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339504 (SATT)BUILDING PERMIT -A& DEPARTMENT OF BUILDING & SAFETY 49ft FIELD OFFICE PERMITNO. 3'3 9 5�.0 4: PERMIT NO.J 3395044- ' J COUNTY OF RIVERSIDE- W Owner - Communniity ��• �L%�/!�%$ CONSTRUCTION ESTIMATE Dore ' �i/>G O NO. ' ELECTRICAL FEES Off. NO. PLUMBING FEES 1ST FL. oe.2 SQ. 2ND FL. POR. GAR. SQ. CAR P. WALL - ESTIMATED CONSTRUCTION FT. • .@A to UNITS ' Use of Permit !� Parcel No. SQ. FT. @ YARD SPKLR SYSTEM k.by SQ. FT. 8! G"d MOBILEHOME SVC. BAR SINK PI. Ck. Fee. E FT. Q Sa o� POWER OUTLET ROOF DRAINS Lot Size ' SQ. FT. @ DRAINAGE PIPING Description ,moi ✓�L- /�3 DRINKING FOUNTAIN SQ. FT. 8 F'1151 61S SQ. FT. URINAL S/i VALUATION $ O� WATER PIPING Electrical Fee Dbl '"$ a NOTE:.Not to be used as property tax valuation TypeUnit SWIM POOL, PVT FLOOR DRAIN Plumbing fee Dbl $ MECHANICAL FEES Bond Amt. g SWIM POOL, COMM Plan Checker /G �/✓.�`j % WATER SOFTENER Inspector VENT SYSTEM W FAN ❑ EVAP. COOL 0 HOOD Demol. Fee SIGN WASHER tAUTODISHI t OZ'S Regisir. Fee $ APPLIANCE DRYER Witness Fee $ Reinsp. Fee $ GARBAGE DISPOSAL Owner/Agent s - FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Total Fees $ LAUNDRY TRAY Address ` AIR HANDLING UNIT CFM. City Zip _ t IDLE METER Received byContratl Trees required KITCHEN SINK All ABSORPTION SYSTEM 0 B.T.U. Tel. - - TEMP USE PERMIT SVCWATER Sewage System - 1 wsrs7 —21 CLOSET . / .Y�iF Address COMPRESSOR HP City ` Zip �fFa /[ POLE, TEMP/PERM LAVATORY HEATING SYSTEM JR.FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ ¢ + BATH TUB SQ. FT. Co ¢ WATER HEATER SQ. FT. RESID p I lbe SEWAGE DISPOSAL SQ. FT. GAR Ga 'Kc HOUSE SEWER GAS PIPING PERMIT FEE '_'.MICR ov PERMIT FEE 3 �' PERMIT FEE r DBL. TOTAL FEES �0 8� MOB. HM. FEE FEE . MECH. FEE �� z PL. CK. FEE CONST. FEE ' ' �. ELECT. FEE a9 SMI FEE �� - 'FEE PLUMB. FEE - _?,/oae, PERMITNO. 3'3 9 5�.0 4: Supp. Permit' Job Address -1 saw - - ' Space .- Zip Owner - Communniity ��• �L%�/!�%$ - - Valuation 8 pa ��,w,*f Dore ' �i/>G O Dist, Off. F.C. MH Permit Fee 8 - Micro Film Fee Cop $ Use of Permit !� Parcel No. Use NO. k.by Mech. Fee Dbl PI. Ck. Fee. E t Backs - Lot Size ' Construction Fee Dbt $Legal Description ,moi ✓�L- /�3 - � F'1151 61S S/i R/BTs' Electrical Fee Dbl '"$ a Zone Grp TypeUnit SMI Fee $ J Plumbing fee Dbl $ Bond Amt. g Pion No. 3t�� Plan Checker /G �/✓.�`j % Final Date - _3 I �� Inspector Sp. Insp. Fee 8 Demol. Fee $ Const. Lender .� Address •Branch - _ 'I certify that in the performance of the work for which this permit is issued I shall not employ any person in, any manner so as to become sublect.to the workmen's com- pensation lows of California. " City Zip - Owner Signoture . - Builder Signoture Regisir. Fee $ -Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent s - Tel: - Zip Total Fees $ n Address ` City Zip _ t M.O. ❑ N.C. ❑ Cash ❑ Check' Received byContratl Trees required All '�• Tel. - - License # . ' Sewage System - 1 wsrs7 - - �- . / .Y�iF Address City ` Zip �fFa /[ Workers' Comp. yes C] no ❑ e - T LL P THIS PERMIT S�LL B ME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: Sewer District WORK FOR 120C US PERMIT TO BECOME VOID. I HEREBY AGREE THAT LL WORK IN CONNECTION WITH, THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV4CSIDE 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 (Rev. 477) ©s CALIFORNIA.