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.QF BUILDING& SAFFw
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1M.001SORUCHON VALUATTON,..'
Norgl*flo w"Isilid as piapajoy f voluo lon
AAECHANICAUTEE
VENT SYSTEM DFAN 04VO.COOL OHOOD
APP11"CE
FURNACE . 0 UNIT El wAtt (3 FLOOR C3 SUSPENDS
Alit "AIiafNG'uNjT CFM
AtS !?%TION SYSTEM
B.TA
KP
HEATING SYSTEM 0 FORCED 0 GRAVITY
+
Is
I
'TOTALFfE508._. JC W(C
JW HM.F RO FEE
to
Y37, UNITS
I
Job 40DOESS
'P"*
OWNER
YARD SPK.LR -SYSTEM.,-:,
�.Xwl
MOSILEHOMf Svc
SARSINK
POWEROUTLET
ROOF DRAINS
DRAINAGE PIPING
f I DRINKING fOUNTA!N
M H PERMIT FEE
URINAL
WATER PIPING
$
SWIM POOL. PVT
FL06RD"114
osr
SWIM POOL COMM
flooms I
VALLIATION op SUPP. TO ?EAwF-.j
7 L-Ilffo 0,
SIGN
WASNER`(A.Ui011biSHI'
COPIES
GAMAGEDISPOSAL
LEGAL 0MCRIPM11
-7;Y Wl zme Zo*,#
LAUNDRY TRAY
DBL
IOLE METER
KITCHEN SINK
SET NICK LOT SIZE
TEMP USE PERM SVC
WATER CLOSET.
TYPE
POLL TEMP/PERM
LAVATORY
AMPERESSERVENT
SHOWER
1456
SO FT 0 ¢
BATHTUB,
SOFT 0 c
WAIERHIEMER.'.-
SOFT RESID 0 It
SEWA:GEOISPOSAL.
SOFT GARAGE 0 'he
HOUSESEWER
WSPECTOO
E
GAS PIPING
1
1
PERMIT FEE
PERMIT FEE
No LENDER . .
ELECTRICAL FEE
ECH.FEE
IDBL
I PLCK.Fg
CONST. FEE
I OBLI M_CTIFEE
JOILI
SMIFE9
$
1018. FEE:
DSL�
-A I M I
LAWS
J I J I I Q
Job 40DOESS
'P"*
OWNER
USE OF PkRMIT F.C.
Lpix"1*11
M H PERMIT FEE
$
co"upil4rru,
osr
UNITS
flooms I
VALLIATION op SUPP. TO ?EAwF-.j
7 L-Ilffo 0,
rzr-
'MICROFILM FEE
COPIES
$
LEGAL 0MCRIPM11
-7;Y Wl zme Zo*,#
MECHANICAL FEE
DBL
S
SET NICK LOT SIZE
1p
USE... GOP
TYPE
1456
PLAN CHECK FEE
$
Vh/
01
Lk4"D_ PLAN CHECKER
PLAN N0.
I
FINAL DATE
I
WSPECTOO
CONSTRUCTION FEE
011,
1
1
NE OF CONST. LINOER BlA%C"OF;KINVOLVED
AMf
No LENDER . .
ELECTRICAL FEE
DBL.
IS
ADORE city
s- u %_
STATE
STRONG MOTION
FEE
$
dWmtR/AGF.Nrs sirmAwat 4v
lel., D
CONTRACTOR
INSTRUMENTATION
5 --Aa 6'1/,
FEE
$
ADDRESS
xo,ox
ADDRESS
PLUMBING FEE
DBL
S
CITY ZIP CODE
CITY Vp Cc"
TOTAL FM 01)
$
Qc-
Ift. 6 NO. TEL
3
NO, LICENS6
CA-4i - j3 CHECK� M.O. 0 N.C. C3
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSX-
AVON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BQ;�994 TREES KOUIRED
I HEREBY AGREE THAT ALL WO* **.;N CONNECTION WITH THIS PERMIT WILL BE DONE INI-AC,
CORDANCT WITH THE LAWS OF RIVE COUNTY AND THE STATE OF CALIFORNIA, 4 _ALSC
M)D
SEWAOI! SYST EM
I I
LL
P
AGREE TO CARRY COMPENSATION INSU2ANCE UPON MY EMPLOYEES. COMPLIANCE WlTN.THI
OF THE STATE OF CALIFORNIA rninpimn CONTRACTORS IS ALSO GUARANTEED
FORM 284.708 (Rev. 10.741 OL
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
HAS DONE 501N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF*IHF STATE OF CALIFORNIA.
sir�ITT DEPARTM9N7 OF BUIEDING & SAFETY
COUNTY OF RIVERSIDE
-EONSTRUCTION. EST{MATE NO. ELECTRICAL FEES t NO. PLUMBING.`FEFS
:,:.:
C.: { ST.FL..'
4N0 F • SO. FT. a
OR. SO. FT.® 1
:tt GAR:. SO. F7.
<< . WALL- 50. FT. 0
SO Ft. B
rll :.ESTIMATED CONSTRUCTION VALUATION IS.
NOTEr Noi Ip be:u"d.os property toN; voluolion
i." MECHANICAL FEES
VENT SYSTEM O FAN O EVAP. COOL O HOOD
'APPLIANCE
FURNACE O UNIT O WALL O FLOOR O SUSPENDE
'AIR HANDLING UNIT ( CFM
?, ABSORPTION SYSTEM
COMPRE550RE. HP
HEATING SYSTEM O FORCED O GRAVITY
BOILER � B.T.U.
103401
PERMITFEEMOBILE HOME PERMIT FEE PEI:AIITNO.TOTAL FEE$ 01
28 59.E'
) -F IlilA M-1 J I ! I A
74.
EEL75
M 11 PERMIT FEE S
Li
TOTAL FEES
CASH O CHECKX MO. O N.C. O
RECEIVED BY' TREES REOUIRED
SEWAGE SYSTEM T ll P
FORM 784.908 (Rev. 10.74) QL
V1: MiXtM 4,4
YARD SPKLR SVSTEIVI Kj
MOSILEHOMESVC.
POWER OUTLET
MICROFILM FEE
COPIES
E
MECHANICAL FEE
081.
S
1
PLAN CHECK FEE
SHOWEp .: , . : : `?'.:..
WATERPIMNG
CONSTRUCTION FEE
DBL
IS
ELECTRICAL FEE
DBL
IS
STRONG MOTION
INSTRUMENTATION FEE
GARBAGE DISPOSAL
S
FEE
HOUSESEWER,'
3
• DI I IAAmlmr. CCC
MD.
It
Li
TOTAL FEES
CASH O CHECKX MO. O N.C. O
RECEIVED BY' TREES REOUIRED
SEWAGE SYSTEM T ll P
FORM 784.908 (Rev. 10.74) QL
V1: MiXtM 4,4
YARD SPKLR SVSTEIVI Kj
MOSILEHOMESVC.
POWER OUTLET
BARSINK
ROOF DRAMS
WATERCLOSET.'.'-:
DRAINAGEWPING•-,
POLE. TEMP/PERM
DRINKING FOUNTAIN .
:::::. c, ;a ::.:'•
URINAL i
SHOWEp .: , . : : `?'.:..
WATERPIMNG
SWIM POOL. PVI
FLOORDRAIN
SWIM POOL. COMM
WATERSOFTENER
SIGN
WASHER IAUTOI iDiSM • .,' : i,r1 +r L: ;=
SOFTRESID ® la
GARBAGE DISPOSAL
`.":'.` '•;'}:;',•'.
LAUNDRY TRAY
IDLE METER
KLTCHENSINK '
'ON4UNITY 1L OST UNITS ADOYS VALUAl10N
J� yl1 /uf i SUPP. TO PERYR • Oft'�>c,:.
TEMP USE -PERM SVC
WATERCLOSET.'.'-:
POLE. TEMP/PERM
LAVATORY..:''.'• ? ;':
:::::. c, ;a ::.:'•
AMPERES SERV ENT
SHOWEp .: , . : : `?'.:..
", :;' `.. ; ::•:s ':
SO FT ® c
BATHTUB; ' ':;;` "::::
'; `•'i: =:''
$O FT @ c
WATER HEATER ". -
S
SOFTRESID ® la
SE:WAGEDISPOSAL':
`.":'.` '•;'}:;',•'.
SOFT GARAGE 0 the
HOUSESEWER,'
GAS PIPING" "
PERMIT FEE
PERMIT FEE,, ;
INSPE OA
• YECIL FEE
DSL.
PL CK. FEF] COTIST. FEE
09L ELECT. FEE
OBL
Sift FEE
ffE
CAANCNOFFICE
No LEN INVOLYEO: :�.:�%
:.•,'•:::-
%DURESS / /
CITY
STATE
09 ADDRESS
53 -760 AoeAi d x
SPNO
OWNER �'
•�-'
ISE OF PERMIT F.C. DATE. YERMR N4."
'ON4UNITY 1L OST UNITS ADOYS VALUAl10N
J� yl1 /uf i SUPP. TO PERYR • Oft'�>c,:.
..,.. •
.ECAC DESCRIPTION ` ..,.;;�� •i:�:'
ew2;• ��, tc�,,i°°;. r_ �::} _,
r•;;..
SIT BACK
LOISIZE
IO
USE NO.
GRP...
TTPE^,ci:.
S
Jc Gry
BOND AMT.
PMR CNF.CKER
FINAI OAT
INSPE OA
IPLAPONO.
•
IAME OF CONST. LENDER
CAANCNOFFICE
No LEN INVOLYEO: :�.:�%
:.•,'•:::-
%DURESS / /
CITY
STATE
OWNER/ACENT•SSIGRATT E /� r,
L
CONTRACTOR ••'
.R/. ci-I it ICE 6/
3
A00RESS
ADDRESS •. ..
CITT f APCODE
CITY TIP COOt:.�?'
-• _
IEL,NO.IEL.
.fit Ll -Il?/'"
NO. LICCNSE .
THIS PERMIT $}TALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS.:.CES A -!i ,:-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. fj'r
•.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT Wla 8E fiL1[il C
`:
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALfFORN
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPl1ANCE�i{Tn�1Eti; °..' :
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS 15 ALSO GUAKANTCCU: : ;,: � : ,:�•,c ' ;
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPEOTiONSq:
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.
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