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303828 (SATT)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY. FIELD OFFICE "- PERMIT NO. 03 8 2 8 Supp. Permit • "COUNTY OF RIVERSIDE ' _ :A _let •;5�: i :' ' 6 „ DST _ ,CONSTRUCTION ESTIMATE - NO ='ftECTRICAIFEES .•. NO. PLUMBING -FEES 1STFL. ,/0&2 SQ.'FT. 2ND FL. FOR. GAR. +' SQ. CARP.. SQ. WALL ;r - SQ..FT. ' .(,4 $ o. UNITS _ _ SQ. FT. - YARD SPKLR SYSTEM Valuation 16 SQ. FT. @ MOBILEHOME SVC. BAR SINK' - .Dist_ FT. 422POWER'OUTLET ROOF DRAINS 1F.C. ' c DRAINAGE PIPING FT..,,Cai _ DRINKING FOUNTAIN - @ y _t' - :Micro Film Fee Cop $ • - SQ. FT._ 8 + .. URINAL - - - - ESTIMATEDCONSTRUCTION VALUATION -0Q { WATER PIPING ;PI. Ck. Fee $ NOTE: Not to be used os property fox voluationJ-. �. - - .X SWIM POOL, PVT' -Lor Size Unit ` FLOOR DRAIN , Q T MECHANICAL FEES Electrical Fee ' Dbl SWIM POOL, COMM WATER SOFTENER VENT SYSTEM" ❑ FAN C]EVAP. COOL 3,2 HOOD SIGN Plumbing Fee Dbl $ O WASHER (AUT2) (DISH) Plan No. = APPLIANCE_AvDRYE _ Finol Date �� Inspector GARBAGE DI POSAL= FURNACE- ❑ UNIT,_ Q WALL ❑ FLOOR 0 SUSPENDED Demol. Fee •_ $ Const. Lender - Address Bronch _ 11 certify shot -in the performance of the work for vAlch this .� x nor employ any person in any monner.so as to become subject to '• - * -pensotion laws of California City �t Zip : Owner Signature' j • - Builder Spgnmure - LAUNDRY TRAY :Registr. Fee $ AIR HANDLING UNIT CFM '' Witness Fee It IDLE METER Owner/ nt KITCHEN SINK ' Tel. . _ ,t, ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSO O HP City - POLE, TEMP/PERM . LAVATORY . _ M.O..C], N.C. Q Cash Q Ehecsp HEATING SYSTEM; . '� FORCED Q GRAVITY O 'goo AMPERES SERV ENT ". ' I' " SHOWER BOILER B.T.U. Contractor • _ SQ. FT. @ e TeL BATH TUB License 10 ' ,Trees require .. . SQ. FT. Q ¢ s - r WATER HEATER .'SQ. FT. RESID 8 1'/.¢ Address ., SEWAGE DISPOSAL , City ; Zip Workers' SQ. FT. GAR @ W1 r. -• - HOUSE SEWER ' S . t� t GAS PIPING. " SA PERMIT FEE yes O PERMIT FEE - - PERMIT FEE DBL.- ��OTAL.FEES--,'MOB.HM: FEE- MICRO FEE `=- CH..FEE .PL;tCK: FEE v• •CONST.'FEE CT. FEE SMIFEE- 1 FEE M EE PERMITNO. Supp. Permit • Job Address, - •- Space Zip Owner OV RR2� _- _ _ Community Valuation 16 Date 4 41-0 .Dist_ Off. 1F.C. 'MH Permit Fee $ -- :Micro Film Fee Cop $ • - Use of ermit e - - - - Parcel No. - Use No. Ck.by 'Meth. Fee Dbl $ ;PI. Ck. Fee $ Legal Descr tion W - �. - - .X _ - Set Backs"' - 5 R one * Grp ype -Lor Size Unit ` , Q Construction Fee bl $ Electrical Fee ' Dbl SMI Fee $ Plumbing Fee Dbl $ O Bond Ami. $ Plan No. = Plan Checker ,`. • Finol Date �� Inspector Sp. Insp. Fee - $ Demol. Fee •_ $ Const. Lender - Address Bronch _ 11 certify shot -in the performance of the work for vAlch this .� x nor employ any person in any monner.so as to become subject to '• - * -pensotion laws of California City �t Zip : Owner Signature' j • - Builder Spgnmure - permit. is issuEd I shalt the workmen s com• :Registr. Fee $ !Mileoge Fee , $ Witness Fee It Reinsp. Fee Owner/ nt ^ Tel. . _ ,t, Zip Total Fees •$ City - Zip _ M.O..C], N.C. Q Cash Q Ehecsp Jj) - y I' " Received by - Contractor • _ _ - • . - - TeL License 10 ,1� ,Trees require .. . s - r Sewage System - Address ., - f: City ; Zip Workers' Comp. r. -• - . • . t� t SA yes O i no ❑j Vr4r LL 'Sewer District - - Form 284.208 1Rev.•4.771 ©s ' �. THIS.PERMIT SHALL BECOME -VOID IF, WORK IS NOT COMMENCED WITHIN '1-20 DAYS. CESSATION -OF :•enliedby: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY" AGREE THAT ALL WORI: I* CONNECTIOWWITH THIS PERMIT WILL BE DONE IN ACCORDANCE �, •__ WITH THE LAWS -OF RIVERSIDE COUNT�AND THE STATEQF,CALIFORNh4 �i...�y�.•-,r.Ki.-.w-.�a.�..w.+a.r�...a.•....'.......5....:...W.T-..w.�..�.�...�o+�..:w::.�ii%...Y.L�]..�:•at.':aiu•.1i�w1J�i�s.-.4�.Zwa.: ..F?'i• 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.