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304255 (SATT)
BUILDING PERMIT ,wk DEPARTMENT OF BUILDING & SAFETY Ail& FIELD OFFICE PERMIT NO. ,1304255 PERMIT NO. 304255 Job Address COUNTY OF RIVERSIDE I Zip Owner } )11,4- DST 1) CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Dote ... -7 NO. PLUMBING FEES off,. F.C. 1 ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. $ A/O UNITS Cop E Use of Permit I n! Lega escription SQ. FT. YARD SPKLR SYSTEM Parcel No. ,.,?/, `/ ! 47 FT. SO MOBILEHOME SVC. BAR SINK Ck.by POWER OUTLET ROOF DRAINS FT. Q FI. Ck. Fee E Construction Fee Dal J0 Electrical Fee DblE FT. @ DRAINAGE PIPING Lot Size Q FT. Ca DRINKING FOUNTAIN SQ. FT. Ca3 URINAL VALUATION $ 06 (� U WATER PIPING O NOTE: Not to be used as property tax valuation Unit SWIM POOL, PVT WI Fee E FLOOR DRAIN Dbl E MECHANICAL FEES Plan No. 5 SWIM POOL, COMM I Final ate Inspeaor/'1! :]?Z WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD )emol. Fee SIGN WASHER (AUTO) ( DISH) Branch I certify that .n the performonce of t(or which this perm,. "issued I shall not employ any person in any manner so s o become subject to the workmen s com• pensonon lows of California. City Zip Owner Signature Bwlder Signature [egistr. Fee E APPLIANCE ❑ DRYER-4�5 a kinsp. Fee E GARBAGE DISPOSAL Owner/Agent FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Zip Tial Fees M. 0. ❑ N.C. ❑ Cosh ❑ Check LAUNDRY TRAY City AIR HANDLING UNIT CFM feceive IDLE METER � KITCHEN SINK Tel. City _ ABSORPTION SYSTEM B.T.U. License p Workers amp. yes ❑ no ❑I TEMP USE PERMIT SVCWATER LL CLOSET THIS PERMIT SHALL BE CO E VOID IF WORK, IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e:, ,ed by eVORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Q SHOWER BOILER � B.T.U. SQ. FT. p ¢ BATH TUB nn SQ. FT. ¢ WATER HEATER SQ. FT. RESID p 1'/.¢ f SEWAGE DISPOSAL SQ. FT. GAR Ga Y.¢ a HOUSE SEWER GAS PIPING p PERMIT FEE PERMIT FEE Q PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE 1212 ECH. FEE PL. CK. FEE CONST. FEE EL CT. FEE SMI FEE FEE MB. FEE40/ 1?!721P PERMIT NO. ,1304255 Supp. Permit Job Address Space I Zip Owner } )11,4- -Community Valuation E G'5-- u Dote ... -7 Dist. 1 off,. F.C. . MH Permit Fee E Micro Film Fee Cop E Use of Permit I n! Lega escription ' LZ �.1114 4 Parcel No. ,.,?/, `/ ! 47 Use No. Ck.by dMech. Fee Dbl Eil FI. Ck. Fee E Construction Fee Dal J0 Electrical Fee DblE Set Backs Lot Size Q FS S-5 ne Grp Type > Unit , WI Fee E 'lumbing Fee Dbl E Bond Amt. E Plan No. 5 Plan Checker j I Final ate Inspeaor/'1! :]?Z /\ ia. Insp. Fee E Y )emol. Fee E Const. Lender Address Branch I certify that .n the performonce of t(or which this perm,. "issued I shall not employ any person in any manner so s o become subject to the workmen s com• pensonon lows of California. City Zip Owner Signature Bwlder Signature [egistr. Fee E Jileoge Fee E Nitness Fee E kinsp. Fee E Owner/Agent Tel. Zip Tial Fees M. 0. ❑ N.C. ❑ Cosh ❑ Check Address City Zip feceive � Contractor�� ddress Tel. City _ -Zip License p Workers amp. yes ❑ no ❑I Tees egtired Sewage System .strip LL THIS PERMIT SHALL BE CO E VOID IF WORK, IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e:, ,ed by eVORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID 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 II 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 Farm 284.208 1Rev. 4.771 ©s CALIFORNIA.