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308957 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ask FIELD OFFICE PERMIT NO. 30095° PERMIT NO. 30095' Job Address ,(- j'- Space ��-i �,-� �. COUNTY OF RIVERSIDE Owner �y�•�- ,�. Community �17 �L// f�C� F6 -ST // CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES MH Permit Fee E 1ST FL. H72 SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ. WALL ESTIMATED CONSTRUCTION FT. Q $ ' ^.. UNITS Parcel No. Use No. Ck.by SQ. FT. Ga YARD SPKLR SYSTEM ?I. Ck. Fee E SQ. FT. @ MOBILEHOME SVC. BAR SINK Lot Size FT. Ga S?�► POWER OUTLET ROOF DRAINS gal Description '` "/Numbing FT. @ DRAINAGE PIPING S S SQ. FT. Q DRINKING FOUNTAIN R�'o SQ. FT. @ URINAL Zone VALUATION $ �,� WATER PIPING Type NOTE: Not to be used as property tax valuation SWIM POOL, PVT Fee FLOOR DRAIN nd Amt. MECHANICAL FEES Checker `_- /'"� �/�ir�= SWIM POOL, COMM InsspI///e\fff��� it /`--'Uemol. WATER SOFTENER •p. Insp. Fee j$Addr Fee VENT SYSTEM AFAN ❑ EVAP. COOL &HOOD�j SIGN kgistr. Fee WASHER IAUTOI bCRW -Witness Fee Feinsp. Fee APPLIANCE DRYER wner/Agent iz �d-= Tel. Zip GARBAGE DISPOSAL btol Fees $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Address G City Zi L f%? L �^-%�• M.O. ❑ N.C. ❑ CashjW Check ❑ LAUNDRY TRAY 04 AIR HANDLING UNIT CFM Tel. IDLE METER 11'ees required KITCHEN SINK Q !i/ 4'- P -` on ABSORPTION SYSTEM � B.T.U. City Zip TEMP USE PERMIT SVC THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSAAON OF —,t rd by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 11 WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM 5r FORCED ❑ GRAVITY 0O AMPERES SERV ENT �� SHOWER BOILER � B.T.U. SQ. FT. @ ¢ BATH TUB SQ. FT. 6 ¢ WATER HEATER � Q. FT. RESID ® 1'Air � SEWAGE DISPOSAL d SQ. FT. GAR 6 IAA HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES ,aaa ?�11,10B. HM. FEE MICROFEE MECH: FEE 3 �' PL. CK. FEE CONST. FEE ELECT. FEE 3a �� SMIFEE a ' 3 FEE PLUMB. FEE �� PERMIT NO. 30095° Supp. Permit Job Address ,(- j'- Space ��-i �,-� �. Zip 23X4 Owner �y�•�- ,�. Community �17 �L// f�C� Valuation E Date 9 7 %% Dist. Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit �F Parcel No. Use No. Ck.by Meth. Fee Dbl b ?I. Ck. Fee E Set Backs Lot Size -onstruction Fee ON gal Description '` "/Numbing F �% S S ` SS R�'o lectricol Fee Dbl Zone Grp Type Unit 7MI Fee Fee Dbl nd Amt. Pion No.Plan Checker `_- /'"� �/�ir�= Final Dote ry, ��_7U InsspI///e\fff��� it /`--'Uemol. •p. Insp. Fee j$Addr Fee onst. Lender Branch I certify that m the performance of to wo- !or wntch rhn permit is issued I shall not employ any person to any manners . to become suFHect to the workmen s com• pensation lows of ColtforntoAileoge ZipOwner Stgnoture Budder Stgnatvre kgistr. Fee Fee -Witness Fee Feinsp. Fee wner/Agent iz �d-= Tel. Zip btol Fees $ Address G City Zi L f%? L �^-%�• M.O. ❑ N.C. ❑ CashjW Check ❑ Peceived by 04 Contractor Tel. I License N { ' 11'ees required Swage System T Sewer District LL !i/ 4'- P -` on Address City Zip Workers' Comp. yes E] no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSAAON OF —,t rd by WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 11 Ok"" I 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 So :HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Farm 2842081Rev. x771 ©s CALIFORNIA