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303883 (SATT)
BUILDING PERMIT ,Awk� DEPARTMENT QF BUILDING & SAFETY 1I111111116 FIELD OFFICE PERMIT NO. PERMITNO. 30% 3 Job Address - COUNTY OF RIVERSIDE t �� i DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2 SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. SQ. FT. @ Community voluotion E UNITS YARD SPKLR SYSTEM FT. QQ MOBILEHOME SVC. BAR SINK 41 0 to POWER OUTLET ROOF DRAINS FT. A6 Cop E FT. 8 DRAINAGE PIPING Us of 9 rmi Descripti n - DRINKING FOUNTAIN FT.. Q Use No. k.by of Size � D SQ. FT. @ URINAL PI. Ck. Fee E VALUATION is ap WATER PIPING Electrical Fee NOTE: Not to be used as property tax valuation SWIM POOL, PVT 40FLOOR DRAIN Unit SMI Fee MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER / Plumbing Fee VENT SYSTE FAN ❑ EVAP. COOL HOOD A 046 SIGN WASHER (AUT DISH)tl rP�lonhecker -7 Final Dare APPLIANCE DYEI / ARBAGE DISPOSAL �t_ b FURNACE ❑ UNIT ❑ WALL ❑ LO6R ❑ SUSPENDED Const. Lender Branch .1 ready that in the performance of not employ any person m any manner so the work for which I#us permit is issued I shall as to 1xcome subject io the workmen s com. LAUNDRY TRAY Regisrr. Fee E AIR HANDLING UNIT CFM pensotion Address City Zip IDLE METER OkITCHEN SINK Mileage Fee E Witness Fee E ABSORPTION SYSTEM O B'.T.U. TEMP USE PERMIT SVC WATER CLOSET Builder Siqnotufe COMPRESSOOHP E POLE, TEMP/PERM LAVATORY Tel. Zip HEATING EM FORCED ❑ GRAVITY Ago 4 AMPERES SERV ENT © SHOWER City BOILER B.T.U. M.O. ❑ SQ. FT. p ¢ BATH TUB p Received by SQ. FT. 17 WATER HEATER 0 Tel. license p 64&Contractor SQ. FT. RESID Cay 1V.4 SEWAGE DISPOSAL Trees required SQ. FT. GAR Co, Nit J Wq HOUSE SEWER Sewage System GAS PIPING D Zip Workers' Comp. PERMIT FEE AOPERMIT ole FEE PERMIT FEE yes no 01 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED ITHIN 120 DAYS. CESSATION OF T' .er.(ied by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID jF DBL. [iOTALFEES ]M0B.HIA.rEE1 MICRO FEE C EE PL. CK. FEE I CONST. FEE MCT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Supp. Permit Job Address - Space Zip Owner �� i 13038831 Community voluotion E Dote 01^11 1-7I Dist. MH Permit Fee E Micro film Fee Cop E Us of 9 rmi Descripti n - parcel No. Set acks 0 So Use No. k.by of Size � D Mech. Fee Dbl E Q®� PI. Ck. Fee E Construction Fee Dbl bLegal Electrical Fee Dbl E Zone Grp Type Unit SMI Fee E407_0��.... ,..�%... �+ /� ✓ / Plumbing Fee Dbl $ Bond Amr. $ Plan No. rP�lonhecker -7 Final Dare Inspe r tr / $p. Insp. fee E Demol. Fee b Const. Lender Branch .1 ready that in the performance of not employ any person m any manner so the work for which I#us permit is issued I shall as to 1xcome subject io the workmen s com. Regisrr. Fee E pensotion Address City Zip loves of Coliforrvo Owner Signature Mileage Fee E Witness Fee E Builder Siqnotufe Reinsp. Fee E Owner/Agent Tel. Zip Total Fees yAddress City Zip M.O. ❑ N.C. ❑ Cash Chec Received by Tel. license p 64&Contractor Trees required Sewage System Addr City Zip Workers' Comp. If goX 97 yes no 01 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED ITHIN 120 DAYS. CESSATION OF T' .er.(ied by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID jF LL Sewer District Form 284.208 1Rev. 4-77) ©s 1 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 ri SO iN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.