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309391 (SATT)BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY.-.A,@h► FIELD OFFICE • PERMIT NO. 1309391:1.r -� COUNTY OF RIVERSIDE JW Owner t i DST CONSTRUCTION ESTIMATE Valuation E 1�G 7r�O NO. ELECTRICAL FEES Off. NO. PLUMBING FEES 1ST FL. SO. 2ND FL. FOR. A SQ. GAR. SQ. CAR P. SQ, WALL ESTIMATED CONSTRUCTION FT. Micro Film Fee UNITS Use of Permit •�/ t[/W! 'I�� .� Legal Description _ .- '53 �A%/�`� Parcel No. Use No. Ck.by �fC� �O f ' J / Set Backs Lot Size O 6 S !S7 Grp Type l�J Unit SQ. FT. (a3 YARD SPKLR SYSTEM PI. Ck. FeeE FT. Oo i 00 MOBILEHOME SVC. BAR SINK Electrical Fee Dbl bZone SMI Fee b Q FT. @44 O 00 POWER OUTLET ROOF DRAINS Dbl E FT, DRAINAGE PIPING Bond Amt. Plan No. E SQ. FT. (a} DRINKING FOUNTAIN F' �I,D/ca"t�a /'I SQ. FT. URINAL VALUATION ®p WATER PIPING 00 NOTE: Not to be used as property tax valuation SWIM POOL, PVT Registr. Fee b FLOOR DRAIN Witness Fee E Reinsp. Fee MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Total Fees VENT SYSTEM,4 FAN ❑ EVAP. COOL HOOD _ SIGN C' �7 hr WASHER IAUTOJ I 6 APPLIANCE DRYER © 17— GARBAGE DISPOSAL d FURNACE ❑ UNIT ❑ WALL ❑ FLOOR '❑ SUSPENDED Address City Zip LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC -:::] WATER CLOSET lk COMPRESSOR _ O HP HEATING SYSTEM FORCED ❑ GRAVITY O O POLE, TEMP/PERM AMPERES SERV ENT O f.7 LAVATORY SHOWER O BOILER B.T.U. SQ. FT. 8 ¢ BATH TUB 40 SQ. FT. p . ¢ WATER HEATER O SQ. FT. RESID Q 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR Cat '/.¢ g HOUSE SEWER GAS PIPING PERMIT FEE • 6 PERMIT FEE C F6io EES 68 MOB. HM. FEE MICROFEE ECH. FEE , so PL. CK. FEE !ZV, 0o CONST. FEE XIV, le--- ELECT.FEE I, ?� .SMI.FEE /"9-0 FEE -PLUMB. FEE -0 , too PERMIT NO. 309391, Supp. Permit Job Address � Space Zip Owner t i Community p, I '' /!�_AI 44, ( W �� ! Valuation E 1�G 7r�O Date1st. 157,/� Off. F.C. MH Permit Fee $ Micro Film Fee Cop E Use of Permit •�/ t[/W! 'I�� .� Legal Description _ .- '53 �A%/�`� Parcel No. Use No. Ck.by �fC� �O f ' J / Set Backs Lot Size O 6 S !S7 Grp Type l�J Unit Mech. Fee Dbl E PI. Ck. FeeE Construction Fee Dol E Electrical Fee Dbl bZone SMI Fee b Q Plumbing Fee Dbl E r! Bond Amt. Plan No. E Plan Checker 4 `I `•I F' �I,D/ca"t�a /'I Ins ector P Sp. Insp. Fee E Dental. Fee E Const. Lender Branch certify that in the performance of th •+ark for which this permit is iswed I shun not employ any person in any manner so d6o become subject to the workmen s com. pensotion'Iaws of Coliforruo. Address City Zip Owner Signature •� Builder Stgnoture Registr. Fee b Mileage Fee E Witness Fee E Reinsp. Fee E ( Tel. Zip Total Fees S Address leoS"5-4 C' �7 hr M.O. ❑ N.C. ❑ Cash C)Chec Received by Trees requir Contractor _ _ Tel. License p , I Sewage System Address City Zip Workers'Comp. -yes ❑f'' • no ❑' I, rwer District 11 Form 284.208 (Rev. 4.77) Oo s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACItORDANCE 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 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.