369172 (SFD) Plan CheckBUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD M,;//
369172 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
Job Address �s Space
.3"%-
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.SQ.
GAR.
CAR P.
SQ. FT. Q / $
G W✓ 4t5
UNITS
F.C.C.
SQ. FT. Q
YARD SPKLR SYSTEM
MOBILEHOME SVC.
FT. Q
BAR SINK
_
SQ. FT. Q ✓ e "' POWER OUTLET
ROOF DRAINS
SQ. FT. Q
DRAINAGE PIPING
WALL
:.a
SQ. FT. Q
Construction Fee Dbl E
Legal Description ..� { �
y/�...
+mow' ^ i,.� �. /
DRINKING FOUNTAIN
SQ. FT. Q
URINAL
ESTIMATED CONSTRUCTION VALUATION $ .2
9
WATER PIPING
NOTE: Not to be used as property tax valuation
Bond Amt.
E(.//
SWIM POOL, PVT
FLOOR DRAIN
t MECHANICAL FEES
Inspector
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Const. Lender' Branch
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Address City Zip
Witness Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Tel. - . Zip
LAUNDRY TRAY
AIR•HANDLING UNIT CFM
City Zip
IDLE METER
KITCHEN SINK .
ABSORPTION SYSTEM B.T.U.
Tel._�j
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Addre
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Q c
BATH TUB
SQ. FT. Q c
WATER HEATER
S0. FT. RESID @11/4c
SEWAGE DISPOSAL
S0. FT. GAR Q 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
T91ALeFEES
MOB.HM.FEE
MICRO FEE—/
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3691721
Job Address �s Space
.3"%-
Zi Owner
4e
Com/mynit
/rte / L,�G ✓ y� l"f
Valuation
E
Dote .�/y
6.s'- q' / 91
Di
/ /
F.C.C.
MH.Permit Fee E
Micro Film Fee Cop E
Use of Permit `/ /! /
40
` I�r7 `
�� •y/. �7T' Iy 4/��•
Parcel No. �r(V
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
S•Type
Construction Fee Dbl E
Legal Description ..� { �
y/�...
+mow' ^ i,.� �. /
Fae S
S e R/
f (J'
Electrical Fee Dbl E
Zone Restrictions
Group
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E(.//
Plan No.
Plan C cker
Final ate
Inspector
Unit
Sp. Insp. Fee E
bemol. Fee E
Const. Lender' Branch
Sup Ii I Permit Numbers
Registr. Fee E
Mileage Fee E I;
Address City Zip
Witness Fee E
Reinsp. Fee E
Owner/Agent
Tel. - . Zip
Total Fees E
Address ` f .� ,�....—
City Zip
M.O. .C. Cash Che
Received by &14 f"'
ontr ctor
Tel._�j
License#'
Trees required
Sewage System
Addre
Cit/ /y
T LL P
Sewer District
Form 284-208 (Re 8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 1.20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.1
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:
Cr
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. E
43
Final
10A
Fireplacq T. 0.
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath ,.
12 Internal Lath. y
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 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
7.
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL41
1
P/
iv `
k.1.,
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 ServicetL'
32 Final
R!
F1 �
STREET NAME
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