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303653 (SATT)BUILDING PERMIT I DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. �. 3036531 PERMIT NO.. 30 3.6 5 3 Job Address• COUNTY{OF RIVERSIDE Zip Owner DST ' -• CONSTRUCTION ESTIMATE Community - �� �.���' ,� Y NO. ELECTRICAL FEES Date NO. PLUMBING FEES F.C. 0' 1ST FL. SQ. 2ND FL. ' FOR. GAR. SQ. CAR P.. SQ. WALL ' ESTIMATED CONSTRUCTION FT. @06i $ Micro Film Fee UNITS 1 Use of Permit SQ. FT.. @ YARD SPKLR SYSTEM Use No.. SQ. FT. @ MOBILEHOME SVC. BAR SINK Mech. Fee Dbl FL @ POWER OUTLET ROOF DRAINS -'✓Set Backs ' FT: @ DRAINAGE PIPING Construction FeeDbl Electrical Fee SMI Fee SQ. FT. DRINKING FOUNTAIN 570 SQ. FT. 9 URINAL VALUATION $ QO WATER PIPING S5 S •J NOTE: Not to be used os propertytax valuation Zone ../ SWIM POOL, PVT Unit _ _ / FLOOR DRAIN Plumbing Fee Dbl $ - -MECHANICAL FEES Bond Amt. $ SWIM POOL, COMM Plan Check/ejr ,'i- Final Gv ` WATER SOFTENER Inspe VENT SYSTEM ❑ FAN ❑ EVAP. COOL X HOOD Sp. Insp. fee $ SIGN $ - WASHER TAUT ISH) Const. Lender Branch 1 certify that in the performance a t e cork for which this permit is issued I shall not. employ any person in ony'monner s ns to become subject to the workmen scom- pensotion laws of California. , Address City Zip • Owner Signature • Builder Signature Registr. Fee $ APPLIANCE DRYER Witness Fee $ Reinsp. Fee $ GARBAGE DISPOSAL 00 �j . �(/' G/V FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED rota) Fees $ LAUNDRY TRAY Addr -�Q 3�� _ city ._ 420 ��� —S74 AIR HANDLING UNIT CFM M.O. ❑ N.C. ❑ Cash C]Check IDLE METER KITCHEN SINK 100 Tel. a ABSORPTION SYSTEM O B.T.U. ' TEMP USE PERMIT SVC Sewage System .. 2,- WATER CLOSET 4�0 Address• COMPRESSOR HP 22POLE, TEMP/PERM 21LAVATORY 29 HEATINGSYSTEM XFORCED ❑ GRAVITY AMPERES SERV ENTSHOWER GY1 ' BOILER BJ.U. SQ. FT. 8 ¢ BATH TUB 00 SO. FT. Oa ¢ WATER HEATER / .SQ. FT. RESID ®. 1'Ait SEWAGE DISPOSAL SQ. FT. GAR 8 Y j; HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 'PERMIT FEE D.BL TOTAL EES• D , �D MOB: rtm. Fee MICRO FEE MECH. FEE' D,Sa PL CK. FEE --, CONST. FEE �� . E ECT. FEE .� SMI•FEE - �� FEE PL MB. FEE ' PERMIT NO. �. 3036531 Supp,Permit Job Address• Space � Zip Owner _• ., Community - �� �.���' ,� Y Valuations $ �,J, a�, �8 Date Dist. Off. F.C. 0' MH Permit Fee $ Micro Film Fee Cop $ Use of Permit Parcel No. v� Use No.. Ck.by Mech. Fee Dbl PI. Ck. Fee- VA 1g -'✓Set Backs ' Lot Size 50Y100 Construction FeeDbl Electrical Fee SMI Fee $ Dbl $ $ 570 Legal Description - 1 J^�•�/ ' 1 " - ��/S /✓h--27/ .�N l �O�' - F V S5 S •J R/O Zone ../ Grp Type � .3 Unit _ _ / Plumbing Fee Dbl $ - Q Bond Amt. $ Plan No. 1 / Plan Check/ejr ,'i- Final Gv ` Do/te, Inspe Sp. Insp. fee $ Denial. Fee $ - Const. Lender Branch 1 certify that in the performance a t e cork for which this permit is issued I shall not. employ any person in ony'monner s ns to become subject to the workmen scom- pensotion laws of California. , Address City Zip • Owner Signature • Builder Signature Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owne,lAgen,Tel. V-. {tires,\- T— �j . �(/' G/V Zip rota) Fees $ D D Addr -�Q 3�� _ city ._ 420 ��� —S74 Zip M.O. ❑ N.C. ❑ Cash C]Check Received by Contractor Tel. a License # ' Frees required Sewage System .. �,�. Address• .City Zip Wdrkers yes ❑ Lomp. no ❑ - .1/�L7 LL PV, kwerwer Dlstria ' Form 284.208 (Rev. 4.77) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT'COMMENCED WITHIN 120 DAYS. CESSATION OF VIVORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT -TO BECOME VOID., I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE.-0ONE 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA, vemf.ed by: r