368831 (SFD)DUILLPIMV VCKMII
PERMIT NO.Job
368831
PERMIT No.
368831
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
F&
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST Fl.
2ND. FL.
POR.SQ.
4�74GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ ! �! IUNITS
! •
W. r-
SQ. FT. @
YARD SPKLR SYSTEM
FT. @g - / I MOBILEHOME SVC.
BAR SINK
SQ. FT. @ %' POWER OUTLET
ROOF DRAINS
U
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
Plumbing Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
and Amt.
$
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
Mileage Fee $
SQ. FT. @ c
WATER HEATER
Reinsp. Fee
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Owner/Agent
SQ. FT. GAR @ V. c
HOUSE SEWER
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.Job
368831
Address
Space
Zip
Owner
ommunily
ru,
Valuation
$
DateDist.
! •
W. r-
^-F.C. V
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit I -
/ � '09��-/ �,
% n
rceTN -
_
J Use/Cosdf Wo.
Ck. By
le
Mech. Fee Dbl $
PI. Ck. Fee $
%'e-f86ckf
lot Size
,Type
Construction Fee Dbl $
L got Descnp n c '
-
F 5 S
t'� �.r•-
R
..v
Electrical Fee Dbl $
Zone Restrictions
Group
SMI Fee $
Plumbing Fee
Dbl $
and Amt.
$
Plan No.
Plan h cker,
Final Dote�f
- pc S�^f
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Bra ch
Supplimento P rmit Numbers
Registr. Fee $
Mileage Fee $
Address Cit Y Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M. 0. N.C.
$
Cash Check
Address
City
Zip '
Received
1
Contractor ,� �Tel.
J
i iy �,, „r,,,,,f~
;✓ ...
Trees required
Sewage System
Ad ress r
-yy
City ✓ !
Zi P
VT LL P
Districl
Form 284-208 (Rev.8/78)
- THIS PERMI{SHALL BECOME V6D IF WORK IS NOT COMMENCED Q'HIN 726 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 r t
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
3
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
_
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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. C]
43
Final
10A
Fireplace, T.O. E]
No
ADDITIONAL INFORMATION
i
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
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME