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309157 (AR)- _ t euuDiNc vERMiTDEPARTMENT OF BUILDING & SAFET.Y' FIELD OFFICE PERMIT NO. 309157 PERMIT NO. 30015' Job Address •• Space ZipIF -.s-f�� P-4 �. COUNTY OF RIVERSIDE Valuation E 212 Y� / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ. 2ND FL. POR.SQ. GAR., _ SQ. CAR P. SQ WALL SQ. ESTIMATED CONSTRUCTION FT. @ $ UNITS Use of Permit / W4,P,4 OW., -20 �(� �J Parcel No. - - // ���-� Use No. SQ. FT. @ YARD SPKLR SYSTEM Mech. Fee Dbl $!� FT. @ �MOBILEHOME SVC. BAR SINK t � Set BacksLot FT. @ POWER OUTLET ROOF DRAINS Construction Fee Dbl $ Q FT. @ DRAINAGE PIPING _ FT. Q DRINKING FOUNTAIN S SQ. FT. URINAL . Electrical Fee Dbl $ VALUATION $ WATER PIPING Grp NOTE: Not to be used os'property tax valuation SWIM POOL, PVT E FLOOR DRAIN Plumbing Fee MECHANICAL FEES SWIM POOL, COMM Plan No. n WATER SOFTENER Dote - A -19 '.7 7 VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Sp. Insp. Fee E WASHER (AUTO) (DISH) 5 APPLIANCE ❑ DRYER Registr. Fee $ -Mileage Fee E GARBAGE DISPOSAL Reinsp. fee " FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED it / 9 t t/..t, C C. ,� Zip J LAUNDRY TRAY 'Total Fees AIR HANDLING UNIT CFM IDLE METER Cit y - Zip I I KITCHEN SINK - Received by Trees required ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC Tel. - WATER CLOSET Sewage System T Sewer District COMPRESSOR 0 HP POLE, TEMP/PERM. City Zip LAVATORY , THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS' CESSATION'OF verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U.. SQ. FT. 8 ¢ BATH TUB SQ. FT. Q ¢ WATER HEATER t SQ. FT. RESID @ 1 14i SEWAGE DISPOSAL SQ. FT. GAR @ 'G¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES6s ]MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE O 470 , ELECT. FEE SMI F FEE PLUMB. FEE PERMIT NO. 309157 Supp. Permit Job Address •• Space ZipIF -.s-f�� P-4 �. Owner _ Community ' .• Valuation E 212 Y� / Date • Dist. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit / W4,P,4 OW., -20 �(� �J Parcel No. - - // ���-� Use No. Ck,b Mech. Fee Dbl $!� Pl. Ck. Fee $ � Set BacksLot Size 1540X16 6 Construction Fee Dbl $ Q Legal Description - - -/j /"LVSV r� ! •y�/ /O FaiD. S S RT . Electrical Fee Dbl $ Zo Grp Type Unit E SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. n Plan CheckerFinal • Dote - A -19 '.7 7 In a for .L'u-V . Sp. Insp. Fee E Dental. Fee 5 Const. Lender Branch . � 'I certify that in the performance of the wore for which -this permit is issued I sholl • not employ any person in any manner so as to become subject to the workmen s com- pensation laws of California.' Address City Zip .! Owner Signature Builder Signature Registr. Fee $ -Mileage Fee E Witness Fee- $ Reinsp. fee $Tel. it / 9 t t/..t, C C. ,� Zip J 'Total Fees Add r - �� Cit y - Zip I I M.O. ❑ N C. ❑ Cosh ❑ Chec�f - Received by Trees required Contractor Tel. - License p Sewage System T Sewer District LL P Address - - City Zip Workers' Comp. yes.❑ no ❑I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS' CESSATION'OF verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK, IN -CONN ECTION'WITH THIS PERMIT WILL.BE DONE IN ACCORDANCE WITH THE LAWSOF 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 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 IRev. 4.771 ©S , CALIFORNIA. -