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349517 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE 34957- Supp. Permit 309 - Job Address Space Zip sa-�a� <<«� =za-3 Owner �� �- T P CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date 1 NO. PLUMBING FEES Off. 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT.. Q $ UNITS MH Permit Fee $ Micro Film Fee Cop $ SQ.. FT. @ YARD SPKLR SYSTEM Use of Permit �L ��71% . �%L•/�%� �^ 4y�'a'°li Ol .•' SQ. FT. @ MOBILEHOME SVC. BAR SINK Use No. SQ. FT. Q POWER OUTLET ROOF DRAINS Mech. Fee''v $ % SQ. FT. (aj DRAINAGE PIPING Set Backs SQ. FT. Q DRINKING FOUNTAIN Construction Fee Z 9FA- $ SQ. FT. @ URINAL VALUATION $ WATER PIPING S NOTE: Not to be used as property tax valuation SWIM POOL, PVT Zone / FLOOR DRAIN Type MECHANICAL FEES SWIM POOL, COMM SMI Fee $ WATER SOFTENER Z DITI' $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plan No.L,� WASHER (AUTO) (DISH) Final Date APPLIANCE ❑ DRYER GARBAGE DISPOSAL Demol. Fee FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Const. Lender. Branch "I certify that in the performopceof the work for which this permit is issued I sholl - - i not employ any person in any manner so as to become subject to the workmen's mm. - pensation laws of California. - Addre� ity Zip Owner Signature s Builder Signature LAUNDRY TRAY Mileage Fee $ AIR HANDLING UNIT CFM IDLE METER $ KITCHEN SINK Owner/Agent ' - r✓ � � � ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET - $ COMPRESSOR HP POLE, TEMP/PERM City% LAVATORY M.O. C]A N.C. ❑ Cash ❑ C k gS HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Tel. BOILER � B.T.U. SQ. FT. Cja ¢ Trees required BATHTUB Address SQ. FT. G ¢ Zip WATER HEATER SQ. FT. RESID @ I Aa SEWAGE DISPOSAL SQ. FT. GAR @ 1A HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE TOTAL FEES /o/ I� MOB. HM. FEE MICRO FEE MECH. FEE �PL. CK. FEE / 7a CONST. FEE s� �-� ELECT.. FEE Zl 4t SMI FEE -FEE PLUMB. FEE ,,? -W-- PERMIT NO. 3 4 9 51 7 Supp. Permit 309 - Job Address Space Zip sa-�a� <<«� =za-3 Owner �� �- Community A/10 Valuation is Date 1 Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit �L ��71% . �%L•/�%� �^ 4y�'a'°li Ol .•' Parcel No. 773 -rya -rJi Use No. Ck.by S Mech. Fee''v $ % PI. Ck. Fee $ Set Backs Lor Siz� Construction Fee Z 9FA- $ Legal Description ` JQ�,,, /2, /J � ��V�-/� ..rij';/_ f- '� Jam• �/ �G.eP IS ', S p� 7+ $ Elettrical Fee / Ttn Zone / Grp le3 Type -- Unit SMI Fee $ Plumbing Fee Z DITI' $ 17 Bond Amt. $ Plan No.L,� Plan Checker Final Date Inspector-- Sp. Insp. Fee $ Demol. Fee $ Const. Lender. Branch "I certify that in the performopceof the work for which this permit is issued I sholl - - i not employ any person in any manner so as to become subject to the workmen's mm. - pensation laws of California. - Addre� ity Zip Owner Signature s Builder Signature Regivr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent ' - r✓ � � � Tel. ' / r� Zi Total Fees - $ Address ,r^- C/6t►/ ... C✓ _. �� City% �/ Q Zi G �Y / � of p M.O. C]A N.C. ❑ Cash ❑ C k gS Received by Contractor Tel. License # Trees required Sewage System Address City Zip Workers' Comp. yes ❑ no ❑ 11 Sewer District Form 284.208 (Rev. 4.771 &S THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHAaL iO C SE PE IT TO BECOME VOID. I. HEREBY AGREE THA/t�[[L)J ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIV6RSIDE COUNT 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.