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304433 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE PERMIT NO.Supp. 34433 PERMIT No. 30'443.3 Job Address � - - Space - e 6�off13 d COUNTY OF RIVERSIDE { munity rA,; - Valuation " ., $ �+� �. CONSTRUCTION ESTIMATE Off. F.C. Q NO. ELECTRICAL FEES MH Permit Fee $ NO. PLUMBING FEES Use of Permit . A 1 ST FL. SQ: ' 2ND FL, FOR. , GAR. Sq, CAR P.• ^} WALL ESTI MATED.CONST RUCT ION FT. !G1 SQ. FT. ®' 141ech. Fee Dbl 8 00-7 UNITS --leV-0091 SettBacks YARD SPKLR SYSTEM Construd;on.Fee Dbt $ - Elearical Fee Dbl $ SQ. FT. ® MOBILEHOME SVC. BAR SINK FT, (a} �" POWER OUTLET ROOF DRAINS S� SQ. FT. C3 DRAINAGE PIPING EZoneGrp�! DRINKING FOUNTAIN SQ. FT...Q Type - SQ. FT. @ URINAL , VALUATION is e WATER PIPING Plumbing Fee Dbl $ NOTE: Not to be used as property tax valuation . Plan o.. SWIM POOL, PVT final Date \\ ' - Inspector I O FLOOR DRAIN Sp. Insp. Fee $ MECHANICAL FEES Const Lender Branch At that in the performance of the vork'ior whmhlhis permit ;s issued I shall not employ ony person in any nn ioner so as to become wbiect to the workmen scum. pensotion laws of California.' Address City Zip - _ Owner Signature Builder Signoture SWIM POOL, COMM Mileage Fee $' WATER SOFTENER teinsp. Fee $ J "VENT SYSTEM ❑ FAN ❑ EVAP. COOL . ❑ HOOD SIGN Address f30 of WASHER (AUTO)((DISH) Q Contractor - s APPLIANCE ❑ DRYER License # - rreesrequir kwage System ` T LL P Fewer District Form 284.208 IRev. 4-771 ©s GARBAGE DISPOSAL City Zip Workers' Comp:' yes ❑. no ❑ FURNACE ❑ UNIT "❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK (j _ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 0 HP X4O POLE, TEMP/PERM LAVATORY p HEATING SYSTEM FORCED ❑ GRAVITY Qa AMPERES SERV ENT C) SHOWER BOILER B.T.U. SQ. FT. ¢ BATH TUB SQ. FT. pa " if WATER HEATER G 4fQ. FT. RESID ® 114a a' SEWAGE DISPOSAL � SQ. FT. GAR @ 1/.¢Q, HOUSE SEWER GAS PIPING. *` PERMIT FEE d PERMIT FEE p PERMIT FEE DBL.TOTAL FEES . 1,108. HM. FEE '. MICRO FEE- CH. FEE lao Go PL. CK. FEE I-CONST.FEE ELECT. FEE SMIFEE - FEE PL B. FEE PERMIT NO.Supp. 34433 Permit - •� Job Address � - - Space - e 6�off13 d Zip .Owner { munity rA,; - Valuation " ., $ �+� Dote .� + 7 7 Dist. Off. F.C. Q MH Permit Fee $ Micro Film Fee Cop E• Use of Permit . A Parcel No. - Use No. Ck.by 141ech. Fee Dbl 8 00-7 PI. Ck..Fee $ --leV-0091 SettBacks Lot Size r Construd;on.Fee Dbt $ - Elearical Fee Dbl $ Legal Description - S� EZoneGrp�! Type - Unit , 5MI Fee $ Plumbing Fee Dbl $ Bond Amt. 8 Plan o.. Pion Chec er ! final Date \\ ' - Inspector I O Sp. Insp. Fee $ )emol. Fee $ - - Const Lender Branch At that in the performance of the vork'ior whmhlhis permit ;s issued I shall not employ ony person in any nn ioner so as to become wbiect to the workmen scum. pensotion laws of California.' Address City Zip - _ Owner Signature Builder Signoture 4e str. Fee 9i $ Mileage Fee $' Witness Fee $ teinsp. Fee $ Owner/Age * Tel. - Zip T G+ :oral Fees Is 41.72 M.O. ❑ N.C. ❑ Cosh ❑ Check Address f30 of City Zip " ' As- " ..97-260 received by Contractor - s Tel. License # - rreesrequir kwage System ` T LL P Fewer District Form 284.208 IRev. 4-771 ©s Address City Zip Workers' Comp:' yes ❑. no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of ve,,f,ed by: o,ORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, ar • . • -, ' I HEREBY -AGREE THAT ALL WORK IN CONNECTION WITH :TWIfi:2RM1T WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE -COUNTY 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 Oa THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF ' CALJFORNIA. -