375286 (ELEC)BUILDING PERMIT
PERMIT.No: DEPARTMENT OF BUILDING B.SAFETY Ds
86 COUNTY OF RIVERSIDE FIELD
,3752
CONSTRUCTION
ESTIMATE
NO: ELECTRICAL FEES
(/^�'�%� /� Space
NO. PLUMBING FEES
OwnerL
$
# UNITS '
Co munnity L
/'7 �. T
591ST'FL.
SQ. FT. @
D/ist.
wp/p� ,.
2ND. FL.4 SQ. FT. @
MH.Permit Fee E
Micro Film Fee
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
Parcel No. . �q rr J.
6 . .0I / —
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
Pl. Ck. Fee $
ROOF DRAINS
CAR P. SQ. FT. @ .
DRAINAGE PIPING
WALL SQ. FT. @
S S R
Electrical Fee Dbl $
DRINKING FOUNTAIN
SQ. FT. @
Type
URINAL
ESTIMATED. CONSTRUCTION VALUATION $
Dbl $
Bond Amt.
$
WATER PIPING
` NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Inspect BR�iolz
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Demol. Fee
WATER SOFTENER.
'VENT SYSTEM. FAN EVAP. COOL HOOD
SIGN
Supplimental Permit Numbers,
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Fee $
Mileage Fee $ j-
Mileage
e
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
S
Q4
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U:
TEMP'USE PERMIT SVC
....•
•Check
WATER CLOSET
COMPRESSOR':HP
POLETEMP/PERM
S,
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT',
Contractor
-
SHOWER
BOILER B.T.U.
SQ. FT. @ C
t
BATH TUB
_
SQ. FT. @ c
Address
WATER HEATER
City • Zi
SQ. FT. RESID @1 14<
.
SEWAGE DISPOSAL
SQ. FT. GAR @ '/ c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL."
TOTAL FEES
MOB. M. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELE .
FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
7 5 8 6
Job Address
5/ 44
Aile
(/^�'�%� /� Space
Zip
OwnerL
Co munnity L
/'7 �. T
Voluation
$
Date
D/ist.
wp/p� ,.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit - '
(/+
Elea r lrU �
+' /''�
� �F 4 �
Parcel No. . �q rr J.
6 . .0I / —
Use/Case No.
Ck'. By C
r✓' ✓
J
Mech.. Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description F
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0.✓ L+r < .Y 1 �"`wr�
S S R
Electrical Fee Dbl $
Zone R,e{s'-'i/tions
M+�/
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
— 7 7
Inspect BR�iolz
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers,
Fee $
Mileage Fee $ j-
Mileage
e
Address - City Zip
Witness Fee . $
Reinsp. Fee
$ 'f
Owner/ ih'
Tel.
Zip
Total Fees$
....•
•Check
'Address
( J 1,;,,Ilk
City
%i / �C�. �� �
S,
Zip
' M.O. N.C. Cash
!
iv
Receed by ),k'0.• �
jf
Contractor
-
Tel.
LicenseN
t
Trees required
Sewage System
Address
City • Zi
.
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
ewer District 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.
LForm•284-208 (Rev, 8/7B) P s 3 �'..- ,!s .� - ..
_ .. �. .� ... ..-. �.
r.
verified by:
r
6
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slob Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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
10A
Fireplace T.O. ❑
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P)
26 Power Pole 79
27 Conduit
28 Service Entrance
29 Wiring —7
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 6 _,;l,
STREET NAME