUMBING FEES Off. _Z 1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL SQ. �dy7�l��r SQ.FT. ESTIMATED CONSTRUCTION FT. $ UNITS MH Permit Fee $ Micro Film Fee Cop E SQ. FT. YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK SQ. FT. Use No. FT.t ja POWER OUTLET ROOF DRAINS :Meeh. Fee Dbl E FT. Cai DRAINAGE PIPING Set Backs FT. Cas DRINKING FOUNTAIN @ i URINAL Legal Description s. i3L p�d p .5,-,Q.94 VALUATION $ WATER PIPING F NOTE: Not to be used as property tax valuation SWIM POOL, PVT r� FLOOR DRAIN Zone Grp MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER ,SMI Fee E 1io �Plumbing Fee VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Pion No. WASHER (AUTO) (DISH) Fina ore 4 C Inspector '� APPLIANCE ❑ DRYER ,. jSp. Imp. Fee 5 Demol. Fee GARBAGE DISPOSAL Const. Lender Branch Address City "I certify that in the performopce of the work for which this not employ any person in any monner so as to become subject pensation laws of California." Zip Owner Signature Builder Signature FURNACE ❑ UNIT Q WALL ❑ FLOOR ❑ SUSPENDED 'rRegistr. Fee E Mileage Fee E Y B LAUNDRY TRAY iReinsp. Fee E AIR HANDLING UNIT CFM IDLE METER Tel. KITCHEN SINK 'Total Fees ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC s. WATER CLOSET Zip M.O. ❑ N.C. ❑ Cash ❑ Ch COMPRESSOR 0 HP POLE, TEMP/PERM Controctor j J JV/ 4j L x ��i V f�'�/<1/,f LAVATORY Tel. �7 — License p f4$4C;[ HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT LL P SHOWER City Zip /� A QyN//✓T/i� Workers' Comp. yes no ❑ BOILER L� B.T.U. SQ. FT. try 4 Sewer District `= Form 284.208 (Rev. 4-771 ©s BATH TUB SQ. FT. 4 a WATER HEATER pD SQ. FT. RESID Ga 1 'Aa SEWAGE DISPOSAL SQ. FT. GAR C 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. I TOTTAAL FEE MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE '!P. ELECT. FEE 15iline S2J ;E FEE PLUMB. FEEV6 PERMIT NO. 3 510 7 9 Supp. Permit Job Address 'S3-,�� t,�, .� Space Zip 3R Owner /� / •, Community �1 11 ' �N ��'7/� Valuation E W d� Date �; /7y Dist. // Off. _Z F.C. MH Permit Fee $ Micro Film Fee Cop E Use of Permit Parcel No. Use No. k.by :Meeh. Fee Dbl E ;PI. Ck, fee b ✓ b Set Backs Lot Size !Construction Fee Dbl E Legal Description s. i3L p�d p .5,-,Q.94 c 2,0 F S "__ S-,- r� f Electrical Fee Dbl E 13 Zone Grp Type Unit ,SMI Fee E 1io �Plumbing Fee Dbl $ Bond Amt. g Pion No. Pion Checker Fina ore 4 C Inspector '� jSp. Imp. Fee 5 Demol. Fee E Const. Lender Branch Address City "I certify that in the performopce of the work for which this not employ any person in any monner so as to become subject pensation laws of California." Zip Owner Signature Builder Signature permit is issued I shall to the workmen's com- 'rRegistr. Fee E Mileage Fee E Y B Witness Fee b iReinsp. Fee E Owner/Agent Tel. Zip 'Total Fees s • Ge Address s. City Zip M.O. ❑ N.C. ❑ Cash ❑ Ch Received by Controctor j J JV/ 4j L x ��i V f�'�/<1/,f Tel. �7 — License p f4$4C;[ Trees required Sewage System T LL P Address �� v 3 / City Zip /� A QyN//✓T/i� Workers' Comp. yes no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF,.- WORK FOR 120 DAYS SHALL ALSO CA E E V ID. I HEREBY AGREE THAT ALL W NN TION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH TATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. "r,fied by, Sewer District `= Form 284.208 (Rev. 4-771 ©s