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304257 (SATT)I , `-- BUILDING PERMIT ,go, DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. Supp. Permit 3�A25 A PERMIT NO. 304257 L3 d ; - COUNTY OF RIVERSIDE I Zip Owner 6/ a� ommunity DST CONSTRUCTION ESTIMATE Valuation is NO. ELECTRICAL FEES /f / NO. PLUMBING FEES Off. 1 1 ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. SQ. WALLEE] SQ. ESTIMATED CONSTRUCTION FT. Q $ Q UNITS' Use of Permit YARD SPKLR SYSTEM SQ. FT. Ca} Use No. ! SQ. FT. @ Oo MOBILEHOME SVC. BAR SINK Ck.by FT. (a} b O POWER OUTLET : ROOF DRAINS PI. Ck. Fee $ FT. (+} DRAINAGE PIPING Lot Size DRINKING FOUNTAIN FT. Construction Fee Dbl $ 0,0 SQ. FT. URINAL VALUATION $ WATER PIPING 00 NOTE: Not to be used as property tax valuation SWIM POOL, PVT Electrical Fee Dbl s Y FLOOR DRAIN Grp Type VIV MECHANICAL FEES SWIM POOL, COMM SMI Fee $ WATER SOFTENER Dbl s $ Bond Amt. sL VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD p SIGN WASHER (AUTO) (DISH) Dental. Fee APPLIANCE ❑ DRYER Q I ranch I certify that in the performance of i w rk for which this permit is issued I shall not employ any person in any manner s s to betome subject a the workmen s com- pensation lows of California City Zip Owner Signature Builder S� nature GARBAGE DISPOSAL G Witness Fee $ FURNACE ❑ UNIT ❑ WALL [:)FLOOR ❑ SUSPENDED $ Owner/Agent LAUNDRY TRAY Tel. AIR HANDLING UNIT CFM IDLE METER Address KITCHEN SINK Q City ABSORPTION SYSTEM O B.T.U. Zip TEMP USE PERMIT SVC WATER CLOSET License Zip :20 DAYS CESSATION OF p Workers' Comp. ❑ no ❑ v—f.ed by COMPRESSOR HP ' POLE, TEMP/PERM LAVATORY (? HEATING SYSTE FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER O BOILER B.T.U. SQ. FT. Qa ¢ BATH TUB d SO. FT. Ga ¢ WATER HEATER SQ. FT. RESID Ga 1'/.¢ ( SEWAGE DISPOSAL SQ. FT. GAR Cai t/.¢ 3 HOUSE SEWER GAS PIPING PERMIT FEEPERMIT FEE eS PERMIT FEE Q DBL. TOTAL FEES Z,5 MOB. HM. FEE MICRO FEE -it ECH. FEE of©Q PL. CK. FEE /• S� CONST. FEE /t °O ELECT. FEE y' SMI FEE B �' FEE PLUMB. FEE 0441 PERMIT NO. Supp. Permit 3�A25 A Job Address L3 d - Space L I Zip Owner 6/ a� ommunity n Valuation is Dote /f / Dist. Off. 1 F.C. o0i MH Permit Fee s Micro Film Fee Cop b Use of Permit Parcel No. .. Use No. ! Ck.by Mech. Fee Dbl $ — 1900 PI. Ck. Fee $ Set Backs Lot Size /Q D Construction Fee Dbl $ 0,0 Legal Description 0 S Electrical Fee Dbl s Y one Grp Type VIV Unit SMI Fee $ Plumbing Fee Sp. Insp. Fee Dbl s $ Bond Amt. sL Plan No. Plan Checker �CG Final Date —30 Inspect Dental. Fee $ Const. Lender Address ranch I certify that in the performance of i w rk for which this permit is issued I shall not employ any person in any manner s s to betome subject a the workmen s com- pensation lows of California City Zip Owner Signature Builder S� nature Registr. Fee s Mileage Fee $ Witness Fee $ Remsp. Fee $ Owner/Agent Tel. Zip Total Fees $ M.O. ❑ N.C. ❑ Cash ❑ Check Address City Zip Received by Contractor Tel. Address s City TH15 PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN vORK FOR '20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID License Zip :20 DAYS CESSATION OF p Workers' Comp. ❑ no ❑ v—f.ed by Trees requi Sewage System LL P Sewe District Form 284.208 jRev. 4.77) ©s I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE W ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA 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 CAL.FORNIA.