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303655 (SATT)IMF - BUILDING BUILDING PERMIT t ;, DEPARTMENT OF BUILDING & SAFETY. `< FIELD OFFICE PERMITNO. - 3 3 6 5 5 NO.." Job Address, ` - :�- Space Zip S3-Siso AA V.1 COUNTY OF RIVERSIDE- Owner Community _ `�•. tT ���N. - te Y/77 -7 J.Do j +� 7 7 i- / J. 30PERMIT3655. Off. F.C.. MH Permit Fee S Micro Film Fee Cop $ Use of Permit - /�i�, _ _ - 1- Use No. Ck.by Mech. Fee Dbl $ zl. Ck. Fee $ 1 CONSTRUCTION ESTIMATE. � NO. ELECTRICAL FEES NO. PLUMBING FEES S _ 1.ST FL.- SQ. FT. Q $ 2C UNITS Zone Grp Type 2ND FL. SQ. FT. (a} i SMI Fee . . E 77 YARD SPKLR SYSTEM • _ PQR.SQ. FT. C1 i �U MOBILEHOME SVC. FinolDot(e'f/i- / / / BAR SINK - GAR. _ IT* laQ $ POWER OUTLET Const. Lender - Branch - 'I certify that in the performance o. t work for which this permit is issued I shall - not employ any person in ony manner o m s to becoe subject to the workmen s com- - - pensotiorilaws of California. Address - t City. 4 - Zip - Owner Signature t ` .+ !f Builder Signature ROOF DRAINS Mileage Fee $ - CAR P. SQ. FT.. Witness Fee's $ teinsp._Fees t $ DRAINAGE PIPING , Owner/Agent _ ,-.L , � C - IL �5 i�r ]SQ, WALL SQ. FT., Q lotol Fees r DRINKING FOUNTAIN. SQ. FT. @ City, - _ Zip M.O: ❑ N.C."O Cash Check 2eceived by frees required URINAL ESTIMATED CONSTRUCTION VALUATION $ / BO License # Sewage System IOTLSO fewer District WATER PIPING L` NOTE: Not to be used as property_tox voluotion City - Zip SWIM POOL, PVT THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF, verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME'VOID. I FLOOR DRAIN. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL X HOOD SIGN WASHER IAUTG/DISHI . '• APPLIANCE DRYER GARBAGE DISPOSAL FURNACE ❑ UNIT- ❑ WALL ❑FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT ' CFM IDLE METER KITCHEN SINK D O ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC` 7 WATER CLOSET COMPRESSOROHP POLE,-TEMP/PERM LAVATORY HEATING SYSTEM FORCED. ❑GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U:, SQ. FT. @¢ BATH TUB SQ. FT. WATER HEATER SQ. FT. RESID @ Lt/.¢ SEWAGE DISPOSAL ". SQ.'FT.GAR @ Yc HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE .DBL. .' TOTAL FEES MOB. NM. FEE MICRO FEE ME H. FEE PL CK. FEE, CONST. FEB .E LECLFEE SMI FEE FEE PL B.FEE PERMITNO. - 3 3 6 5 5 Supp. Permit Job Address, ` - :�- Space Zip S3-Siso AA V.1 - Owner Community _ `�•. tT ���N. - Valuation V` ��^� te Y/77 -7 J.Do j +� 7 7 i- / Dist.. / Off. F.C.. MH Permit Fee S Micro Film Fee Cop $ Use of Permit - /�i�, _ _ - Parcel N(o�. p '7 ! � �- 9 4 Use No. Ck.by Mech. Fee Dbl $ zl. Ck. Fee $ Set Backs 'Lot Size � Legal Description - _ S S S :R �.D- Electrical Fee Dbl $. _ Zone Grp Type Unit, i SMI Fee . . E 77 Plumbing Fee >pRlnsp. Fee Dbl $ - $ Bond Amt. _ -$ Plan No. ��U�.� Plan Checker - FinolDot(e'f/i- / / / Inzp� )emoL Fee $ Const. Lender - Branch - 'I certify that in the performance o. t work for which this permit is issued I shall - not employ any person in ony manner o m s to becoe subject to the workmen s com- - - pensotiorilaws of California. Address - t City. 4 - Zip - Owner Signature t ` .+ !f Builder Signature - Zegislr. Fee $° Mileage Fee $ - Witness Fee's $ teinsp._Fees t $ Owner/Agent _ ,-.L , � C - IL �5 i�r Tel. * Zip lotol Fees $ Address . •- • City, - _ Zip M.O: ❑ N.C."O Cash Check 2eceived by frees required Contractor - - TeL License # Sewage System IOTLSO fewer District LL L` Address, City - Zip Workers' Comp. yes ❑ no ❑� THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF, verified by: WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME'VOID. I \L) - f 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, I HEREBY CERTIFY, THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 1 SO IN ACCORDANCE WITH SECTION 5541 OF'THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF , Form 284.208 (Rev. 4.771 ©s - - CALIFORNIA.