304213 (SFD)But�ntNG PERMIT " DEPARTMENT OE BUILRING$3AFETY' . FIELD OFFICE
PERMIT NO., COUNTY'OF,�lMRSIDE i
304213 1k -
CONSTRUCTION ESTIMATE NO. ELECTRICAL.FEES NO. PLUMBING FEES
A0 $ A0 I UNITS
j•ST FL:
rSQ. FT: .Q
2ND FL,
SQ, FT.
POR'
SQ: FT.
GAR:-
SQ. FT.
GARP,
SQ. FT.
WALL
-SQ. FT- @
FURNACE ❑UNIT 0WALL 0FLOOR 0S,USPENDED
SQ: FT. 6
E571MATED CONSTRUCTION' VALUATION'
NOTE: Nofto be
used. as prope.{ty`fax v6luafiori -
AIR HANDLING UNIT -
CFM
MECHANICAL FEES
'YARD SP-KLR SYSTEM
MOBILEHOME SVC. BARt$INK
POWER:OUTLET - ROOF DRAINS
,D.RAINAGE PIPING
WATER PIPING
SWINIOOL:PPVT' FLOOR DRAIN
SWIWPOOL, COMM 1, 1,WATER:SOF.TEN.ER
PERMIT NO. ���Q1- -
3u-4213
VENT SYSTE FAN EVAP4000L iijP HOQQ:
SIGN
WASHER'IAUT(*IDISHI
MH',PermitiFae _
;APPLIANCE -
DRYER'
Use orPermiY _
!- � ■ 1 •sII�Sk i e .4
Rcrael'No, ,','y,7 the
[GARBAGE DISPOSAL
Meds- Fee 'Dbl
FURNACE ❑UNIT 0WALL 0FLOOR 0S,USPENDED
set. s
LOSlxe
17ecrriml
".LAUNDRY TRAY'
."
ription�
e Ti��P 8,Plurrili
AIR HANDLING UNIT -
CFM
IDLE METER
;KITCHEN SINK'
Toile 'GtP
'ABSORPTION SYSTQA
B T:U'.r
TEMP'USE OR.MIT ,S,VC
WATER'CLOSET
ng,Fae Dbl
COMPRESSOR
HP" -
PW,-TEMP/PERM,
I
LAVATORY
Iup�joorr`r,1,k, •,
HEATINGSYST,EM _FORCED Q; GRAVITY
AMPERES'SERV ENT
0p
;SHOWER:
ConsR'Lersder, Bidnch - _ . -. - . I certify that in the perlarmonce of the wbrk,tor whieh this perniit is issued Ilshah
not employ anypmon In,arty mom. at sd,-as to become ublect rb Alte-woikmen.s'Com.
pensotion faws of Eahfamia-
Addiess City Zip 'Owner Sfgnorjre
8'itildel Signoiurn
BOILER B'.T:U:
SQ: FT., ® t
Witness Fee $
BATH TUB
ChKpeNAaerit - -
-
I SQ. FT:. .. E
TotaLFees: T
WATERHEATER
Address -.
Gry L'p
M.0:0 N:C. Q Cosh Ch¢ ;
I SQ: FT: RESID ra, 1149
-
SEWAGE DISPOSAL
°TO. -
License#
Se"06.'sysfem
T LL'
1' $Qi FT:�GAR-'& *q
Address - -
HOUSE SEWER'
Work-ers'Comp.
yesno
T 1 PERMIT SHALL PE OME VOID IF WORX IS NOT COMMENCED WITHIN 1217 DAYS. CESSATION Of by:
1WORk-FOR'L20 DAYS;SHALL ALSO:CAU$,E PERPAIT TO BECOME VOID. r
1 HEREBY •AGREE THAT ALL- WORK IN CONNECTION WITH THIS, PERMIT WILL FSE DONE IN ACCORDANCE
WITH THE LAWS -OF RIVERS IDE,COUNTY AND THE,STATE OF CALIFORNIA.
I HEREBY .CERTIFY THAT THE .INDIVIDUAL WHO PREPARED TIE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE. WITH 'SECTION 5541 OF THE' BUSINESS AND PROFESSIONS COPE,0F THE STATE p6 '
CALIFORNIA.
-$gwer0istr R'Owl
Form 284-208 Rev. 4-771 ®s
GAS PIPIN E
PERMIT FEE
Its Kiwi FEE
-PERMITTEE
DBL:
�_O, /E�S -
MQB,.MM..FEE
'`""'� .
MICRO�FEE
ter_
-,:F PL:'CK, PEE'
. - t�ii ��s
:GONST:,FEE_�� � E
'� i r. '•
�.-T,.;F£E
-�
.:SMI FEE
��
- 'FEE PLUMB.FEE
ita�r• :
PERMIT NO. ���Q1- -
3u-4213
SuPP• Rermt
Job•Mddress' - - _ Spece; Zip '.Owner-`
Cmrrt -nily -f Vowertion, - Dole' Dist., Off. a_ F:C.�
i -
MH',PermitiFae _
Micro film Fee Cop 'f
-
Use orPermiY _
!- � ■ 1 •sII�Sk i e .4
Rcrael'No, ,','y,7 the
No. Ck.by.
Meds- Fee 'Dbl
PIFee
set. s
LOSlxe
17ecrriml
Cstrualon'Fee Dbl
."
ription�
e Ti��P 8,Plurrili
S: -J
Fee -DYSI
TSS
Toile 'GtP
TYPeUnitSMKe.
ng,Fae Dbl
•
Ploh'No:
,firm Checker 'Finaf
Date Q
Iup�joorr`r,1,k, •,
Detria;Fee Z,
-
ConsR'Lersder, Bidnch - _ . -. - . I certify that in the perlarmonce of the wbrk,tor whieh this perniit is issued Ilshah
not employ anypmon In,arty mom. at sd,-as to become ublect rb Alte-woikmen.s'Com.
pensotion faws of Eahfamia-
Addiess City Zip 'Owner Sfgnorjre
8'itildel Signoiurn
- Istr. Fee
Ilea' $
Mileage Fee S
Witness Fee $
irisp,Fee S.
ChKpeNAaerit - -
TeL 'Z,ip,
s
TotaLFees: T
Itr
Address -.
Gry L'p
M.0:0 N:C. Q Cosh Ch¢ ;
Reeewedby
- fees required
-
.Contractor - -
°TO. -
License#
Se"06.'sysfem
T LL'
P
Address - -
'Oty, Zip
Work-ers'Comp.
yesno
T 1 PERMIT SHALL PE OME VOID IF WORX IS NOT COMMENCED WITHIN 1217 DAYS. CESSATION Of by:
1WORk-FOR'L20 DAYS;SHALL ALSO:CAU$,E PERPAIT TO BECOME VOID. r
1 HEREBY •AGREE THAT ALL- WORK IN CONNECTION WITH THIS, PERMIT WILL FSE DONE IN ACCORDANCE
WITH THE LAWS -OF RIVERS IDE,COUNTY AND THE,STATE OF CALIFORNIA.
I HEREBY .CERTIFY THAT THE .INDIVIDUAL WHO PREPARED TIE PLANS AND SPECIFICATIONS HAS DONE
SO IN ACCORDANCE. WITH 'SECTION 5541 OF THE' BUSINESS AND PROFESSIONS COPE,0F THE STATE p6 '
CALIFORNIA.
-$gwer0istr R'Owl
Form 284-208 Rev. 4-771 ®s