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344385 (SATT)BUILDING PERMIT -Aft DEPARTMENT OF BUILDING & SAFETY Adak FIELD OFFICE 3 . PERM IT NO. 344388 PERMIT NO. 1344385 1 COUNTY OF RIVERSIDE Owner T CONSTRUCTION ESTIMATE Valuar^tion�( E rpjG�//Micro NO. ELECTRICAL FEES Off. NO. PLUMBING FEES L'd 1ST FL.. T SQ. .2ND FL. _ POR. SQ. GAR. SQ. CAR P. SQ. WALL ESTIMATED CONSTRUCTION FT. $ UNITS Cop $ Use of Permit SQ. FT. @ YARD SPKLR SYSTEM Parcel No. FT. @ MOBILEHOME SVC. BAR SINK k.by FT. @ ? POWER OUTLET ROOF DRAINS PI. Ck. Fee E FT. @ DRAINAGE PIPING Lot Si' e 5Q. FT. 8 DRINKING FOUNTAIN Legal Description SQ. FT., URINAL �s F� ` VALUATION $ SQ WATER PIPING S 7A NOTE: Not to be used as property tax valuation Electrical fee Dbl E�f� SWIM POOL, PVT Grp FLOOR DRAIN Unit MECHANICAL FEES SMI Fee SWIM POOL, COMM DbI S WATER SOFTENER Bond Amt. $ Plan No. 37 74 VENT SYSTEM gFAN ❑ EVAP. COOL 09 HOOD G SIGN WASHER (AUT DISH) 'Demol. Fee E APPLIANCE SrDRYER r Branch "I certify that in the performance of the work which this permit is issued 1 shall not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." City Zip Owner Signature Builder Signature �Registr. Fee $ GARBAGE DISPOSAL lWimess Fee 8 iFeinsp. Fee FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Owner/Agent -L- LAUNDRY TRAY Zi P AIR HANDLING UNIT CFM $ IDLE METER Address KITCHEN SINK 1012) M.O. ❑ N.C. ❑ Cash ❑ Chec ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Contractor WATER CLOSET Tel. License q COMPRESSOR 3 % HP Iq POLE, TEMP/PERM4-0 LAVATORY City Zip HEATING SYSTEM Ig FORCED ❑GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ. FT.t ja ¢ BATH TUB SQ. FT. Cy ¢ WATER HEATER y*SQ. FT. RESID Co, 11A SEWAGE DISPOSAL SQ. FT. GAR @ Y,a 3 i HOUSE SEWER GAS PIPING PERMIT FEE -3 PERMIT FEE PERMIT FEE DBL. I TOTAL FEES M08. RM. FEE KICRO FEE MECH. FEE PL. CK. FEE CONST. FEE X30' ELECT. FEE 3a SMI FEE FEE PLUMB. FEE �7a6 PERM IT NO. 344388 Supp. Permit Job Address Space Zip Owner ( Community /C �Vl f�%/7o Valuar^tion�( E rpjG�//Micro jDo;�ajh"te Dist. Off. F.C. MH Permit Fee . 5 Film Fee Cop $ Use of Permit Parcel No. Use No. k.by Mech. Fee Dbl $ PI. Ck. Fee E Se Backs Lot Si' e Construction Fee Dbl E Q Legal Description //��j �s F� ` S ��1. S 7A ` R �V Electrical fee Dbl E�f� Zone Grp Type �y Unit SMI Fee -Plumbing Fee DbI S Bond Amt. $ Plan No. 37 74 Plan Che Final Dote ^� % Inspeoor :Sp. Insp. Fee 8 'Demol. Fee E Const. Lender Address Branch "I certify that in the performance of the work which this permit is issued 1 shall not employ any person in any manner so as to become subject to the workmen's com- pensation laws of California." City Zip Owner Signature Builder Signature �Registr. Fee $ !Mileage Fee $ lWimess Fee 8 iFeinsp. Fee $ Owner/Agent -L- Tel.�. Zi P �0101 Fees $ 119 Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Chec !Received by i Contractor Tel. License q iTrees required iSewage System Address City Zip Workers' Comp. Yes. ❑ no ❑ M District Form 284.208 (Rev. 4-77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: WORK FOR 120 DAYS SHALL E P� BECOME VOID. I HEREBY AGREE THAT ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE 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.