367029 (SFD)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD 'PST
3 6 7 0 2 9 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
Job Address
NO.
ELECTRICAL FEES
NO. PLUMBINGFEES
•
1 ST FL.
2ND. FL. �^�.
POR. 2• �
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ ,69— $ - v
�� 75
UNITS
SQ. FT. @ ' YARD SPKLR SYSTEM
_,
SQ. FT. @ �!? Z MOBILEHOME SVC. BAR SINK
CommunityVpluotion
4.4
SQ. FT. @ - F/ t POWER OUTLET _ ROOF DRAINS
'DRAINAGE'PIPING
SQ. FT. @
Dist.
SQ. FT. @ DRINKING FOUNTAIN
F;C. C.
SQ. FT. @ URINAL
t
VALUATION $ L2 2+;,� WATER PIPING
Micro Film Fee
NOTE: Not to be used as property tax valuation
Use of Permit
1
SWIM POOL PVT "'. �� *
'' §• FLOOR-DRAINr^ a w.� a S.
',.
MECHANICAL FEES
Pl. Ck
PI. . Fee $
� ` Set Backs I I
SWIM POOL, COMM
WATER SOFTENER
Construction Fee Del $
VENT SYSTEM FAN EVAP. COOL HOOD
G
F -^. t. S .
SIGN
WASHER (AUTO)(DISH)
Zone Restrictions
APPLIANCE DRYER .
Type
-
GARBAGE DISPOSAL
$
FURNACE UNIT WALL FLOOR SUSPENDED
tG-
.0016
LAUNDRY TRAY
AIR HANDLING UNIT CFM
;Plumbing Fee
Del $
IDLE METER
KITCHEN SINK
Plan No.
ABSORPTION SYSTEM B.T.U.
Final Data `^
Inspector :
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
$
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
$
BOILER B.T.U.
Const. Lender
-Branch t
'
SQ. FT. @ C
BATH TUB
Registr. Fee $
'
Address City Zip
SQ. FT., @.-.
t WATER HEATER>
a
A,
A
'
SQ. FT. RESID @P/. c
SEWAGE DISPOSAL
$
Owner/Agent //'
/{ %y,f
SO. FT. GAR @, 3/4 c
K' ' - HOUSE SEWER
GAS PIPING
PERMIT FEE
Total Fees
E
PERMIT FEE
PERMIT FEE
t.
DBL. `
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONST. FEE ELECT. FEE. �• SMI FEE
FEE PLUMB. ,FEE
PERMIT NO.
Job Address
- -
Space
ZipOwner
•
367029
�'
y
_,
j
CommunityVpluotion
4.4
-rmoi- ($
•"
Dole
Dist.
„Off.
F;C. C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit
1
� l/t,
I
� � (/
Parcel No. Use/Case-No..
._ { �iI� -rr -
Ck. By.'
Fee Dbl E
Pl. Ck
PI. . Fee $
� ` Set Backs I I
I Lot Size ? \
'
Construction Fee Del $
Le al Description
G
F -^. t. S .
SR_77
Electrical Fee Dbl $
Zone Restrictions
Group
Type
-
SMI Fee
$
tG-
.0016
;Plumbing Fee
Del $
Bond Amt.
Plan No.
Plan a er t ,�
Final Data `^
Inspector :
Unit
3p. Insp. Fee
$
$
y 71
Demol. Fee
$
Const. Lender
-Branch t
'
sup plim nt Permit Numbers •
•-
i
i
,
Registr. Fee $
Mileage Fee g
Address City Zip
Witness Fee
E
A,
A
'
Reinsp. Fee
$
Owner/Agent //'
/{ %y,f
Tel.
Zip
Total Fees
E
�"'""
ddress �� 3
4��'��
'" City' -' r •'t•.
Zip
)
M.O:
,C. Cash
n Chec
Received by
x
Contractor
;�tiv
Tel. -
+.r s..tir r • r 7 . a w T's : — s . •v. R i .
License#
t.
t#tir"'�
Trees required
Sewoge System
'
Address
T
,City - Zip
-
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN41'20 DAYS. CESSATION OF— verified by:e'^v
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. � F r
W. <, '
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
J!'�CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ��
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. Cleo once
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
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