369284 (PLBG)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
3692841
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @
UNITS
Community
^4
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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
R
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Group
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
Branch
SQ. FT. @ c
WATER HEATER
Registr. Fee $
S0. FT. RESID @lt/.c
SEWAGE DISPOSAL
Witness Fee $
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
,0 A"
Owner/Agent
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
, !!la 4EE PLUMB. FEE
PERMIT NO.
1369284
Job Address
-z3-
Space
Zip
Owner
r-�f
Community
^4
Valuation
$
Date
' , /
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
i6/.=r _ ,� �3 �yjy+Ie�1 7'
���
Parcel No.
� �� � C✓ /v :/ r' .)
Use/Case No.
Ck. By
.err J
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
/ew 0�••• /"t 7
h
`J' GP
F $ S
R
Electrical Fee Dbl $
Zone Restrictions
p
Group
Type
SMI Fee $
Plumbing fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspector
Unit
,Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Sup pliment I it Numbers
'
Registr. Fee $
Milgr,]e Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
,0 A"
Owner/Agent
Tel.
Zip
Total Fees
$
119 ,.r
Address
j
City
Zip
M.O. 0 N.C. Cash Check N,
Received by
Contractor 1 1 �•/fit.%
J . �.. ✓Q 141-45 7")R/
Tel.
i.�
License#
Trees required
Sewage System •
t''' r
Address
City Zip
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 verified by:
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 01 RIVERSIDEC TY A THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAI W1T19"PRBPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF E BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
, INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALI..
1
Set Back
33
Ventilation System
2
Figs 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.
FIN
_
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
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME