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308865 (AR)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY . - FIELD OFFICE PERM IT NO. 30336�51``' PERMIT NO.,-�' 30886 Job Address Space Zip s� A asoma COUNTY OF RIVERSIDE Owner .. 0 -7 ,z - Community DST. It CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO, PLUMBING FEES 1ST FL. SQ. .2ND FL: POR. GAR. SQ. CAR P. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS Use of Permit ��/ ' ,(r� 11 / ., Parcel No. 7-74/—t9e 3 SQ. FT. @ YARD SPKLR SYSTEM Mech. Fee Dbl $ SQ. FT. MOBILEHOME SVC. BAR SINK Set Backs FT. (a} POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING legal Description • Gto7 oZ 3 �''a�l .64 .�t✓�f d./ FT. Q DRINKING FOUNTAIN 5 SQ. FT. C3 .- URINAL R VALUATION Is WATER PIPING Zone NOTE: Not to be used as property tax valuation SWIM POOL, PVT Unit FLOOR DRAIN . SMI Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Plan No. Plan Checker VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO)((DISH) Denial. Fee $ APPLIANCE ❑ DRYER Const Lender Branch 0 1 certify that in the performance ofd4re work for which this permit is issued I sho8 - not employ any person in any manner as to become subject to the workmen s com. pensotion laws of Colifornia.'- Address City Zip' Owner Signature - - Builder Signature Registr. Fee $ GARBAGE DISPOSAL Witness Fee $ Reinsp. Fee FURNACE ❑ UNIT' ❑ WALL ❑ FLOOR ;❑ SUSPENDED Owner/Agent _ LAUNDRY TRAY Zip AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK City Zip ;..i I ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET Contractor Tel. COMPRESSOR 0 HP - POLE, TEMP/PERM Sewage System '. T LL Sewer District Fs+ Form 284.208 (Rev. 4.77) ©S LAVATORY Address- 4- C2�.S% Zip City %A/� 14/0-.190 HEATING SYSTEM ❑ FORCED GRAVITY AMPERES SERV ENT u', f.ed by: ! {{{fff r SHOWER BOILER B.T.U. SQ. FT. 8 ¢ BATH TUB SQ. FT. p ¢ WATER HEATER SQ. FT. RESID Q 1'Air SEWAGE DISPOSAL SQ. FT. GAR G '/44 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE' PERMIT FEE DBL TOTAL FEES jPA0B.HM.FEE MICRO FEE MECH. FEE PL: CK. FEE CONST. FEE ELECT. FEE" SMI FEE FEE ' PLUMB.FEE - PERM IT NO. 30336�51``' Supp. Permit Job Address Space Zip s� A asoma - Owner .. 0 -7 ,z Community Valuations �– .__ Date Dist.Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit ��/ ' ,(r� 11 / ., Parcel No. 7-74/—t9e 3 Use No. k.by Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ legal Description • Gto7 oZ 3 �''a�l .64 .�t✓�f d./ F 5 S R Electrical Fee Dbl $ Zone Grp Type Unit SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date Inspector Sp. Insp. Fee $ Denial. Fee $ ' . Const Lender Branch 0 1 certify that in the performance ofd4re work for which this permit is issued I sho8 - not employ any person in any manner as to become subject to the workmen s com. pensotion laws of Colifornia.'- Address City Zip' Owner Signature - - Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent _ Tel Zip fatal Fees $ Address ) JQ J) Com „ City Zip ;..i I M.O. ❑ N.C. ❑ Cash Che 1 Received by Contractor Tel. License p 336 11�14 Trees required Sewage System '. T LL Sewer District Fs+ Form 284.208 (Rev. 4.77) ©S Address- 4- C2�.S% Zip City %A/� 14/0-.190 Workers' Comp. yes g r no ❑II!I. THIS PERMIT SHALL BECOME VOID IF WORKJS 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FO. 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL. BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. .1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS A"D PROFESSIONS, CODE OF THE STALE OF CALIFORNIA. u', f.ed by: ! {{{fff r