301852 (ELEC)BUILDING PERMIT
DEPARTMENT OF BUILDING. & SAFETY
FIELD OFFICE
FORM 2114208 IREV. 676)
CALIFORNIA COVERING CONTRACTORS, IS ALSO GUARANTEED
I HEREBY CERTIFY`THAT:T;HE INDIVIDUAL WHO PREPARE'DTHE PLANS AND SPECIFICATIONS HAS•DONE
SO IN ACC09QANCE WITH SECTION 5541 OP THE,BUSINE55 AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,
.PERMIT NO.
301,85.2
�rVI I Vr ml V na14G -
D}S(TT
IJ
C04STRUCT.ION
ESTIMATE NO. 'ELECTRICAL FEES NO. PLUMBING FEES
1 ST FL. SQ.
2ND FL. SQ.
POR -.SQ.
GAR., SQ.
CARP. SQ.
WALL SQ.
ESTIMATED CQNSTRUCTION
FT. '@ - % UNITS
FT. @---L— YARD SPKLR .SYSTEM
FT, @ MOBILEHOME.SVC. BAR SINK
FT.. @ POWER OUTLET ROOF DRAINS
FT. @ DRAINAGE ,P,IPING
FT. @ DRINKING FOUNTAIN
SQ. -FT. @ URINAL
VALUATION $ - WATER`PIPING
NOTE: Not to be: used as,property tax valuation SWIM POOL, PVT FLOOR- DRAIN
$
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
P M ��.C. SUPP. TO PERMIT PERMIT NO,
'UP3018.
P w
AG DESCRIPTION
VENT SYSTEM ❑ FAN '❑ EVAP: COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) '
COPIES
APPLIANCE ❑DRYER GARBAGE DISPOSAL
:FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JLAUNDKY TRAY
.AIR._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 E�JB.T:U. SQ.FT. @ a' BATH TUB
DBL
r SQ:FT. @ ¢ WATER HEATER. .
SQ.FT.RESID @ 1'A¢' SEWAGE DISPOSAL
SET B, K T SI G
SQ.FT.GAR @ baa HOUSE SEWER
TYPE
BY
GAS PIPING
PERMIT FEEPERMITTEE
PERMIT FEE
7
nal-
TOTAL FEES
Off!
MOS.HM.FEE
MICRO FEE. MECH.,FEEPLCK. FEECONST.,
FEE EL . FEE SMI FEE
P400
FEEJ PLUMB_ FEE
FORM 2114208 IREV. 676)
CALIFORNIA COVERING CONTRACTORS, IS ALSO GUARANTEED
I HEREBY CERTIFY`THAT:T;HE INDIVIDUAL WHO PREPARE'DTHE PLANS AND SPECIFICATIONS HAS•DONE
SO IN ACC09QANCE WITH SECTION 5541 OP THE,BUSINE55 AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,
JOB'ADORESS I SP NO
'OWNER
J F M A M J J A S O N .D
1
r
76
77 -
C.5K NALUATI
DST OFFICE
I
JA 11$
..
78
.M H PE-RMIT FEE
$
P M ��.C. SUPP. TO PERMIT PERMIT NO,
'UP3018.
P w
AG DESCRIPTION
MICROFILM FEE.
COPIES
1 -
+.
MECHANICAL FEE-
DBL
$
USE` O.E
SET B, K T SI G
TYPE
BY
-
-
7
II — 9 �_ .S— R
ICK
CHECK. FEE.
_
$
BOND AMT: -
PLAN NO..
-PLANCHECKER
DATE '
I SPECTORPLAN
'DBL
[FINAL
CONSTRUCTION FEE
$! .,
-
NAME OF CONST.ILENDER - -
'BRANCH OFFICE
NO,LENDER INVVOO+L�V
-
_ _
moi✓- r
ELECTRICAL FEE
DBL
$
Al
ADDRESS
cm.
STATE
$
°OWNER%AG T6`SIGNATURE
CONTRACTOR
STRONG -MOTION
INSTRUMENTATION FEE
'SPECIALINSP$
AD
ADDRESS
'DEMOLITION FEE
REGISTRATION
RAV siol
CITY ZIP CODE
PLUMBING FEE
DBL
$
cl Tyl ZIP;CODE
TOTAL FEES_
�.
TEL. NO: - j
AREA CODE •
TEL. NO.
AREA GOOF
LICENSE s)
CASH CHECK❑N1,O:❑N.C:❑
Q
_
RECEIVED'BY TREES. REQUIRED
THIS -PERMIT -SHALL BECOME VOID IF WORK IS. NOT COMMENCED'WITHIN 1,20 DAYS. CESSATION OF
WORK. FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID:
SEWAGE SYSTE
I HEREBY AGREE THAT ALL WORK IN CONNECTION'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE'
, _
T LL P
+WITk THE LAWS' OF RIVERSIDE COUNTY AND THE: STATEOF CA'LIFORNIA,' I ALSO AGREE. TO CARRY
- _
C:nMPFNSATIrIN' INCI IDANl.'F I`ID(])d'AAY C/W CI r1V.FFG f'/]'1AG11A AI('G \AIITj-1 TLIL-1 AWG.f.1G:T1.lF CT ASF.6..
FORM 2114208 IREV. 676)
CALIFORNIA COVERING CONTRACTORS, IS ALSO GUARANTEED
I HEREBY CERTIFY`THAT:T;HE INDIVIDUAL WHO PREPARE'DTHE PLANS AND SPECIFICATIONS HAS•DONE
SO IN ACC09QANCE WITH SECTION 5541 OP THE,BUSINE55 AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA,