404124 (RIV CNTY) BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD DST ;
0 412 4 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SO.FT. .@ F.r rI l6UNITS
2ND.FL. SO.FT. @
YARD SPKLR SYSTEM
POR. SO.FT. @ R ;�,� MOBILEHOME SVC. BAR SINK
GAR. SO.FT. POWER OUTLET ROOF DRAINS
@
CAR P. 1 SO.FT. @ A^' DRAINAGE PIPING
DRINKING FOUNTAIN
WALL SQ.FT. @ j
SQ.FT. @ L URINAL is
ESTIMATED CONSTRUCTION VALUATION $ +� 6 C7 a 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) f
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL,+- FLOOR SUSPENDED 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. SO. FT. @ a BATH TUB
SQ. FT. @ a WATER HEATER
S0. FT. RESID @ 11/4 4 SEWAGE DISPOSAL
S0. FT. GAR @ 3/aa HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL. TOTAL FEES MOB.H77ic
ROFEE MECH. FEE PL. CK.FEE CONST. FEE ELECT.FEE SMI FEE FEE PLUMB. FEE
r i7r.
PERMIT NO.
Job Address ?pace Zip Owner
c
404124 t * ^ ' -
Comm 1 u iNnN� ""p '!81'st.
MH Permit Fee S S
Micro Film Fee Cop $ Use of Peftn4 Parcel No. t y,) se/Case .o.� k.By
Mach.Fee Dbl S
Pl.Ck. Fee $ Or .,k - Lot Size
lag npt n i -�-.• ,1
F S S
Construction Fee Dill $ r R
Electrical Fee Dbl S �"+ L ]'t" a �¢.� Zone Restrictions Group Type .
SMI Fee S 7 t � � r-dt,y:. 4,1/ . T
Plumbing Fee Dbl S t.r ( ^d.No �1 Is,Le2key, Final DateInspector Unit
Sp. Insp. Fee s S nrt . 11 , 7-1, p D O .}
Demol. Fee s Const.Lender `• Branch - SSupplliimentol Permit Numbers
Registr. Fee $ /� �~ I����I IIIIIIII VIII III VIIIIIII �� T
Mileage Fee S Address it Zip
--WitnIE
ess Fee S {
Reinsp.Fee S 0�t gent Tel. Zip
Total Fees S I Address "'�'�~' k. s - City "" Zip
M.O. ❑ N.C.❑ Cash❑ Ch k-0
Received by - Cont ctor "•'" `'' st - �r ''�. ./ �'Fl Tel. - �.�,�� '{ s Lien `
Trees required f
Sewage System Address City Zip
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T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: `r
Sewer District 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
.8 c THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I•
r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208(Rev. 1/80( ACCORDANCE 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 Bock 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
10A Fireplace T.0. °o ADDITIONAL INFORMATION
11 Exterior Loth
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 SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L. Line
ELECTRICAL APPROVALS REAR OF PROPERTY LINE
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire P/L P/I
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME