369176 (SATT)BUILUINGi V&KMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DSr
369176 COUNTY OF RIVERSIDE I! l l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
/
1ST FL. +'
2ND. FL.
SQ. FT. @ $ �
+�
/ ' UNITS
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALLSQ.
ESTIMATED CONSTRUCTION
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION G/ t
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Address City Zip
SQ. FT. @ t
WATER HEATER
$
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
e.
S0. FT. GAR @ 314 c
HOUSE SEWER
Total Fees
§
Address/
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
369176
Job Address r s
l v rrr�,
Space
( a=� C—'�:.
Zip Owner
9zz� J.�� tit , ���-�, Ec'�
CommJyynity� f�/j^ (+�• %'''t/j
lr--" `f "
Valuation
$��
Date
D/J'I.
/ J
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop §
Use of Permit
i�ir• �^f'. ✓ !
%
�" '_".' lr{/iJ
Parcel No.
Use/Case No.
1
Ck. BQ;
+;. sJ
Mech. Fee Dbl $
PI. Ck. Fee $ �'
Set Backs
Lot Size
(�
Construction Fee Dbl $
Legal Descn�rt'on�� /� f/� // /
�y c_r
�e 41%
''�- !"
F
S /� S L,.ti R )
Electrical Fee Dbl Is
Zone Restricti A)
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
Plor),Vo.�/•�j
Plan ecker
Finaat ate —/f
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Suppliment�mit Numbers
Registr. Fee $
Mileage Fee §
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent f
` -
e.
\ Zip
Total Fees
§
Address/
CityZip
M.O. C. n Cash n Chec
Received by
481
Trees required
Contractor ff/
f r� r
Tel. /'�(/�)
a..� G. ti./ �• ' �/ V/
Licenspj
"",'� 4L+
Sewage System
Address
61-4 tq
city /y�p(
/
T LL P
Sewer District
Form 284-208 (Rev.8/78
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED_ WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY 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.
verified by:
L'1
NO.
OPERATION DATE
INSPECTOR'
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Seyver
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME