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303881 (SATT)
�.4 BUILDING PERMIT Igi&L DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PE RM IT NO. 388130' PERMIT NO. Job Address -7 d Communi ry i COUNTY OF RIVERSIDE SpaceZip Owner DateNit.' i f. ' F.C. DST 303881* MH Permit fee $ $ Micro Film FeeLDb Use of ermit l �.+ ` Parcel No. Set cks F S© SO � Use No. Lot Size `7 CONSTRUCTION ESTIMATE Mech. Fee E NO. ELECTRICAL FEES Construction Fee D 1 $ Electrical Fee Db1 $ $ SMI Fee E NO. PLUMBING FEES 1 ST FL. SQ. FT. $ Grp UNITS Unit l 2ND FL. SQ. FT. (a3 B d Amt. $ .� Plan No. YARD SPKLR SYSTEM Final FingalDate � % 7-3 POR. SQ. FT. (a} OO QQ MOBILEHOME SVC. BAR SINK E - GAR.SQ. FT. Oa "�OC POWER OUTLET Mileage Fee $ ROOF DRAINS Reinsp. Fee CAR P. SQ. FT. Owner/Agent Tel. - DRAINAGE PIPING Zip I WALL SQ. FT. Q Total Fees $ Address DRINKING FOUNTAIN City SQ. FT. C�3 �� M.O. ❑ N.C. ❑ Cash ❑ Chec Received byContractor Trees reci e URINAL ESTIMATED CONS Al ICTION VALUATION Tel. License # WATER PIPING Soo NOTE: Not to be used as property tax valuation Address ffl'�' SWIM POOL, PVT Cityi -40 FLOOR DRAIN Workers' YbZ Comp. no 0 1 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEFAN C]EVAP. COOL HOOD SIGN WASHER (AU ISH) APPLIANCE 15RYE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLO ❑ SUSPENDED LAUNDRY TRAY 0 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK 01) ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRE � HP 00 POLE, TEMP/PERM LAVATORY Q ' HEATING TE FORCED ❑ GRAVITY© AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. 8 ¢ WATER HEATER SQ. FT. RESID 8 1 t/.¢SEWAGE DISPOSAL SQ. FT. GAR 6 Y.1EE HOUSE SEWER GAS PIPING PERMIT FEE O PERMIT FEE PERMIT FEE DBL TOTAL FEES nsOB. HM. FEE MICRO FEE CH. FEE L. CK. FEE CONST. FEE �sd SMI FEE FEE P' B. FEE PE RM IT NO. 388130' Supp. Permit Job Address -7 d Communi ry i Valuation SpaceZip Owner DateNit.' i f. ' F.C. MH Permit fee $ $ Micro Film FeeLDb Use of ermit l �.+ ` Parcel No. Set cks F S© SO � Use No. Lot Size `7 Cl .by Mech. Fee E PI. Ck. Fee$ '120i Construction Fee D 1 $ Electrical Fee Db1 $ $ SMI Fee E Legal Description r Zone Grp Type Unit Plumbing Fee Dbf $ Sp. Insp. Fee E B d Amt. $ .� Plan No. Plan Checker A%J�' Final FingalDate � % 7-3 Inspec , Denial. Fee E - Const. Lender Address Branch 'I certdy that to the performance of the work for which this permit is issued I sholl not employ any person;n any monngr so as to become subtect to the workmen s com- pensaiion lows of California.' - City Zip Owner S,gnotvre Builder Signature - Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. - Zip I Total Fees $ Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Chec Received byContractor Trees reci e Tel. License # Sewage System Address ffl'�' Cityi -40 • Zip Workers' YbZ Comp. no 0 1 Sewer District Form 284.208 (Rev. 4.771 ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF �erd by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.