398665 (SFD)BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD DST
3 9 8 6 6 5 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
2ND.'FL. SO. FT. @
FOR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT. @ s
WALL SO. FT.@
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
`
UNITS
MOBILEHOME SVC.
POWER OUTLET
Dote
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
Off.
NOTE: Not to be used as property tax valuation
MH Permit Fee
SWIM POOL, PVT
Use of Per
,yrs y
, J c•- �G' �..�
FLOOR DRAIN
se/Cose No.
i
MECHANICAL FEES
Mech. Fee DbL $
SWIM POOL, COMM
Set Backs
WATER SOFTENER
Construction Fee ��/, Dbl- $ .r
VENT SYSTEM FAN EVAP. COOL HOOD
F /) 5 �""' S -�"
SIGN
Electrical Fee �•J .. $ .•• /1
(J
WASHER (AUTO)(DISH)
.._
`
APPLIANCE DRYER
SMI Fee $
Plumbing Fee f $
5ond Amt.N
$
GARBAGE DISPOSAL
1
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
Sp. Insp.. Fee $
Demol. Fee $
LAUNDRY TRAY
Sup plimentoll Permit Numbers
AIR HANDLING UNIT CFM
Mileage Fee $
IDLE METER
Witness Fee S
KITCHEN SINK
Own gent ,•
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
ddress f / / y'
/ �' ...! (/ rj C �� 1( r J` /f f i
WATER CLOSET
M.O. n N.C. Cash Check
COMPRESSOR HP
Contractor
POLE, TEMP/PERM
License#
LAVATORY
Sewage System J
HEATING SYSTEM FORCED GRAVITY
City Zip
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
SO. FT. RFSID @ 1 t/4a
SEWAGE DISPOSAL
SO. FT. GAR @ z/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. EE
PERMIT NO.
398665
Job Address Space
v-lz!50 e a
Zip
Owner
Community j
Valuotion
Dote
Dist.
//
Off.
F.C.C.
MH Permit Fee
Micro Film Fee Cop $
Use of Per
,yrs y
, J c•- �G' �..�
Parcel No.
--C-/ 1 "'''CSC,
se/Cose No.
i
Ck. By
Mech. Fee DbL $
PI. Ck. Fee $��!
Set Backs
los Size j
G j� )1 /^� J
Construction Fee ��/, Dbl- $ .r
Legal Description p' / �.
'~
J f %�,� J rt*^ C«L..••
F /) 5 �""' S -�"
/
Electrical Fee �•J .. $ .•• /1
(J
Zone R`es[7ric onsGrou
J�" �. /
`ote
.._
`
SMI Fee $
Plumbing Fee f $
5ond Amt.N
$
Plon No.
Plan Checker
Finol . k/�ia 1 11
Unit
Sp. Insp.. Fee $
Demol. Fee $
Const. Lender Branch
Sup plimentoll Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee $
Own gent ,•
Tel. � � � J ,r-� 2ip
Total Fees Is
ddress f / / y'
/ �' ...! (/ rj C �� 1( r J` /f f i
City Zip
t �`JA G ? _
M.O. n N.C. Cash Check
Received by � • ,�,/ A
Contractor
Tel.
License#
Trees require
Sewage System J
Address
City Zip
T P j THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
a .
1 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 EREB�Y CERTIFY THAT THE INONIDUAL WRO PREPARED THE PLANS'AND SPECIFICATIONS HAS DONE SO IN , y
Form 284208 (Rev. 1/80) CE WITH SECTION,5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO. OPERATION
DATE
INS1 nC•TOk`
NO. OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
-,MECHANICAL APPROVALS
��Jj/��
1 Set Bock �®7? �""�
33 Ventilation System
2 Ftgs 8 Frms C=f Q_ �'V
J `
34 Plenums 8 Ducts
i 0_
2A Slob Grade
35 Furnace Comport.
3 Steel eL - i U
36 Inlets 8 Outlets
4 Grout Blocks
37 Combustion Air
5 Bond Beams
38 Compressor
6 Roof Deck 9� Zc,{��
39 Appl. Clearance
,.7 .•F.rc.-��inry .• //t}
B • Vents •
40 Fire Damper
41 ' Smoke Detection Device
9 Gdrage Fire Wall
42 Commercial Hood
10 Fireplace P. L. -
43 Final '
10A Fireplace T.O. Q 11
11 Exterior Loth
12 Internal Lath Q
12A Drywall
13 Fini h Grade
No ADDITIONAL INFORMATION
/i1U`J� 2tJ lO.G�S 3 07.3 97-
l� CEJ
`
/ g�oQ �`�� %�'�G�'�6-gS /'.`.c./G-�--�
-
-_
SEWAGE SYSTEM SIZE 8�_ LOCATION
INSULATION Thick R
7A Walls (Batts) 3 y /�
�•l/� p/���
12B Ceiling (Botts)
12C Ceiling (Blown)
4
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents lz —J?�QQ
19 Sewage Disposal 3/// � 9
20 Sewer
t
21 Water Heoter
22 Water Softener
23 -Water Service
24 Gas Test
25 Final
flank Pit L. Line
4
REAR OF PROPERTY LINEf°
r ELECTRICAL APPROVALS
P/L
_
`
P/
-
` 26 Powei Pole
27 Conduit
28 Service Entrance
/ ? „11-
w�''�g1 (O/
(") Q JS
1 v V t!
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
u
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY : ,FIELD OFFICE, DST'
(� p c c C8665 COUNTY OFRIVERSIDE e /.
.
f CONSTRUCTION ESTIMATE I 'NO.- • ELECTRICAL FEES . NO.1 PLUMBING FEES
t� 1ST FL.
2ND. FL.
• FOR.
GAR.
�• CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
- -Space Zip - O er•
�� 66� -S `
/'{,•,JJ
UNITS s
`� v 5�
Community
SQ. FT. @
• YARD SPKLR SYSTEM ..•
SO. FT. @ MOBILEHOME SVC: •
BAR. SINK
SQ. FT. @ - ` POWER OUTLET '
ROOF DRAINS T
SQ. FT. @ r _
DRAINAGE:PIPING _
SO. FT.. @ ' -
DRINKING FOUNTAIN '
SQ. FT. '@
URINAL -
VALUATION $ -
WATER PIPING
NOTE: Not to be used as property tax, valuation
-
SWIM'POOL, PVT
Lot Size
/
s,J`
FLOOR DRAIN '
MECHANICAL FEES
—
SWIM POOL, COMM'
Group e
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL', . HOOD •
SIGN -
WASHER (AUTO)(DISH)'
APPLIANCE DRYER
Plumbing Fee . $
Bond Amt.
GARBAGE DISPOSAL
FURNACE UNIT, WALL FLOOR SUSPENDED
%jL�jiO t �/�
G Jl /G
Inspector
.. \
/
LAUNDRY TRAY
AIR HANDLING UNIT CFM
- IDLE METER'
,
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
e%ice
TEMP USE PERMIT SVC
Demol. Fee $
WATER CLOSET -
• COMPRESSOR HP
SupplimOenCtal Permit Numbers
POLE, TEMP/PERM
Registr. Fee g
LAVATORY
HEATING SYSTEM FORCED. GRAVITY
.A'MPERES SERV ENT;!
Mileage Fee g, Address - City - Zip -
SHOWER
BOILER B.T.U.
..
.. 't
SQ. FT. @ a
t
.
BATH' TUB
Ow r/Agent
: •_ ;''
SO. FT. @ a
Zip
WATER HEATER
-
S0. FT. RESID @114c
SEWAGE.DISPOSAL
dress /
1
SO.'FT. GAR @ 1144a
- Zip
., j
HOUSE .SEWER
aff"'v,
Racei.ed by �'
GAS PIPING -
' PERMIT FEE - • • •
-
PERMIT FEE
Trees raquir
PERMIT'FEE ,
G
TOTAL FEES
MOB. HM: FEE
I MICRO FEE '
MECH. FEE
PL CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE PLUMB. FEE
0010/
3 PERMRT NO. rCl
9,8
Job Address
- -Space Zip - O er•
�� 66� -S `
/'{,•,JJ
- •"
`� v 5�
Community
� - Valuation Dote
Dis/t. Off. F.C.C. .
MH Permit Fee S
$
Micro Film Fee • Cop S
Use of Pe mit
Porcel
No. Use/Casa No. • `
Ck. By
Mech. Fee. S
Pl. Ck. Fee - 5
Set Backs
F S S R
Lot Size
/
s,J`
Construction Fee `L1L
�S
Legol Description
- G
'" — ��•
one Restrictions0.
-
Group e
Electrical Fee S _ . • '' `6/�'�j.
SMI Fee
�/
5
ta~'•«+
�.
.C�-..�...•'
Plumbing Fee . $
Bond Amt.
Plan No.
Plan Checker
%jL�jiO t �/�
G Jl /G
Inspector
.. \
/
Unit, '
Sp. Imp. Fee S t
,
? �
—11 J-
e%ice
Demol. Fee $
Const.. Lender
Branch
SupplimOenCtal Permit Numbers
Registr. Fee g
•
Mileage Fee g, Address - City - Zip -
Witness"Fee - S
..
.. 't
- •
t
.
Reinsp. Fee S.
Ow r/Agent
: •_ ;''
Tel. •S
Zip
Total Fees S
dress /
1
City \ '
/}j �y �•�
- Zip
., j
M.O.' N.C.•[3 Cash El Check
aff"'v,
Racei.ed by �'
Contractor
-
, 'Tel.
License#
Trees raquir
r
,
Sauvage System Q -
i
Address�
• 4 _
T
Zip
T p 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.
Sewer District , e -
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.
_ c '
IHEREBY CERTIFY'THAT THE INDIVIDUAL WHO PREPARED jHE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/801 O CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.