353820CUILDIFG rtKMII
5PERM382IT �JO.
0
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD • •
STss •
CONSTRUCTION ESTIMATE _,,,.• .. ,
, NO
,.; , ELECTRICAL FEES. - - .
NO...
,-PLUMBING FEES •• •'
IST FL.
SQ FT @
$
Date 7S�/
. /
Dist. F
UNITS
F.C.C.
{{
iMH.Permit Fee
$
)Micro Film Fee
2ND '1L
SQ FTS@:..._...».
,. �..
Parcel No. `� '
77V -.l fe/ -e iiy $i.
.--.
••
Mech. Fee
_a,..
YARD SPKLR SYSTEM
•
.:'y.
POR/
SQ. FT. @
Set Backs
Lot Size
MOBILEHOME SVC.
S
S
)
BAR SINK
Construction Fee
Dbl
r AR.
SQ FT @
Legal Description
/ 3Cal:::.;
_
Electrical Fee
Dbl
POWER OUTLET
Zone Restrictions
/
ROQF-DRAINS
SMI Fee
f ( R P
'
SQ FT @
Plumbing Fee
Dbl
$
Bond Amt.
$'
Plan No. s
Plan Checker •
DRAINAGE PIPING
Inspector
Unit
/'
r WALL
SQ FT @
S
Demol. Fee
$
Const. Lender Branch
DRINKING FOUNTAIN
Registr. Fee
a(
SQ FT @
Mileage Fee
$P
Address -
City Zi
•
t
`
,.• , ..Reinsp.
Witness Fee
URINAL
$
,
V . J ESTIMATED CONSTRUCTION VALUATION
$
$ /
Owner/Agent
t, i +.
Tel. Zip
•� i
WATER PIPING
Total Fees
• r�_' NOTE: Not to be used as property tax valuation,
in
SWIM POOL, PVT
City
IIIIIII VIII III VIII IIII 09 Zip
'(�.' 1111111111113111111111
\QJ, IE •
M.O. 0 N.C. Cos45 heck 0
Received by
FLOOR DRAIN
Tel.
f
1' \i r
w
v ..;-;i200.5..
/ F MECHANICAL FEES_ '.
License# ,
SWIM POOL, COMM
Sewage System •
Address $`
Ciry`f•
WATER SOFTENER
-.
VENT SYSTEM FAN EVAP. BOL' `^`''HOOD ''.:
SIGN
WASHER (AUTO)(DISH)
APPLIANCE i . DRYERt
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED •
-
LAUNDRY TRAY
AIR. HANDLING UNIT t CFM F
IDLE METER
KITCHEN SINK
ADSORPTION SYSTEM ,B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
t
LAVATORY
HEATING SYSTEM FORCED GRAVITY-
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
t
' SQ. FT. @ c
WATER HEATER
SO. FT. RESID @I 1/4c
SEWAGE DISPOSAL.
• S0. FT. GAR @ 3/..c
HOUSE SEWER
• 1
GAS PIPING
PERMIT FEE
4.4-1.-,,,. . se), ....,, +..
.. ..
PERMIT FEE ..•.
o .
..
......
PERMIT FEE,
DEAL
TOTAL FEES
MOB.HM.FEE
MICRO FEE •
MECH FEE
PL. CK FEE
CONST. FEE
ELECT. FEE
SMI FEE fel)"
4/''FEE
PLUMB. FEE
Sewer District
Form 284-208 (Rev.13/78)
gr
; THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN f 0 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ,SO USE RMIT TO BECOME VOID. 1�
Rr 1* 'A�LL W RK IN CONNECTION WITH THIS 'PERMIT WILL;gE`'DONE IN P*CORDAT CE WITH—=
THE LAVeS.OF RIVERSIDE COUN?Y AND THE STATE OF CALIFORNIA. `
t
THEREBY 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.
J
. I HEREBY AGREE
verified by:
Job Address Spoce
. 4-3 C; , ��— t`✓r/>J.�/ia�-
Zip
Own f
,v CvJri,
PERMIT NO.
, 353820
Community
^"""/ ^�'<9 ,' ./7„r"
Valuation
$
Date 7S�/
. /
Dist. F
Off.
L%""'
F.C.C.
{{
iMH.Permit Fee
$
)Micro Film Fee
Cop
$
Use of Permitl- . ! y-�
/GG=/ij / / L >a(.1 ', (r# /
Parcel No. `� '
77V -.l fe/ -e iiy $i.
Use/Cose No. .
C By
/✓ 5
Mech. Fee
Dbl
$
PI. Ck. Fee
$
Set Backs
Lot Size
F
S
S
R
Construction Fee
Dbl
$
Legal Description
/ 3Cal:::.;
_
Electrical Fee
Dbl
$ .
Zone Restrictions
Group
Type
SMI Fee
$
Plumbing Fee
Dbl
$
Bond Amt.
$'
Plan No. s
Plan Checker •
Final Dale
Inspector
Unit
Sp. Insp. Fee
S
Demol. Fee
$
Const. Lender Branch
Supplimentol Permit Numbe//��y��,,/���`''�dJ
Registr. Fee
$
Mileage Fee
$P
Address -
City Zi
•
t
`
,.• , ..Reinsp.
Witness Fee
$
Fee
$ /
Owner/Agent
t, i +.
Tel. Zip
•� i
Total Fees
$ /d
in
Address
- ••""""
City
IIIIIII VIII III VIII IIII 09 Zip
'(�.' 1111111111113111111111
\QJ, IE •
M.O. 0 N.C. Cos45 heck 0
Received by
ControlttorJd.< ,
II I '4 f✓f///`9}'" ), Cy.„.., . L.�„
Tel.
f
1' \i r
w
v ..;-;i200.5..
License# ,
Trees required
Sewage System •
Address $`
Ciry`f•
Zip
-.
Sewer District
Form 284-208 (Rev.13/78)
gr
; THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN f 0 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ,SO USE RMIT TO BECOME VOID. 1�
Rr 1* 'A�LL W RK IN CONNECTION WITH THIS 'PERMIT WILL;gE`'DONE IN P*CORDAT CE WITH—=
THE LAVeS.OF RIVERSIDE COUN?Y AND THE STATE OF CALIFORNIA. `
t
THEREBY 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.
J
. I HEREBY AGREE
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Compart.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
r
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.O.
•
No
_
ADDITIONAL. INFORMATION
_ _ _
`
SEWAGE SYSTEM SIZE & LOCATION
11
Exterior Lath
_ 9— 79
,,.4 _Q
�o��
12
Internal Loth
12A
Drywall
13
Finish Grade
INSULATION
Thick
Value
7A
Walls (Batts)
128
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 PRQPERTY LINE
• ELECTRICAL •APPROVALSi
PIL
,
r
P.
26
Power Pole
27
Conduit
28
Service Entrance
,
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures .
•
31
Service
•
32
Final