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272430 (RER)A'IR HANDLING UNIT CFM ..IDLE METER .KITCHEN'SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT, SHOWER BOILER 0 B.T.U, SQ FT 0 ¢ BATH TUB [PERMIT FEE MOBILE' HOME PERMIT FE PERMIT NO. 272430 $Q FT ® ¢ WATER HEATER FIELD OFFICE SQ FT RESID ® 64 BUILDING PERMIT DEPARTMENT OF BUILDING-&, SAFETY SQ FT GARAGE ® 'h¢ HOUSESEWER COUNTY OF 'RIVERSIDE DATEPE GASPIPING �Z PERMIT FEE PERMIT FEE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES.' PL CK:'FEE 1 ST FL: SQ..FT. ®: UMTS . ELECT. FEE DBL. 2ND FL. SQ. FT, ,® FEE YARD SRKLR SYSTEM OFFICE POR. SQ. FT. 0 MOBILEHOMESVC. BAR SINK GAR, SQ.. FT. ® � POWER OUTLET ROOF DRAINS CAR P. 50;FT. ® DRAINAGE PIPING MICROFI,LM.FEE. WALL SQ..FT. 0 $ DRINKING FOUNTAIN LEGAtDESCRIPTION i4 wk'N CiW SQ. FT. -0' DBL URINAL . ESTIMATED CONSTRUCTION VALUATION $ t0ye5 %3 LOT SIZE ZONE 1 WATER PIPING US NO. GRP TYPE CK BY NOTE: Not to be used os 'property tax valuation SWIM POOL, PVT FLOOR DRAIN p- MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM O FAN CI EVAP. COOL ❑ HOOD SIGN WASHER(AUTO) (DISH) $ APPLIANCE NO. GARBAGE DISPOSAL FINAL DATE IIVSPECTOR ` FURNACE ❑ UNIT • ❑' WAIL ❑'FLOOR ❑ SgSPENDED LAUNDRY TRAY 01 A'IR HANDLING UNIT CFM ..IDLE METER .KITCHEN'SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT, SHOWER BOILER 0 B.T.U, SQ FT 0 ¢ BATH TUB [PERMIT FEE MOBILE' HOME PERMIT FE PERMIT NO. 272430 $Q FT ® ¢ WATER HEATER - - - - SQ FT RESID ® 64 SEWAGE DISPOSAL SQ FT GARAGE ® 'h¢ HOUSESEWER FX DATEPE GASPIPING �Z PERMIT FEE PERMIT FEE v RO FEE MECH. FEE DBL. PL CK:'FEE CONS7. FEE DBL ELECT. FEE DBL. I SMI FEE FEE PLUMB. FEE OFFICE I AO _r,41 F3 I -- - - - - f 7 I F I M I A I M 1 J I J A I 5 1 O 1 N 1 D -JOB ADDRESS - SP NOOWNER - - - - 74 4i %`.Vff�fL)�. 75 USE OF:PERMI7 �i p�, FX DATEPE MI NO. ' 76 Aar L��a:�F�,r,� r. '�� 09 s=��- V2430 M H PERMIT FEE GO%MMUNIS�Yj1 DST 1-70OMSV ALUATION I SUPP: TO:PERMIT OFFICE I AO _r,41 MICROFI,LM.FEE. COPIES $ LEGAtDESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE US NO. GRP TYPE CK BY p- PAR-/0glav// F- tv s a R6 PLAN CHECK FEE $ BOND AMT.PLAN' NO. PLAN CHECKER.' FINAL DATE IIVSPECTOR /.9- 01 ". ?-a3.)� CONSTRUCTION FEE DBL $ NAME OF CONST LENDER BRANCH OFFICE NO LENDER INVOL ED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE 'CONTRACTOR INSTRUMENTATION FEE J 1 LSO/t-1`A.?/47 $ .ADDRESS ADDRESS/REBS ' FEE Ct P/— e i'� 'G 4 040,4 yl PLUMBING -FEE DBL $' CITY ZIP CODE CIiTTy. ZIP CODE PRh TOTAL FEES 0-p 413 TEL.. NO'. TEL N0. --7 LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. �r RECEIVED'BY TREESiREQUIRED ,� � J` I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- V GORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO I SEWAGC SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIA'NCE,WITH THE LAWS OF THESTATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM. 284-208 (Rev. t0-7aj. QL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND,PROFESSIONS CODE OF THE STATE OF CALIFORNIA.