426138 (BLCK)^PERMIT NO.
42613
PERMIT NO.
426138
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
Community
' t f ' -
o5
C!f
CONSTRUCTION ESTIMATE
NO. .• ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
n
LAI '
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Use of Permit
� 6 M (17 `,•y L -41A.17
Parcel No.
i-79 —f/4
YARD SPKLR SYSTEM
SQ. FT. @
Ck. B
SQ. FT. @ MOBILEHOME SVC. BAR SINK
Pl. Ck. Fee $
SQ. FT. @ POWER OUTLET ROOF DRAINS
Lot Size
SQ. FT. @ DRAINAGE PIPING=.,r.•
Legal Description _
0Zone
'Electrical
:J I // V ' 'v 4�,?
DRINKING FOUNTAIN
SQ. FT. @
h
Q. FT. @ 4 URINAL
P d_ly
VALUATION $ WATER PIPING
yf
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Plan No.
�./7 f��
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Unit
VENT SYSTEM FAN' EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Supplimenntfal Permit Numbers
i
lid= �
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
g q/
33 Ventilation System
2
Figs & Frms
�y�
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
971 Mal
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. 0
43 Final
IDA
Fireplace
T. 0.
P' ADDITIONAL INFORMATION
p
~
In
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 1 Final
PLUMBING APPROVALS
15 Ground Plumb T
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
i
PSL JP/
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
w PERMIT NO. - DEPARTMENT OF BUILDING & SAFETY _
426,138
ICp COUNTY OF RIVERSIDE FIELD OFFICE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ, FT. @ $
UNITS
Dat
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
Q. FT. @ ti
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
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
•�"' �'Q
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
City Zip _
SQ. FT. @ c
WATER HEATER
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S0. FT. RESID 61 V, c I
SEWAGE DISPOSAL
Trees required
SQ. FT. GAR @ 3/. c
HOUSE SEWER
P
eI1y
'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE S
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FES ELECT. FEE
SMI FEE
FEE PLUMB. FEE
• PERMIT NO.
4 2 613 $
Job Ad ss //^� //t `rte �/,%j 1{� Space
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Zip
i
e/7 w!n_7
Owner
Owner 1� �j ^i
/V q," '/ oto
Ca mu yIvaluotion
L./�
•�
$
Dat
D st.
•�'
F C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
o
" 00 in r, t/✓.5Lr
Parcel No.
7-7, ~//� �O�
Use/Case`No.
+
Ck 8
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
I Lot Size
Construction Fee Dbl $
Le9at Description F
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_ "' V rl/ / • ~ / �/ / r �+ v�r7 +Y
S
S
R
Electrical Fee Dbl $
Zonerictio�s
K -1
Group
Type
F
SMI Fee 8
Plumbing Fee Db1 $
Bond Amt.
$
Pion No.
t,.J 7 1'�
Plan Checker
KI el se
Final Date
•�"' �'Q
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch '.
•
tal Permit Numbers
Suppliym�enr`
/ � / 3 -%!
J! v -
�J`y' ,
Regi str. Fee $ _
Mileage Fee $
Address City Zip
Witness Fee $�
Reinsp. Fee $
Owner/A
Tei. Zip
Totol Fees $
Address
City Zip _
M.O. N.C. Cash n Check
Received byI
CO^•'Of tOf //%fj/�
,JJ//'L (' 0 �/ /
Tel (/P� /J�J�1j.
V 1�I 7
License#
Trees required
Sewage System
Address
V
P
eI1y
'
T LL P
' Sewer District
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED(41THIN 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 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.