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304254 (SATT)
SUILDiNG PERMIT EDEPARTMENT OF BUILDING & SAFETY, FIELD OFFICE ' ' PERMIT NO. 304254 Job Address / — - + ,,-.COUNTY OF RIVERSIDE r I Zip Owner- CONSTRUCTION ESTIMATE NO.ELECTRICAL FEES NO. PLUMBING FEES - 1ST FL: SQ. FT. ( $ 2 ND FL, SQ. FT. 8 POR. Q. FT.a GAR. SQ.. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. .. _ „� SQ. FT..r C1 ESTIMATED CONSTRUCTION VALUATION $ G esti UNITS MOBILEHOME SVC. POWER OUTLET Valuation E Q A— YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING " ^• NOTE: Not to be used as property tax voluation SWIM POOL, PVT `Micro Film Fee • FLOOR DRAIN Use o ermit -.MECHANICAL FEES Parcel No. - - 'L 03 /' M -303,019] SWIM POOL, -COMM Ck.by WATER SOFTENER VENT SYSTEM FAN. C) EVAP. COOL HOOD / SIGN WASHER (AUTO) (DISH) Ck. Fee $ • APPLIANCE DRYER Lot Size . • - Construction Fee Dbl E,. Legal Description , GARBAGE DISPOSAL F S FURNACE ❑ UNIT O WALL C] FLOOR 0 SUSPENDED -""' Electrical Fee Dbl - $ LAUNDRY TRAY _ - AIR HANDLING UNIT CFM Grp IDLE METER Unit KITCHEN SINK SMI Fee ' ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET Acl COMPRESSOR /r HP Plumbing Fee POLE, TEMP/PERM lob LAVATORY Pla�43�-V? Plan Checker `l7 HEATING SY$TEM. / FORCED ' Q GRAVITY d AMPERES SERV ENT' To SHOWER $ BOILER B.T.U. Branch - '1 certify that m the performance of ' rk For which tha permit is issued I shall' not employ any person in any manner to come subject to the workmen s com. SQ. FT. p ¢ Registr. Fee BATH TUB - Address + - pensotion laws of California.' City Zip 4 - Owner Slgnoture Builder Stanature Mileage Fee $ SQ. FT. Cal ¢ Reinsp. Fee WATER HEATER p Owner/Agent , r r N Tel.Zi + p�1 SQ. FT. RESID 8 1'/.¢ ! SEWAGE DISPOSAL ' City - Zip SQ. FT. GAR @ 3G¢ Received b �/ HOUSE SEWER Contracror�.Ir�Js� Tel. License # Trees req re r, GAS PIPING 9. _ PERMIT FEE PERMIT FEE ' Address PERMIT FEE DBL. •TO AL FEES MOB. HWFEE MICRO FEE MECH. FEE PL. CK. FEE, I CONST. FEE _C1�G ELECT. FEE ' SMI FEE FEE_ PL B. FEE - ',Pr(1pJ PERMIT NO. Supp. Permit Job Address / — - + Space I Zip Owner- - 4944254. Community Valuation E Q A— Dote er; , 7 7 Dist. Off..- J1 F.C." o. - MH Permit Fee $ `Micro Film Fee • CopE Use o ermit Parcel No. - - 'L 03 /' M -303,019] Use No. "'�..` Ck.by `Meth. Fee Dbl $ / Ck. Fee $ • Set Backs Lot Size . • - Construction Fee Dbl E,. Legal Description , F S S.31 -""' Electrical Fee Dbl - $ _ - Zone Grp Type • Unit SMI Fee E t_ Plumbing Fee Dbl lob and Amt. $ Pla�43�-V? Plan Checker `l7 Final Date i `? /j -�� Inspect . Sp. Insp. Fee $ Demol. Fee $ CoKst. Lender • Branch - '1 certify that m the performance of ' rk For which tha permit is issued I shall' not employ any person in any manner to come subject to the workmen s com. Registr. Fee $ - Address + - pensotion laws of California.' City Zip 4 - Owner Slgnoture Builder Stanature Mileage Fee $ Witness Fee $ Reinsp. Fee $ - Owner/Agent , r r N Tel.Zi + p�1 Totol Fees - $ Address City - Zip M.O. C N.C. 0 Cosh 0 Check Received b �/ Contracror�.Ir�Js� Tel. License # Trees req re r, _ .Sewage System Address City _ • Zip Wor ers' Comp. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS..CESSATION OF verified by Ar Di Sewer strict k RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, a %SP 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED -THE PLANS AND SPECIFICATIONS HAS DONE I S0 IN ACCORDANCE 'WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 1Rev. 4.771 ©sCALIFORNIA.